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Enhancing your relationship
Follow-Up Questionnaires
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This questionnaire will take approximately 30 minutes to complete. PLease ensure that you have enough time and a stable internet connection. Click here when ready.
Assessment Questionnaires
Your First Initial:
*
Your Partner's First Initial
*
Your Gender
*
Male
Female
Other
For how many years have you been together?
*
Please indicate the degree of happiness, all things considered, of your relationship.
*
0 - Extremely Unhappy, 1 - Fairly Unhappy, 2 - A Little Unhappy, 3 - Happy, 4 - Very Happy, 5 - Extremely Happy, 6 - Perfect
0
1
2
3
4
5
6
I am satisfied with the amount of time that we spend together
*
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
0
1
2
3
4
5
We make major decisions well together
*
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
0
1
2
3
4
5
I like how we demonstrate affection
*
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
0
1
2
3
4
5
In general, how often do you think that things between you and your partner are going well?
*
0 - Never, 1 - Rarely, 2 - Occasionally, 3 - More Often Than Not, 4 - Most of the Time, 5 - All the Time
0
1
2
3
4
5
How often do you wish you hadn't gotten into this relationship?
*
0 - Never, 1 - Rarely, 2 - Occasionally, 3 - More Often Than Not, 4 - Most of the Time, 5 - All the Time
0
1
2
3
4
5
I still feel a strong connection with my partner
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
If I had my life to live over, I would marry (or live with/date) the same person
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
Our relationship is strong
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I sometimes wonder if there is someone else out there for me
*
5 - Not At All True, 4 - A Little True, 3 - Somewhat True, 2 - Mostly True, 1 - Almost Completely True, 0 - Completely True
5
4
3
2
1
0
My relationship with my partner makes me happy
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I have a warm and comfortable relationship with my partner.
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I can't imagine ending my relationship with my partner
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I feel I can confide in my partner about virtually anything
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I have had second thoughts about this relationship recently
*
5 - Not At All True, 4 - A Little True, 3 - Somewhat True, 2 - Mostly True, 1 - Almost Completely True, 0 - Completely True
5
4
3
2
1
0
For me, my partner is the perfect romantic partner
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I really feel like a part of a team with my partner
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
I cannot imagine another person making me as happy as my partner does
*
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
0
1
2
3
4
5
How rewarding is your relationship with your partner?
*
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
0
1
2
3
4
5
How well does your partner meet your needs?
*
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
0
1
2
3
4
5
To what extent has your relationship met your original expectations?
*
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
0
1
2
3
4
5
In general, how satisfied are you with your relationship?
*
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
0
1
2
3
4
5
How good is your relationship compared to most?
*
0 - Worse than all others (Extremely bad) to 5 - Better than all others (Extremely good)
0
1
2
3
4
5
Do you enjoy your partner's company?
*
0 - Never 1 - Less Than Once a Month 2 - Once or Twice a Month 3 - Once or Twice a Week 4 - Once a Day 5 - More Often
0
1
2
3
4
5
How often do you and your partner have fun together?
*
0 - Never 1 - Less Than Once a Month 2 - Once or Twice a Month 3 - Once or Twice a Week 4 - Once a Day 5 - More Often
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Boring" and 5 means "Interesting"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Bad" and 5 means "Good"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Empty" and 5 means "Full"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Lonely" and 5 means "Friendly"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Fragile" and 5 means "Sturdy"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Discouraging" and 5 means "Hopeful"?
*
0
1
2
3
4
5
How would you rate your relationship, where 0 means "Miserable" and 5 means "Enjoyable"?
*
0
1
2
3
4
5
When an issue or problem arises, we both tend to avoid discussing it
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
When an issue or problem arises, we both try to discuss it
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
When an issue or problem arises, I try to discuss it and my partner tries to avoid it
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
When an issue or problem arises, my partner tries to discuss it and I try to avoid it
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, we both express our feelings to each other
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, we both blame, accuse and criticise each other
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, we both suggest possible solutions and compromises
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, I pressure, nag, or demand while my partner withdraws, becomes silent, or refuses to discuss the matter further
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, my partner pressures, nags, or demands while I withdraw, become silent, or refuse to discuss the matter further
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, I criticise while my partner defends his/herself
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
During a discussion of an issue or problem, my partner criticises while I defend myself
*
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
0
1
2
3
4
5
6
7
8
9
My partner keeps bringing up mistakes that I have made in the past
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner caresses me during foreplay so that I get sexually aroused
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
I noticed that my partner finds me physically attactive
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner tells me that he/she is content when we are together
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
Before we go to sleep, we cuddle each other in bed
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner starts a quarrel over minor things
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner shares his/her thoughts and feelings openly with me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
When we quarrel, he/she insults me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner responds positively to my sexual desires
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
We make plans together for the future
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
When my partner talks about his/her work, he/she wants to hear my opinion
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
We make plans together for how we want to spend the weekend
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner touches me tenderly and I like it
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner gives me sincere compliments on my appearance
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner discusses things about his/her work life with me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner makes an effort to be attentive to my wishes and fulfills them when the opportunity arises
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner criticises me sarcastically
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner makes derogatory remarks about my opinions
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
When my partner has clearly treated me wrongly, he/she later apologises to me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
We usually spend at least half an hour talking to each other in the evening
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
When we quarrel, we can never resolve it
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner blames me when something goes wrong
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner hugs me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner shouts at me during a quarrel
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
In the evenings, my partner asks me what I have done during the day
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
When we quarrel, my partner turns around what I say to mean the opposite
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner talks to me about his/her sexual desires
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner caresses me tenderly
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner tells me that he/she cares about me
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
My partner restricts my personal freedom
*
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
0
1
2
3
How happy would you rate your partnership at the moment?
*
0 - Very Unhappy, 1 - Unhappy, 2 - Rather Unhappy, 3 - Rather Happy, 4 - Happy, 5 - Very Happy
0
1
2
3
4
5
Money
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Professional Life
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Household Management
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Parenting/Discipling Children
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Recreation, Leisure Time
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Friends and Acquaintances
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Temperament of Partner
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Showing Affection/Love of Partner
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Attractiveness
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Trust
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Jealousy
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Independence
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Sexuality
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Infidelity
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Relatives, In-Laws
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Personal Habits of Partner
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Communication
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Family Planning
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Lack of Acceptance/Support by Partner
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Demands of the Partner
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Illnesses/Disabilities/Mental Health Problems
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Use of Alcohol/Medicaments/Drugs
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Aggression/Violence
*
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
0
1
2
3
Other
Does any other issue impact your relationship? If so, to what extent? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Thank you!