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Reconnect UK

Enhancing your relationship

Follow-Up Questionnaires

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Assessment Questionnaires
Please indicate the degree of happiness, all things considered, of your relationship. *
0 - Extremely Unhappy, 1 - Fairly Unhappy, 2 - A Little Unhappy, 3 - Happy, 4 - Very Happy, 5 - Extremely Happy, 6 - Perfect
I am satisfied with the amount of time that we spend together *
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
We make major decisions well together *
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
I like how we demonstrate affection *
0 - Always Disagree, 1 - Almost Always Disagree, 2 - Frequently Disagree, 3 - Occasionally Disagree, 4 - Almost Always Agree, 5 - Always Agree
In general, how often do you think that things between you and your partner are going well? *
0 - Never, 1 - Rarely, 2 - Occasionally, 3 - More Often Than Not, 4 - Most of the Time, 5 - All the Time
How often do you wish you hadn't gotten into this relationship? *
0 - Never, 1 - Rarely, 2 - Occasionally, 3 - More Often Than Not, 4 - Most of the Time, 5 - All the Time
I still feel a strong connection with my partner *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
If I had my life to live over, I would marry (or live with/date) the same person *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
Our relationship is strong *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I sometimes wonder if there is someone else out there for me *
5 - Not At All True, 4 - A Little True, 3 - Somewhat True, 2 - Mostly True, 1 - Almost Completely True, 0 - Completely True
My relationship with my partner makes me happy *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I have a warm and comfortable relationship with my partner. *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I can't imagine ending my relationship with my partner *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I feel I can confide in my partner about virtually anything *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I have had second thoughts about this relationship recently *
5 - Not At All True, 4 - A Little True, 3 - Somewhat True, 2 - Mostly True, 1 - Almost Completely True, 0 - Completely True
For me, my partner is the perfect romantic partner *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I really feel like a part of a team with my partner *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
I cannot imagine another person making me as happy as my partner does *
0 - Not At All True, 1 - A Little True, 2 - Somewhat True, 3 - Mostly True, 4 - Almost Completely True, 5 - Completely True
How rewarding is your relationship with your partner? *
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
How well does your partner meet your needs? *
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
To what extent has your relationship met your original expectations? *
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
In general, how satisfied are you with your relationship? *
0 - Not at all 1 - A little 2 - Somewhat 3 - Mostly 4 - Almost Completely 5 - Completely
How good is your relationship compared to most? *
0 - Worse than all others (Extremely bad) to 5 - Better than all others (Extremely good)
Do you enjoy your partner's company? *
0 - Never 1 - Less Than Once a Month 2 - Once or Twice a Month 3 - Once or Twice a Week 4 - Once a Day 5 - More Often
How often do you and your partner have fun together? *
0 - Never 1 - Less Than Once a Month 2 - Once or Twice a Month 3 - Once or Twice a Week 4 - Once a Day 5 - More Often
How would you rate your relationship, where 0 means "Boring" and 5 means "Interesting"? *
How would you rate your relationship, where 0 means "Bad" and 5 means "Good"? *
How would you rate your relationship, where 0 means "Empty" and 5 means "Full"? *
How would you rate your relationship, where 0 means "Lonely" and 5 means "Friendly"? *
How would you rate your relationship, where 0 means "Fragile" and 5 means "Sturdy"? *
How would you rate your relationship, where 0 means "Discouraging" and 5 means "Hopeful"? *
How would you rate your relationship, where 0 means "Miserable" and 5 means "Enjoyable"? *
When an issue or problem arises, we both tend to avoid discussing it *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
When an issue or problem arises, we both try to discuss it *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
When an issue or problem arises, I try to discuss it and my partner tries to avoid it *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
When an issue or problem arises, my partner tries to discuss it and I try to avoid it *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, we both express our feelings to each other *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, we both blame, accuse and criticise each other *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, we both suggest possible solutions and compromises *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, I pressure, nag, or demand while my partner withdraws, becomes silent, or refuses to discuss the matter further *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, my partner pressures, nags, or demands while I withdraw, become silent, or refuse to discuss the matter further *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, I criticise while my partner defends his/herself *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
During a discussion of an issue or problem, my partner criticises while I defend myself *
Please rate on a scale of 1 to 9, where 1 means "Very Unlikely" and 9 means "Very Likely"
My partner keeps bringing up mistakes that I have made in the past *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner caresses me during foreplay so that I get sexually aroused *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
I noticed that my partner finds me physically attactive *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner tells me that he/she is content when we are together *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
Before we go to sleep, we cuddle each other in bed *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner starts a quarrel over minor things *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner shares his/her thoughts and feelings openly with me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
When we quarrel, he/she insults me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner responds positively to my sexual desires *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
We make plans together for the future *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
When my partner talks about his/her work, he/she wants to hear my opinion *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
We make plans together for how we want to spend the weekend *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner touches me tenderly and I like it *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner gives me sincere compliments on my appearance *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner discusses things about his/her work life with me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner makes an effort to be attentive to my wishes and fulfills them when the opportunity arises *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner criticises me sarcastically *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner makes derogatory remarks about my opinions *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
When my partner has clearly treated me wrongly, he/she later apologises to me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
We usually spend at least half an hour talking to each other in the evening *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
When we quarrel, we can never resolve it *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner blames me when something goes wrong *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner hugs me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner shouts at me during a quarrel *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
In the evenings, my partner asks me what I have done during the day *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
When we quarrel, my partner turns around what I say to mean the opposite *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner talks to me about his/her sexual desires *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner caresses me tenderly *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner tells me that he/she cares about me *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
My partner restricts my personal freedom *
0 - Never/Very Rarely, 1 - Rarely, 2 - Often, 3 - Very Often
How happy would you rate your partnership at the moment? *
0 - Very Unhappy, 1 - Unhappy, 2 - Rather Unhappy, 3 - Rather Happy, 4 - Happy, 5 - Very Happy
Money *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Professional Life *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Household Management *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Parenting/Discipling Children *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Recreation, Leisure Time *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Friends and Acquaintances *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Temperament of Partner *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Showing Affection/Love of Partner *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Attractiveness *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Trust *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Jealousy *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Independence *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Sexuality *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Infidelity *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Relatives, In-Laws *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Personal Habits of Partner *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Communication *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Family Planning *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Lack of Acceptance/Support by Partner *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Demands of the Partner *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Illnesses/Disabilities/Mental Health Problems *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Use of Alcohol/Medicaments/Drugs *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Aggression/Violence *
If, and to what extent, is this an issue in your relationship? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it
Does any other issue impact your relationship? If so, to what extent? 0 - No conflicts, 1 - Conflicts with successful solutions, 2 - Conflicts with no solutions and frequent arguments, 3 - Conflicts, but we hardly talk about it

Thank you!

 

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