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Relationship Disillusionment Assessment
Please complete the entire form. It should take no more than 10 minutes.
15
Questions
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1
I am very disappointed in my relationship.
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1 = Strong Agreement; 7 = Strong Disagreement
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2
I am very disappointed in my partner.
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1 = Strong Agreement; 7 = Strong Disagreement
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3
My partner used to be my best friend, but now Isometimes don’t like them as a person.
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1 = Strong Agreement; 7 = Strong Disagreement
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4
This relationship is not at all what I expected it to be; Ifeel very disappointed.
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1 = Strong Agreement; 7 = Strong Disagreement
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5
I used to think I was lucky to be with someone like mypartner; now I’m not so sure that I am so lucky.
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1 = Strong Agreement; 7 = Strong Disagreement
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6
I used to love spending time with my partner, but nowit is starting to feel like a chore.
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1 = Strong Agreement; 7 = Strong Disagreement
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7
I feel tricked, cheated, or deceived by love.
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1 = Strong Agreement; 7 = Strong Disagreement
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7
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8
The relationship is not as enjoyable as I had expectedit to be.
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1 = Strong Agreement; 7 = Strong Disagreement
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7
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9
If I could go back in time, I would not have gotteninvolved with my partner.
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1 = Strong Agreement; 7 = Strong Disagreement
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10
My partner used to be on their best behavior when with me, but now they don’t bother trying to impress me.
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1 = Strong Agreement; 7 = Strong Disagreement
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11
My partner seems to be an entirely different person now.
*
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1 = Strong Agreement; 7 = Strong Disagreement
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7
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12
What is the #1 question you hope to get answered with this assessment?
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13
Name
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First Name
Last Name
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14
Email
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15
Would you like to be placed on my Deeper Connections email list?
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