Couples Snapshot Ranking Form
Please fill in the blank next to each statement with the number that best reflects your relationship status overall. Please use this scale to answer the following questions: (Not at all) - 1 - 2 - 3- (On occasion) - 4 - 5 - 6 - 7 - (Absolutely)
Your Name
First Name
Last Name
Partner's Name
First Name
Last Name
NORTH
I am my partner's #1 priority
My partner is my #1 priority
We share the same vision for what our relationship should be
We tell the truth and trust each other
EAST
We listen well
We argue well
We do repair after conflict well
I feel comfortable saying "no" to my partner
I feel comfortable saying "yes" to my partner
My partner knows how to make me feel loved
I know how to make my partner feel loved
SOUTH
I understand our financial situation
I am satisfied how we spend and save our money
I like how we are investing in our respective careers
I like how we handle celebrations, holidays and vacations
I am satisfied with how we share our religious/spiritual practices
WEST
I like how we handle time apart
We support each other's separate interests
I like how we handle time together
We agree on parenting philosophy and principles
We share the division of labor in our home and in our lives well
Our sex life is satisfying to me
I feel safe revealing my mistakes, fears and dreams with my partner
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