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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 considers my point of view during discussions 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We can have constructive discussions about our relationship 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner recognizes emotional triggers 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We create emotional memories intentionally 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel secure about our mutual commitment 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We trust each other's personal growth 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner acknowledges their role in conflicts 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We avoid bringing up past resolved conflicts 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel fulfilled and satisfied in my relationship with my partner. 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner shows appreciation regularly 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel secure in our physical relationship 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We discuss changing physical needs openly 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel we have compatible retirement goals 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We share compatible views on health 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner encourages personal goals 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner values my independence 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 My partner helps navigate family dynamics 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We handle family dynamics skillfully 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 I feel our coping strategies align 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
👇 We find healthy ways to manage stress together 1. Strongly Disagree 2. Disagree 3. Not Sure 4. Agree 5. Strongly Agree
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