1. Is communication easy with your husband?
A. Yes, all the time
B. Most of the time
C. Sometimes
D. Never
2. Does your husband and you sometimes go out for a romantic dinner?
A. Yes, once a week
B. Yes, a few times during the month
C. Yes, a few times during the year
D. It’s been a while since it has happened
3. Are you too impulsive when it comes to dealing with your husband?
A. Yes, too often
B. Yes, sometimes
C. Yes, but it’s rare
D. No, never
4. Do you find yourself to be very difficult when it comes to dealing with simple issues in your marriage?
A. Yes
B. You don't know
C. People tell you so, but you don’t see it
D. No
5. Does your husband refuses to see specialists when you ask him to?
A. Yes
B. Sometimes
C. No, because you’ve never really thought of seeing any specialists
D. No
6. Does your husband have a hard time opening up to third parties?
A. Yes
B. Sometimes
C. It's possible
D. You've got no idea
7. Is your husband abusive most of the time?
A. Yes
B. No
C. Sometimes
D. Not really
8. Is your husband competitive most of the time?
A. Yes
B. No
C. Sometimes
D. It's possible
9. Does your husband prove to you that he loves you?
A. Yes, all the time
B. Sometimes
C. Most of the time
D. No, never
10. Are you happy with your relationship?
A. Yes
B. Sometimes
C. Not really
D. Not at all
