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Just 10 minutes could spark more love.
Let’s see where you and your partner stand. Answer each question truthfully based on your experience in your marriage or relationship.
31
Questions
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1
Please fill out your name before we begin.
First Name
Last Name
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2
1. Do you feel
emotionally
safe and secure with your partner?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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3
2. Do you feel
physically
safe and secure with your partner
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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4
3. Do you feel
spiritually
safe and secure with your partner?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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5
4. Do you feel your partner is loving towards you?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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6
5. Do you feel your partner is accepting of you?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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7
6. Do you feel your partner makes themself available to you?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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8
7. Do you feel your partner is responsive to your needs and wants?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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9
8. Do you feel that you understand your partner?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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10
9. Do you feel that your partner understands you?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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11
10. Do you feel you are aware of your own vulnerabilities and sensitivities?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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12
11. Do you feel you are aware of your partner's vulnerabilities and sensitivities?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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13
12. Do you and your partner communicate openly to resolve issues, conflicts and challenges in your relationship?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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14
13. Do you and your partner help one another with each other’s issues?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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15
14. Do you acknowledge your mistakes to your partner?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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16
15. Does your partner acknowledge their mistakes to you?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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17
16. Do you try to listen
intently
to your partner?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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18
17. Do you feel your partner listens
intently
to you?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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19
18. Do you feel you and your partner are able to make decisions and resolve conflicts together?
*
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No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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20
19. Do you share your thoughts openly and vulnerably with your partner?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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21
20. Does your partner share their thoughts openly and vulnerably with you?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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22
21. Do you and your partner regularly talk to stay aligned on parenting, finances, home tasks, and scheduling?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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23
22. Do you make time for "just us" moments and adventures?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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24
23. Do you and your partner share hobbies or fun routines together?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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25
24. Do you and your partner express comfort and care in the relationship
physically
?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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26
25. Do you feel fulfilled in your sexual connection?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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27
26. Do you feel connected by a mutual sense of purpose in your relationship?
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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28
27. Do you have shared spiritual practices?
(Such as prayer, worship, service, discussions, meditation, or church attendance)
*
This field is required.
No, not at all
Not really
Somewhat
Yes, mostly
Yes, exceedingly!
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29
See your
free
results! Please provide your email, then click next!
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example@example.com
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30
Would you like to sign up for my newsletter?
*
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Yes, please!
No, not today.
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31
All done! Here's your score!
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32
This was just the beginning!
Claim your FREE 30-minute call with me to dive even deeper!
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