Denver and Littleton Counselors

Marriage Health Assessment Questionnaire

How Healthy Is Your Marriage / Relationship?

No relationship is perfect but some can use a little or alot of help from a professional relationship counselor. But, how do you know if your relationship is in danger of failing? This questionnaire will help you assess your relationship and determine whether or not relationship therapy is a can help. Please read through each statement, click on the true or false answer, and click next for the next question. Your responses should be based on your current relationship.

Take a few moments to complete this confidential, free, no-obligation relationship health assessment questionnaire (25 Questions / 5 Questions per page).

 

To begin, please enter your contact information below so we can email you the full report. If you desire, you can also request a counselor to contact you.

Name
Email Address
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1. My partner really listens to and understands me.
2. My partner satisfies my need for loving physical contact (hugging, touching, kissing, holding hands – other than when we are initiating or having sex).
3. My partner treats me with dignity and respect.
4. If I were to do it all over again, I would get involved with my partner.
5. I feel appreciated.
6. I don’t have difficulty expressing opinions that are different from my partners because he/she treats me with respect and honor.
7. My partner is there for me in hard times.
8. I am satisfied with how we resolve our conflicts within the relationship.
9. I am satisfied with how money is spent.
10. We often do fun things together.
11. My partner is fine with me spending time alone with my friends.
12. We still have a lot of passion in our relationship.
13. My partner thinks I am fun to be with.
14. When I have self-doubts, my partner encourages me and tries to lift me up.
15. We trust each other a great deal.
16. I know my partner will never leave me.
17. I find that we resolve our arguments to my satisfaction.
18. When we initially disagree about a decision to be made, I am content with the way we work it out.
19. I look forward to our time together.
20. My partner puts our relationship ahead of all others.
21. My partner cares if I am upset or sad.
22. When I am upset about an aspect of our relationship, my partner is open to discussing it.
23. My partner is supportive of the career choice I have made (quitting a job in order to get additional training, or living with the help of social assistance).
24. My partner still finds me desirable.
25. I feel my partner makes a lot of effort (regardless of its adequacy) to fulfill my emotional needs.
 

Disclaimer: I understand that this assessment is for informational purposes only and cannot substitute for a full evaluation by a qualified marriage/relationship professional. The assessment should only be used as a guide to understanding the healthy of your relationship and the potential need to see a professional.

Thank you for completing our Marriage Health Assessment Questionnaire.

Select Submit button below to learn your results and have the results emailed to you.