Evolved Marriage Relationship Assessment
Take 10–15 minutes to reflect honestly. You can complete this on your own or with your partner. Your answers will help us understand what’s really going on in your relationship—and what you want instead. After completing this, you’ll have the opportunity to connect with me directly. If you're open to it, we can hop on a private call to go over your responses, unpack what’s been getting in the way, and build a simple plan to help you move forward—together or on your own. Let’s get started.
Relationship Snapshot
How long have you been together?
How long have you been married (if applicable)?
Do you have children? If so, how many and what are their ages?
On a scale of 1–10, how would you rate your relationship right now? Why did you choose that number?
If nothing changed in your relationship for the next 6 months, how would you both feel?
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Where You're Struggling
What’s the biggest challenge you're facing as a couple right now?
What do you tend to argue, avoid, or disconnect about the most?
When conflict happens, how do each of you usually respond?
Do you feel emotionally safe in your relationship? Why or why not?
What’s one thing you wish your partner better understood?
What’s one thing your partner might say they wish you better understood?
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What You Want
What kind of relationship do you want to create moving forward?
What would be different 6–12 months from now if that happened?
What kind of partner do you want to be? What would that look like in daily life?
What would more connection, safety, and intimacy look like for each of you?
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Ownership & Action
What patterns or habits do you bring that might be blocking deeper connection?
Where have you been waiting for your partner to change before you're willing to show up differently?
Are you willing to take ownership for your part in the dynamic?
*
YES
SOMEWHAT
NOT YET
Are you open to support, coaching, or guidance moving forward?
*
Yes – I’m ready
Maybe – I want to talk it through
Not at this time
What are you hoping to get out of our work together?
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Personal information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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