Couples Questionnaire

Information.

Answering the below questions will give us a detailed picture of you, your relationship and who your partner might be from your current perspective. It will also help you to understand aspects of your unique perspective in more detail. Our algorithm favours honesty, self awareness and a commitment to growth.
I am completing this questionnaire as*
Partner A = The first partner to fill the form out.
Name*

First NameLast Name
Today's Date*

DayMonthYear
Email*

Confirmation EmailConfirm email
Partners email*

Confirmation EmailConfirm email
Phone Number*

Country CodeCell Number
Date of birth*

DayMonthYear
Religion*
Do you attend a place of worship?*

Yes, regularlyYes, a few times a yearNo
Intro Questions
How was your childhood?*

Very roughRoughFineMagical
Please elaborate as much as you are willing to.
Eg. Physical abuse, Poverty, tragedy ect
How were your teenage years?*

Very roughRoughFineMagical
Please elaborate as much as you are willing to.

Eg. Physical abuse, bullying, super strict ect0/250
How were your twenties?*

Very roughRoughFineMagical
Please elaborate as much as you are willing to.

Eg. Addiction, abuse, ect0/250
How many romantic relationships lasting greater than one year "without a break or break up(s)" have you had?*

0123More than 3
How many romantic relationships lasting greater than one year "with a break or break up(s)" have you had?*

0123More than 3
Have you been unfaithful?*

YesNoMaybe
Has someone been unfaithful to you?*

YesNoNot that I know of
Did you stay together after you discovered your partner was unfaithful?*

YesYes, but shouldn't haveNoNo, but it might not have been a bad idea
Please give your reasoning for this decision.

Their excuse was acceptable and they seemed remorseful.0/250
There are things about me and my past my partner does not know.*

YesNo
If my partner found out about these things they might leave me.*

Strongly agreeAgreeDisagreeStrongly disagree
Cheating is, any act you would not want your partner to see or know about.*

Strongly agreeAgreeDisagreeStrongly disagree
Are your parents still together?*

YesNoYes, but their relationship is not aspirational.
What about their relationship is not aspirational.

0/250
Do you personally know a couple who has a high quality relationship?*

YesNoMore than one
What are a few key phenomenon that you believe makes their relationship high quality?

For example: Temperament, good communicators, lack of financial pressure, healthy childhoods, luck, ect.0/250
Do you personally interact regularly with a couple that you consider toxic?*

YesNoMore than oneMy parents
Why do you interact with them regularly?

0/250
Do you personally interact regularly with a person(s) that you consider toxic?*

YesNoMore than oneYes I'm in a romantic relationship with them.
Why do you interact with them regularly?

0/250
Why do you remain in the relationship?

0/250
Intro Questions
Category One

Communication & Understanding
We communicate openly about our feelings without fear of judgment.*

Strongly agreeAgreeDisagreeStrongly disagree
I feel heard and understood by my partner.*

Strongly agreeAgreeDisagreeStrongly disagree
We can discuss difficult topics without escalating into conflict.*

Strongly agreeAgreeDisagreeStrongly disagree
We both take responsibility for misunderstandings.*

Strongly agreeAgreeDisagreeStrongly disagree
We actively listen to each other without interrupting.*

Strongly agreeAgreeDisagreeStrongly disagree
We express appreciation for each other regularly.*

Strongly agreeAgreeDisagreeStrongly disagree
I feel comfortable being honest, even about uncomfortable things.*

Strongly agreeAgreeDisagreeStrongly disagree
We talk about our goals and priorities openly.*

Strongly agreeAgreeDisagreeStrongly disagree
I understand my partner’s communication style.*

Strongly agreeAgreeDisagreeStrongly disagree
We repair communication breakdowns effectively.*

Strongly agreeAgreeDisagreeStrongly disagree
Category One
Category Two

Trust & Emotional Safety
I can rely on my partner to keep their promises.*

Strongly agreeAgreeDisagreeStrongly disagree
My partner’s actions align with their words.*

Strongly agreeAgreeDisagreeStrongly disagree
I feel emotionally safe to be vulnerable.*

Strongly agreeAgreeDisagreeStrongly disagree
We’re transparent about important matters (finances, commitments, etc.)*

Strongly agreeAgreeDisagreeStrongly disagree
My partner respects my boundaries.*

Strongly agreeAgreeDisagreeStrongly disagree
We’re honest about mistakes or lapses in judgment.*

Strongly agreeAgreeDisagreeStrongly disagree
I believe my partner has my best interests at heart.*

Strongly agreeAgreeDisagreeStrongly disagree
Jealousy or insecurity rarely impact our connection.*

Strongly agreeAgreeDisagreeStrongly disagree
We both feel free to maintain individual friendships or interests.*

Strongly agreeAgreeDisagreeStrongly disagree
I trust my partner fully, even when we’re apart.*

