TranZitions - Heart Keys Emotional Needs Evaluator
Language
  • English (US)
  • Spanish (Latin America)
  • Image field 138

  • Emotional Needs Evaluator

    Selfcare isn't selfish

  • Complete the Survey and Book your FREE 30-Minute Getting to Know You Session

  • Format: (000) 000-0000.
  • Date
     - -

  • Emotional Needs Evaluator

    Selfcare isn't selfish

  • This questionnaire is designed to help you determine your most important emotional needs and evaluate your spouse’s effectiveness in meeting those needs. Answer all the questions as candidly as possible. Do not try to minimize any needs that you feel have been unmet.

    Your spouse should complete a separate so that you can discover his or her needs and evaluate your effectiveness in meeting those needs. When you have completed this questionnaire, go through it a second time to be certain your answers accurately reflect your feelings. 

    The final page of this questionnaire asks you to identify and rank five of the ten needs in order of their importance to you. The most important emotional needs are those that give you the most pleasure when met and frustrate you when unmet. Resist the temptation to identify as most important only those needs that your spouse is not presently meeting. Include all your emotional needs in your consideration of those that are most important.

  • 1. Affection (the expression of love in words, cards, gifts, hugs, kisses, and courtesies; creating an environment that clearly and repeatedly expresses love).

  •

  • How often would you like your spouse to be affectionate to you?* times each         *            

  • If you are not shown affection by your spouse as often as you indicated above, how does it make you feel?*
  • My spouse gives me*

  • 2. Sexual Fulfillment (a sexual experience that brings out a predictably enjoyable sexual response in both of you that is frequent enough for both of you).

  •

  • How often would you like your spouse to engage in sexual relations with you?* times each         *            

  • If your spouse does not engage in sexual relations with you as often as you indicated above, how does it make you feel?*
  • My spouse gives me*

  • 3. Conversation (talking about events of the day, personal feelings, and plans for the future; showing interest in your favorite topics of conversation; balancing conversation; using it to inform, investigate, and understand you; and giving you undivided attention).

  •

  • How often would you like your spouse to talk with you?* times each         *

  • If your spouse does not talk with you as often as you indicated above, how does it make you feel?*

  • 4. Recreational Companionship (developing interest in your favorite recreational activities, learning to be proficient in them, and joining you in those activities).

  •

  • How often would you like your spouse to join you in recreational activities?* times each         *         

  • If your spouse does not join you in recreational activities as often as you indicated above, how does it make you feel? (select the appropriate letter)*
  • My spouse gives me (select the appropriate letter)*

  • 5. Honesty and Openness (revealing positive and negative feelings, events of the past, daily events and schedule, plans for the future; not leaving a false impression; answering questions truthfully and completely).

  •
  • Which of the following areas of honesty and openness would you like from your spouse (circle the letter(s) that apply to you)?*
  • If your spouse fails to be open and honest in those areas that you indicated above, how does it make you feel? (choose the appropriate letter)*
  • My spouse is (select the appropriate letter)*

  • 6. An Attractive Spouse (keeping physically fit with diet and exercise, wearing hair and clothing in a way that you find attractive and tasteful).

  •
  • Which of the following characteristics of attractiveness mean the most to you? (choose the letter(s) that apply to you)*
  • If your spouse does not have those characteristics that you circled above, how does it make you feel? (select the appropriate letter)*
  • My spouse is (select the appropriate letter)*

  • 7. Financial Support (the provision of financial resources to house, feed, and clothe your family at a standard of living acceptable to you, but avoiding travel and working hours that are unacceptable to you)

  •

  • How much money would you like your spouse to earn to support you (and your children)?

    *

  • If your spouse does not earn the amount you indicated above, how does it make you feel? (select the appropriate letter)*
  • My spouse (select the appropriate letter)*

  • 8. Domestic Support (creation of a home environment for you that offers a refuge from the stresses of life; management of the home and care of the children—if any are at home — including but not limited to cooking meals, washing dishes, washing and ironing clothes, housecleaning)

  •

  • How much time would you like your spouse to be engaged in domestic support?

    * hours each         *            

  • If your spouse does not spend as much time engaged in domestic support as you indicated above, how does it make you feel? (circle the appropriate letter)*

  • 9. Family Commitment (scheduling sufficient time and energy for the moral and educational development of your children; reading to them, taking them on frequent outings, developing the skill in appropriate child-training methods and discussing those methods with you; avoiding any child-training methods or disciplinary action that does not have your enthusiastic support).

  •

  • How much time would you like your spouse to be engaged in family commitment?

    * hours each         *           

  • If your spouse does not spend as much time engaged in family commitment as you indicated above, how does it make you feel?*
  • My spouse (select the appropriate letter)*

  • 10. Admiration (respecting, valuing, and appreciating you clearly and often).

  •

  • How often would you like your spouse to admire you?   *   times each      
          *         

  • If your spouse does not admire you as often as you indicated above, how does it make you feel?(select the appropriate letter)*
  • My spouse gives me (select the appropriate letter)*

  • Ranking of Your Emotional Needs


    The ten basic emotional needs are listed below. There is also space for you to add other emotional needs that you feel are essential to your marital happiness, but are not included in the list.


    In the space provided in front of each need, write a number from 1 to 5 that ranks the needs most important to your happiness. Write a “1” before the most important need, a “2” before the next most important, and so on until you have ranked all five.


    To help you rank these needs, imagine that you will only have one need met in your marriage. Which would make you the happiest, knowing that all the others would go unmet? That need should be “1.” If only two needs would be met, what would your second selection be? Which five needs, when met, would make you the happiest.

  • Rows

  • Love Bank

     

    HIM HER RELATIONSHIP

  • Image field 116

  • THE GIVE AND TAKE SYNDROME 

     

    Sometimes causes an

    OVERDRAFT

  • Image field 119


  • The most common Love Busters in marriage fall into six categories:

     

    A. Selfish Demands

    B. Disrespectful Judgements

    C. Angry Outbursts

    D. Annoying Habits

    E. Independent Behavior

    F. Dishonesty

  • His Needs and Her Needs...What are your top five?

  • Rows

  • COUPLES JOINT AGREEMENT

     

    Meeting emotional needs without overdrawing the Love Bank.


    Decide which love busters are now a part of your relationship and how you plan to eliminate them in a manner that will bring out wholehearted agreement from your spouse.

     

  • --------------------------------------------------------------------------------------------

    In submitting this form I agree to my details being used for the purposes of Collection of Personal Data, Use of Your Personal Data, and Email Marketing


    • To provide and maintain our Service

    • To manage Your Account

    • To provide You with news, special offers and general information about other services and events.

    The information will only be accessed by the necessary staff. I understand my data will be held securely. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, the official TranZitions procedure will be followed to dispose of my data.

    All information submitted is encrypted and secure.

  • Click on the Submit button below to Complete your Evaluation!

  • Should be Empty: