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Relationship Satisfaction Survey
Please take your time to answer each question. You will be emailed your results to reflect back on.
We have a good relationship.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
We communicate well in our relationship.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
We support each other and share the each other's tasks and burdens as much as possible.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
My partner cares about my needs and desires.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I feel like I am part of a team with my partner.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I can trust and rely on my partner.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I am satisfied with my partner's role in our relationship.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I am satisfied with my role in our relationship.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Our relationship makes me happy.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
My partner is happy in our relationship.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Name
(Required)
First
Last
Member Email
(Required)