Is Your Relationship Hot and Heavy OR Sliding Down A Scrap Heap?


Your Age:
Your Gender (M or F):

I:
Love my partner with all my heart.
Love my partner a lot.
Love my partner a little.
Donít love my partner very much.
Donít love my partner at all.

My partner:
Loves me with all his/her heart.
Loves me a lot.
Loves me a little.
Doesnít love me very much.
Doesnít love me at all.

My partner's love makes me feel like I am trapped in a box.
Always
Often
Sometimes
Seldom
Never

I can trust my partner.
Always
Often
Sometimes
Seldom
Never

My partner can trust me.
Always
Often
Sometimes
Seldom
Never

My partner and I support each other.
Always
Often
Sometimes
Seldom
Never

My partner knows how to lift my spirits and comfort me when I am down, upset or feeling depressed.
Always
Often
Sometimes
Seldom
Never

My partner supports my ambitions in life.
Always
Often
Sometimes
Seldom
Never

My partner and I both want the same things in life.
Always
Often
Sometimes
Seldom
Never

My partner and I both have the same priorities in life.
Always
Often
Sometimes
Seldom
Never

My partner and I get to spend enough quality time together.
Always
Often
Sometimes
Seldom
Never

My partner and I love the quality time we spend together.
Always
Often
Sometimes
Seldom
Never

My partner and I consider each other equals in all decision making processes.
Always
Often
Sometimes
Seldom
Never

My partner and I split chores equally.
Always
Often
Sometimes
Seldom
Never

Our social life as a couple.
Extremely Happy With It.
Generally Happy With It.
Just OK With It.
Generally Unhappy With It.
Dreadfully Unhappy With It.

I am comfortable with the way my partner gets along with my parents, family or relatives.
Always
Often
Sometimes
Seldom
Never

My partner is well-mannered and behaves himself/herself around my friends.
Always
Often
Sometimes
Seldom
Never

My partner and I can resolve arguments regarding our social lives.
Always
Often
Sometimes
Seldom
Never

My partner and I split the responsibility of of choosing where we go out to (parks, restaurants, movies, beaches, museums, ...)
Extremely Happy With It.
Generally Happy With It.
Just OK With It.
Generally Unhappy With It.
Dreadfully Unhappy With It.

My partner and I find it easy to do stuff we both enjoy.
Always
Often
Sometimes
Seldom
Never

My partner is inflexible and uncompromising.
Always
Often
Sometimes
Seldom
Never

When we disagree, my partner and I can resolve arguments satisfactorily by talking it out.
Always
Often
Sometimes
Seldom
Never

When I express an opinion different than that of my partner, I fear being yelled at, ridiculed, put down or flat out rejected.
Always
Often
Sometimes
Seldom
Never

When my partner and I fight, one or both of us fights dirty.
Always
Often
Sometimes
Seldom
Never

After a fight or argument, one or both of us ends up very hurt or frustrated.
Always
Often
Sometimes
Seldom
Never

I avoid fighting with my partner out of a fear of losing him/her.
Always
Often
Sometimes
Seldom
Never

My partner makes the effort to fulfill my emotional needs.
Always
Often
Sometimes
Seldom
Never

My partner makes me feel appreciated.
Always
Often
Sometimes
Seldom
Never

I still enjoy freedom and privacy in our relationship.
Always
Often
Sometimes
Seldom
Never

I can spend time with my friends without my partner getting annoyed or feeling jealous.
Always
Often
Sometimes
Seldom
Never

I am jealous of my partner.
Always
Often
Sometimes
Seldom
Never

My partner and I play the blame game when something goes wrong.
Always
Often
Sometimes
Seldom
Never

My partner upsets me on purpose.
Always
Often
Sometimes
Seldom
Never

My partner gets under my skin or on my nerves.
Always
Often
Sometimes
Seldom
Never

My partner and I can talk openly and share feelings when we talk.
Always
Often
Sometimes
Seldom
Never

My partner and I can express a difference of opinion (religion, politics, etc...) without a fear of breaking up or having a ridiculous fight.
Always
Often
Sometimes
Seldom
Never

I wish my partner was more romantic than he/she is.
Always
Often
Sometimes
Seldom
Never

My partner satisfies my intimacy needs (hugging, touching, kissing, cuddling and holding hands).
Always
Often
Sometimes
Seldom
Never

My partner satisfies my sexual needs.
Always
Often
Sometimes
Seldom
Never

My partner's sexual tastes, desires and needs match mine.
Extremely Happy With It.
Generally Happy With It.
Just OK With It.
Generally Frustrated With It.
Dreadfully Frustrated With It.

My partner and I split the financial aspect or costs in our relationship.
Always
Often
Sometimes
Seldom
Never

My partner and I agree on how money should be spent.
Always
Often
Sometimes
Seldom
Never

My partner and I agree on whether to have children and how many.
Extremely Happy With It.
Generally Happy With It.
Just OK With It.
Generally Unhappy With It.
Dreadfully Unhappy With It

I feel I might be better off with someone else than my partner.
Always
Often
Sometimes
Seldom
Never

I feel that there is passion missing in our relationship.
Always
Often
Sometimes
Seldom
Never

I think about breaking up with my partner.
Always
Often
Sometimes
Seldom
Never

I regret ever meeting my partner.
Always
Often
Sometimes
Seldom
Never

If I could do it all again, I would still meet and get involved with my partner.
YES!
I Think So
Maybe
I Do Not Think So
NO WAY!

I couldn't survive even a day without my partner.
SO TRUE, I COULDN'T SURVIVE!
It Would Be Tough.
Maybe. I Don't Know.
I Think I Could Survive.
I COULD SURVIVE, NO PROBLEM!

I believe my partner and I are soul mates and meant to be.
Always
Often
Sometimes
Seldom
Never





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