Relationship Health Survey
Complete the survey to receive your personalized results.
I can get my partner's attention easily?
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
My partner is easy to connect with emotionally?
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
My partner shows me that I come first with them?
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I am not feeling alone or shut out in this relationship?
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I can share my deepest feelings with my partner?
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
If I needed connection and comfort, they will be there for me.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
My partner responds to signals that I need them to come close.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I find I can lean on my partner when I am anxious or unsure.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
Even when we fight or disagree, I know I am important to my partner and we will find a way to come together.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
If I need reassurance about how important I am to my partner, I can get it.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I feel very comfortable being close to and trusting my partner.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I can confide in my partner about almost anything.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I feel confident, even when we are apart, that we are connected to each other.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I know that my partner cares about my joys, hurts, and fears.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
I feel safe enough to take emotional risks with my partner.
*
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
Your Email Address
*
example@example.com
First and Last Name
*
First Name
Last Name
Accessibility Score
Responsiveness Score
Engagement Score
Submit Survey
Should be Empty: