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 feel comfortable expressing doubt or uncertainty
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We discuss emotional needs openly
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner expresses emotional depth
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner shows emotional availability consistently
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner demonstrates trustworthiness consistently
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner is honest about their past experiences
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 I feel progress during disagreements
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We resolve issues without manipulation
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner contributes equally to our relationship
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner makes me feel special and valued
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 I feel physically attractive with my partner
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We respect each other's physical boundaries
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner and I share similar values and life goals
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We share similar views on work-life balance
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner respects my career choices
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We support individual growth paths
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 I feel supported in family matters
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 Our relationship is positively supported by our families and friends
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 My partner offers practical help
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree

 👇 We maintain emotional stability under pressure
1. Strongly Disagree
2. Disagree
3. Not Sure
4. Agree
5. Strongly Agree