1. Do you and your partner set aside time for one another?
A. Almost always.
B. Sometimes.
C. Almost never
2. Do you take time to connect with your partner?
A. Almost always.
B. Just sometimes.
C. Almost never
3. Are you and your partner also engaging in acts that are intentionally hurtful towards one another?
A. Sometimes
B. No, never
C. All the time
4. Do you make the necessary sacrifices to improve your relationship?
A. Yes, all the time
B. Sometimes
C. Almost never
5. Do you listen to and hear what your partner is telling you?
A. Yes, all the time
B. I sometimes do this
C. I’m not sure. I guess my answer is ‘’No’’
6. Do you tell your partner that you love them?
A. Every time!
B. Meh, just sometimes
C. No, almost never do this
7. Do you make an effort to find new ways to bond with your partner?
A. Almost every time
B. Just sometimes
C. I almost never do this
8. Do you try to do kind things for your partner regularly?
A. Yes!
B. Maybe sometimes
C. I guess no
9. Do you specifically ask your partner questions about how he or she is feeling or how his or her day went?
A. Every day and moment!
B. Just sometimes
C. Not sure, but I guess no
10. Do you and your partner laugh together?
A. All the time!
B. Sometimes
C. No, I’m a little bit shy