Strongly agreeAgreeDisagreeStrongly disagree
Category Two
Category Three

Shared vision & Values
We share a similar vision for our future together.*

Strongly agreeAgreeDisagreeStrongly disagree
Our values align on key issues (family, lifestyle, purpose).*

Strongly agreeAgreeDisagreeStrongly disagree
We support each other’s goals and ambitions*

Strongly agreeAgreeDisagreeStrongly disagree
We make big decisions collaboratively*

Strongly agreeAgreeDisagreeStrongly disagree
Differences in beliefs or perspectives need to be unpacked*

Strongly agreeAgreeDisagreeStrongly disagree
We share similar priorities around money and time*

Strongly agreeAgreeDisagreeStrongly disagree
We regularly revisit our goals as a couple*

Strongly agreeAgreeDisagreeStrongly disagree
I feel that we’re "on the same team."*

Strongly agreeAgreeDisagreeStrongly disagree
We handle disagreements in a way that strengthens alignment*

Strongly agreeAgreeDisagreeStrongly disagree
Our shared values guide how we handle challenges.*

Strongly agreeAgreeDisagreeStrongly disagree
Category Three
Category Four

Intimacy & Affection
I feel emotionally connected to my partner.*

Strongly agreeAgreeDisagreeStrongly disagree
Physical affection is a natural part of our relationship*

Strongly agreeAgreeDisagreeStrongly disagree
We talk openly about our sexual needs and boundaries.*

Strongly agreeAgreeDisagreeStrongly disagree
Our physical intimacy feels mutual and fulfilling.*

Strongly agreeAgreeDisagreeStrongly disagree
We prioritise quality time together.*

Strongly agreeAgreeDisagreeStrongly disagree
Small gestures of affection are common between us.*

Strongly agreeAgreeDisagreeStrongly disagree
We express love in ways that matter to both of us.*

Strongly agreeAgreeDisagreeStrongly disagree
I feel desired and valued by my partner.*

Strongly agreeAgreeDisagreeStrongly disagree
We can discuss mismatched desire without shame or blame.*

Strongly agreeAgreeDisagreeStrongly disagree
Our emotional and physical closeness reinforces each other.*

Strongly agreeAgreeDisagreeStrongly disagree
How many times per week would you prefer to have sex?*

More than once per dayOnce per dayA few times per weekOnce a weekLess than once a weekSex ebbs and flows, love is a constant
Which is your strongest motivation for sex?*

Love & intimacyPhysical pleasure / sexual gratificationObligation / expectationPower / manipulation
What do you believe your partner's strongest motivation for sex is?*

Love / intimacyPhysical pleasure / sexual gratificationObligation / expectationPower / manipulation
Category Four
Category Five

Conflict & Resilience
We resolve disagreements respectfully*

Strongly agreeAgreeDisagreeStrongly disagree
We focus on solutions, not blame.*

Strongly agreeAgreeDisagreeStrongly disagree
We apologise and forgive readily.*

Strongly agreeAgreeDisagreeStrongly disagree
We avoid letting resentment build.*

Strongly agreeAgreeDisagreeStrongly disagree
We can discuss mistakes without shame or attack.*

Strongly agreeAgreeDisagreeStrongly disagree
Conflict doesn’t linger and poison the atmosphere.*

Strongly agreeAgreeDisagreeStrongly disagree
We learn from arguments instead of repeating them.*

Strongly agreeAgreeDisagreeStrongly disagree
Stressful times bring us closer together.*

Strongly agreeAgreeDisagreeStrongly disagree
We can disagree without doubting the relationship.*

Strongly agreeAgreeDisagreeStrongly disagree
We both contribute to repairing after conflict.*

Strongly agreeAgreeDisagreeStrongly disagree
Category Five
Bonus Questions
Would you rather avoid uncomfortable conversations to keep peace now, or confront issues directly even if it causes short-term conflict?*

AvoidConfront
Would your partner rather avoid uncomfortable conversations to keep peace now, or confront issues directly even if it causes short-term conflict?*

AvoidConfront
Yelling in an argument with your partner is acceptable*

AcceptableUnacceptableSometimes acceptable
Should partners have access to each other’s phones, social media, or private messages?*

AccessNo accessIt depends on the motivation
Would you feel nervous if your partner was given an hour to look through your phone?*

YesNoA little
Do you believe strong relationships are found (soulmates) or built (through effort)?*

SoulmatesBuiltBoth
Do you believe your partner is your soulmate?*

YesNo
Do you believe you can build a fantastic relationship with your current partner?*

YesNo
Would you rather have a partner who’s always kind but occasionally dishonest, or always honest but sometimes harsh?*

Kind, but occasionally dishonestAlways honest, but sometimes harsh
Do you have seperate finances or combined.*

Married & combinedDe facto & combinedMarried & seperateDe facto & seperate
Bonus Questions
Total
Should be Empty:

Information.

Intro Questions

Category One

Category Two

Category Three

Category Four

Category Five

Bonus Questions