1. Is your partner affectionate?
A. Yes, most of the time
B. Sometimes
C. Rarely
2. Do you feel special when your partner looks at you or is talking to you?
A. I used to, but not so much anymore
B. Sometimes
C. Yes
3. Do you feel like you and your partner include each other in decision making?
A. Not really
B. Yes, mostly
C. Sometimes
4. Does your partner tell you they love you?
A. Yes
B. Not yet
C. Sometimes
5. Do you think your partner loves you?
A. Yes
B. I assume they do..
C. I used to, but I don’t even know anymore
6. Do you feel like your partner often discusses what is going on in their lives and values your opinions?
A. Yes
B. Sometimes
C. Rarely
7. Do you have a good time together?
A. Yes, but perhaps it could be better.
B. Yes, we always have.
C. We don't really do fun things that we used to do earlier
8. Can you depend on your partner to keep the plans you make together or to be there when you need them?
A. Rarely
B. Sometimes
C. Often
9. Does your partner show respect and appreciation for you?
A. Yes, always
B. Sometimes
C. Not Often
10. Does your partner spend a lot of time with you?
A. They do, but not a lot.
B. They do, but not a lot.
C. Yes
