• Aron Hirschfeld, LMSW

    Couples Questionnaire
  • The A.R.E. Questionnaire

    Answer the questions using a scale 0-10. 0= Strongly Disagree, 10= Strongly Agree
  • Accessibility: From your viewpoint, how accessible is your partner to you?

  • Responsiveness: From your viewpoint, how responsive is your partner to you?

  • Engagement: From your viewpoint, how positively, emotionally engaged are you with each other?

  • DYADIC ADJUSTMENT SCALE

    Most persons have disagreements in their relationships. Please indicate below the approximate extent of agreement or disagreement between you and your partner for each item on the following list.
  • How often would you say the following events occur between you and your mate?

  • These are some things about which couples sometimes agree and sometime disagree. Indicate if either item below caused differences of opinions or were problems in your relationship during the past few weeks.

  • Should be Empty:
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