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Do I need couples counseling?

Use this brief questionnaire to help determine if you and your partner(s) would benefit from couples counseling right now. The questions below refer to how you and/or your partner(s) have felt during the past SIX MONTHS. For each item, indicate the extent to which it is true, by checking the appropriate box next to the item.
Use this brief questionnaire to help determine if you and your partner(s) would benefit from couples counseling right now. The questions below refer to how you and/or your partner(s) have felt during the past SIX MONTHS. For each item, indicate the extent to which it is true, by checking the appropriate box next to the item.
I make it a priority to learn more and more about my partner(s).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My partner(s) and I can talk comfortably about any issue together.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am very satisfied with how my partner(s) and I communicate with each other.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My partner(s) is a great listener.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My partner(s) are very good at responding to my emotional signals (i.e. I need attention).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Deepening our emotional connection is a priority in our relationship.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I support and validate my partner's emotions even when I don't understand them.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We support each other's life goals and dreams.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We have created our own family/relationship traditions or rituals.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am very satisfied with how much quality time we have together.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I am very satisfied with the work, life, and family balance in the my relationship(s).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We try to understand each other's perspectives even when we disagree.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We take responsibility for our part in a conflict.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Sex is a priority in our relationship(s).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We engage in direct and clear communications about our sexual life.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
We express interest in understanding each other's sexual preferences.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I very rarely think I'm better than my partner(s). We are equal.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I often think about my partner(s) positively even when we're not together.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My partner makes me feel very appreciated.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
0
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