Which best describes your current situation?

Single but anticipating a relationship

Newly dating or premarital

Remarriage or blending families

Married or long-term commitment

Other

How often do you and your partner openly share your thoughts, feelings, and concerns?

Almost never

Sometimes

Often

Almost always

On a scale of 1 to 5 (1 = very low, 5 = very high), how would you rate the level of trust in your relationship?

Which statement best describes the respect level in your relationship?

We frequently disregard each other’s opinions and boundaries

We sometimes show mutual respect, but it could be improved

We consistently demonstrate respect for each other’s perspectives and boundaries

When you share your needs or concerns, how do you typically feel afterward?

Ignored or misunderstood

Partially heard, but not fully supported

Listened to and validated

What best describes how you and your partner handle disagreements?

We usually end up arguing without resolution

We avoid conflict and rarely address tough issues

We discuss issues openly and work toward solutions

Do past hurts or mistakes come up repeatedly, causing ongoing tension?

Yes, often

Sometimes

Rarely or never

How confident are you and your partner in co-parenting or addressing family-related concerns?

Not Applicable, we don't have children.

We have significant disagreements around parenting/family roles

We generally align but sometimes struggle

We have a clear, unified approach to parenting or family dynamics

Do you feel you and your partner share core values and life goals?

We rarely discuss our long-term goals and values

We sometimes talk about our values, but aren’t always on the same page

We regularly discuss and align on the values that guide our relationship

How motivated are you (and/or your partner) to invest in relationship improvement—through counseling, workshops, reading, or other proactive steps?

Not very motivated

Somewhat motivated

Very motivated and ready to take action