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Evaluate the strength of your relationship
Complete this survey to determine the degree to which you may be drifting apart from your partner
1. Do you ever feel like you are just going through the motions in your relationship while feeling disconnected from your partner?
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Yes
Sometimes
No
2. Do you ever keep quiet just to keep the peace?
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Yes
Sometimes
No
3. Are you harboring any feelings of guilt or embarrassment about your relationship?
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Yes
Sometimes
Rarely
No
4. Do you feel unappreciated or under supported at times?
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Yes
No
5. Do you frequently argue with your spouse, or is there a recurring argument?
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Yes
Occasionally
Rarely
No
6. Do you argue privately or in front of friends and family too?
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Yes, Privately and in front of others
No, only behind closed doors
7. Do the arguments ever escalate to the point that hurtful statements are made?
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Yes
Sometimes
No
8. Does your partner avoid communication when there is an unresolved issue between you?
*
Yes
Sometimes
No
9. Would you like to reconnect with your partner and have deep, meaningful, intimate conversations again?
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Yes
No
10. Have you ever tried counseling or therapy?
*
Yes
No
11. How committed are you to resolving the communication issues in your marriage?
*
100%
50/50, I'm willing to try if he is
Not feeling very hopeful
12. On a scale of 1-5, 5 being the highest, how would you currently rate your marriage?
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1 stars
2 stars
3 stars
4 stars
5 stars
13. Are you aware that one person making changes can bring forth a positive shift and even strengthen a marriage?
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Yes
No, I believe it takes 2
I'm not sure
For the results of this relationship evaluation, please leave your information below:
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*
Submit
