Relationship Check-Up

Once you've responded to the items below, you will have a handle on the strengths and weaknesses of your relationship. You will know what areas need work and, you will know where you and your partner are doing really well.

If you and your partner complete the questionnaire separately, you can compare answers and get a clear picture of how the two of you feel about the topics.

Handling Relationship Finances

Matters of Recreation

Religious Matters

Demonstrations of Affection

Friends

Sexual Expression

Conventionality (Correct or Proper Behavior)

Philosophy of Life

Ways of Dealing with Parents/In-Laws

Amount of Time Spent Together

Aims, Goals & Things Believed Important

Making Major Decisions

Household Tasks

Leisure Time Interests & Activities

Career Decisions

How often do you discuss or have you considered divorce, separation or ending your relationship?

How often do you or your partner leave the house after a fight?

In general, how often do you think that things between the two of you are going well?

Do you confide in your partner?

Do you ever regret that you got together?

How often do you and your partner fight?

How often do you and your partner "get on each other's nerves?"

Do you kiss your partner?

Do you and your partner engage in outside interests together?

Have a stimulating exchange of ideas

Laugh together

Calmly discuss something

Work together on a project

These are some things about which couples agree and sometimes disagree. Indicate if either of these caused problems in your relationship during the past few weeks.

Being too tired for sex

Not showing love

Choose the level of happiness that best describes your relationship...all things considered. *

How do you feel about the future of your relationship? *

First Name *

Last Name *

Date

Email Address *

Relationship Status *

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