1. Do you and your spouse fight more now than you did before?
A. Yes, that has always been the case
B. No, it has been bad recently
C. Sometimes
D. Yes, but it's rare
2. Do you have a hard time being heard by your spouse?
A. Yes
B. No
C. Sometimes
D. Yes, especially when he doesn’t think what you have to say concerns him
3. Do you still picture a future with your spouse?
A. Yes, of course
B. Yes, kind of
C. Sometimes
D. No, not really
4. Do you feel loved and appreciated by your spouse?
A. Yes, totally
B. Yes, kind of
C. On rare occasions
D. Not really
5. Do you constantly blame each other for everything that is wrong with the relationship?
A. Yes
B. No
C. Sometimes
D. Yes, because we are both very stubborn
6. Have your loved ones expressed their concern about your relationship?
A. Yes, many times
B. Yes, once or twice
C. Not really
D. No, not at all
7. Do you still trust your partner with your secrets?
A. Yes, of course
B. Yes, kind of
C. Sometimes
D. No, not really
8. Do you get along with your spouse’s family?
A. Yes, of course
B. Yes, kind of
C. I used to but not anymore
D. No, not at all
9. Do you feel like seeing someone new?
A. Yes, all the time
B. No, you don’t think this will ever happen
C. Not really
D. Yes, but it’s rare
10. Do you have less sex than you used to have at the beginning of the relationship?
A. Yes
B. No
C. Sometimes I feel this way but I might be wrong
D. Yes, but that’s because we are both very busy now
11. Do you share less objectives with your partner?
A. Yes
B. No
C. Maybe
D. I am not sure
12. Do you always find excuses not to go out with your partner anymore?
A. Yes, all the time
B. No, I actually like going out with them
C. No, but sometimes I feel tired
D. Yes, sometimes
13. Do you talk about divorce more often?
A. Yes
B. No
C. Sometimes
D. Yes, but it's rare
14. Do you cry about not getting along with your spouse anymore?
A. Yes, all the time
B. No
C. Sometimes
D. You used to but not anymore
15. Do you often feel like moving out and leaving your spouse?
A. Yes, all the time
B. Sometimes
C. No
D. You used to but not anymore
