Couple Satisfaction Index (CSI-5)

Couple Satisfaction Index (CSI-4)
*Please Copy and Paste your ID into the COUPLE ID BOX.

Please select the option that is most representive of your relationship with your partner, the PAST TWO WEEKS, for ALL questions.
Couple ID*
Sex*
Clinician*
Time Frame*
Sessions
0 - Extremely Unhappy1 - Fairly Unhappy2 - A Little Unhappy3 - Happy4 - Very Happy5 - Extremely Happy6 - Perfect
0 - Not at all TRUE1 - A little TRUE2 - Somewhat TRUE3 - Mostly TRUE4 - Almost Completely TRUE5 - Completely TRUE
0 - Not at all1 - A little2 - Somewhat3 - Mostly4 - Almost Completely5 - Completely
0 - Not at all1 - A little2 - Somewhat3 - Mostly4 - Almost Completely5 - Completely
0 - Not at all1 - Rarely2 - Sometimes3 - Frequently4 - Most of the time
Should be Empty:

Couple Satisfaction Index (CSI-4)