1. How many times does your husband fight with you?
A. 5 times a week
B. Twice a week
C. Never
D. All the time
2. How does your husband manifest his hatred for you?
A. He curses
B. He looks at me with so much hatred
C. He leaves the house for a long time
D. He doesn’t hate you at all
3. How many times has your husband ever admitted that he hated you?
A. Many times
B. A few times
C. Just last night he did it
D. He never showed any signs of hatred
4. What is the main source of your problem with your husband?
A. Money
B. Infidelity
C. Lack of respect
D. Everything is fine
5. Do you think your husband is still in love with you?
A. Yas
B. No
C. Maybe
D. You don’t know
6. Do you think your husband lets people know about his feelings about you?
A. Yes
B. It’s possible
C. No
D. You are not sure
7. Do you still go out with your husband?
A. Yes
B. Sometimes
C. Not anymore
D. You would like to, but he doesn’t feel like it anymore
8. Are you still intimate with your husband?
A. Yes
B. Sometimes
C. Most of the time
D. No
9. Do you still have romantic conversations with your husband?
A. Yes
B. Sometimes
C. No
D. You wish you did
10. Does your husband enjoy being around you?
A. Yes
B. No
C. Not anymore
D. Sometimes
