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Healomax Relationship Assessment:
Instruction:
Read through the questions carefully. For each question, rate yourself on a scale of 1 to 5. Be honest with yourself and try not to overthink your answers. It's important to be as accurate as possible.
Name: 👇
👇 My partner asks questions to better understand my perspective 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We can disagree without it turning into a personal attack 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner is emotionally available when I need them 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We create emotional safety for vulnerability 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel secure during periods of separation 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We trust each other with passwords and personal information 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel our conflicts lead to positive changes 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We maintain respect during heated discussions 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel our relationship priorities align 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We maintain a healthy work-life-relationship balance 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel comfortable expressing my sexual needs 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We maintain physical affection daily 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner shares similar community values 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We have compatible views on major life decisions 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner respects my individual choices 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner supports my self-discovery 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner balances social commitments 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We balance family and friend time well 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel supported during career stress 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We handle uncertainty together 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
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