Do you feel emotionally supported in your relationship? Is your partner present when you are hurt, down, or upset? *

Yes

No

Cannot Determine

Do you feel consistently criticized by your partner? Do they say things to you such as, “You never think of me.” “You always eat too much.” “You always work too long.” *

Yes

No

Cannot Determine

Do you feel safe and relaxed in the company of your partner? *

Yes

No

Cannot Determine

Can you openly communicate your thoughts and feelings without fear of judgment or dismissal? *

Yes

No

Cannot Determine

Does your partner make an effort to understand and respect your needs and boundaries? *

Yes

No

Cannot Determine

Does your partner communicate with an air of contempt toward you? Does their communication contain scoffing, mimicking, ridiculing, eye rolling, belittling, and making demeaning comments toward you? *

Yes

No

Cannot Determine

Is your partner defensive when you ask them, for example, about a commitment they made? i.e. “I told you I’ve been busy! When do you think I would have time to register the car?” *

Yes

No

Cannot Determine

Do you trust your partner completely, both emotionally and physically? *

Yes

No

Cannot Determine

Does your relationship add joy and fulfillment to your life, or does it often feel draining and heavy? *

Yes

No

Cannot Determine

Are conflicts handled with respect and a mutual desire to understand the other’s perspective and grow together? *

Yes

No

Cannot Determine

Do you and your partner share similar values about what is important in life? *

Yes

No

Cannot Determine

Are your goals and vision for the future of what you each want individually and as a couple, aligned and compatible? *

Yes

No

Cannot Determine

Can you completely be yourself in your relationship? Do you feel that all of who you are is accepted by your partner? *

Yes

No

Cannot Determine

Does your partner stonewall you? Do they give you the silent treatment, “tune you out,” or avoid interacting with you by being busy all the time? *

Yes

No

Cannot Determine

When something exciting or difficult happens in your life, is your partner the first person you want to share this experience with? *

Yes

No

Cannot Determine

Full Name *

Email *

Score 3lra

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