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: 👇
👇 I can express my vulnerabilities to my partner without fear of judgment 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner shares their daily experiences and thoughts with me 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel that my partner understands me at an emotional level 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We comfort each other during difficult times 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel confident in our shared future 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner respects our agreed-upon relationship boundaries 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel heard during heated moments 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We focus on solutions rather than blame during arguments 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I am generally happy with how things are going in the relationship 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner makes me feel loved consistently 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner and I discuss our sexual preferences openly 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We maintain intimate connection during stress 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner demonstrates similar ambitions 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner shows similar commitments 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel free to pursue my individual goals 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We both encourage each other to pursue individual hobbies and interests 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel supported in social situations 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We create positive memories with family 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel supported during challenges 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