FREE Marriage Assessment
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What are the main challenges in your marriage?
Friendly Love
(1 being the worst and 5 being the best.)
1. I feel that my partner sees me in a positive way.
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5
2. I look forward to spending time with my partner.
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5
3. I feel like my partner knows and understands me.
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5
4. I feel safe, secure, accepted, and at peace around my partner.
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5
5. I feel that my partner thinks that I contributes satisfactory effort to the relationship.
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5
Romantic Love
(1 being the worst and 5 being the best.)
1. My partner expresses a sufficient amount and quality of loving words to me.
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5
2. My partner touches me in the way that I like as often as want to be touched.
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5
3. My partner spends enough quality time with me to keep me satisfied.
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4. My partner does enough service-based loving and helpful things for me.
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5. I am pleased with the method, quality and frequency of our dates.
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5
Sexual Love
(1 being the worst and 5 being the best.)
1. I feel that I make my partner sexually aroused to a level that is sufficient to them.
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5
2. I feel that my partner sexually arouses me to a level that is sufficient to me.
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3. I feel safe to say "no" to my partner.
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5
4. I feel safe to make sexual advances to my partner.
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5. I am sexually pleased and satisfied with my partner and our sexual communication.
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5
Familial Love
(1 being the worst and 5 being the best.)
1. I am satisfied with the amount of time that my partner spends working.
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5
2. I am satisfied with the amount of money that my partner earns.
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3. I am satisfied with the amount of money that my partner spends.
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4. I am satisfied with my partners quality and time spend on household chores.
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5. I am satisfied with the quality and amount of interaction with relatives.
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5
Self Love
(1 being the worst and 5 being the best.)
1. I have good self-esteem and my inner dialogue is positive and uplifting.
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5
2. I am satisfied with the amount of time that I spend on my hobbies.
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5
3. I am satisfied with my goals and the progress towards accomplishing them.
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5
4. I am satisfied with the amount of exercise that I am getting.
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5. I am satisfied with the amount of sleep that I am getting.
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5
Are you concerned about a divorce in the future?
not concerned at all
I am a little bit concerned
I am really concerned about it
It is a very serious concern
We are going to get a divorce for certain unless something changes
How interested are you in taking the "4 Loves of Marriage Course?"
Not interested yet.
Interested.
I want to do it.
I plan to do it.
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