1. Do you still want to be in that relationship?
A. Yes
B. No
C. You don't know
D. Of course you do. It is a great one.
2. Are you still sharing the same bed?
A. Yes
B. No
C. Sometimes
D. It depends on your mood
3. Are you still having sex together?
A. Yes
B. No
C. It's very rare
D. It hasen’t happened for a while
4. Are you still comfortable talking about anything?
A. Yes
B. No
C. Sometimes
D. Not really
5. Do you still trust one another?
A. Yes
B. No
C. Sometimes
D. You would like to
6. Do you still go to family functions together?
A. Yes
B. No
C. You used to but not anymore
D. You can’t because you are embarrassed
7. Do you still go to family functions together?
A. Yes
B. No
C. Sometimes
D. It's rare
8. Do you think you are still very much in love with one another?
A. Yes
B. No
C. You don’t know
D. You wish you still were
9. Do you constantly fight and sometimes for the slightest things?
A. Yes
B. No
C. Sometimes
D. No really
10. Have you tried seeing a therapist but it was unsuccessful?
A. Yes
B. No
C. Not yet
D. Yes, but therapy worked, on the other hand
