Relationship Questionnaire
Your Gender
Relationship Status
Single
Divorced
Married
Widowed
Seperated
Other
Is there a special person out there for you?
Yes, and I found mine
I thought there was, but not anymore
Yes, he/she is waiting for me somewhere
No, I don't think so
How many relationships have you been in?
0 - 3
3 - 5
5 -10
10 or more
Have ou ever fall in love?
Never
A couple of times
Only once
So many times
Rank the level of importance you feel for the following aspects
Rows
Not Important
Somewhat Important
Important
Very Important
Physical Connection
1
2
3
4
Friendship
5
6
7
8
Honesty
9
10
11
12
Friendliness
13
14
15
16
Monogamy
17
18
19
20
Personal Space
21
22
23
24
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What is the first thing you notice in someone who interests you?
Who should be your ideal partner and how does an ideal relationship look like?
How do you define cheating?
What is the one thing that would be a relationship breaker for you?
What are some annoying habits of other couples that irritate you the most?
After your unsuccessful relationships, what key lessons did you learn and decided to change?
What do you feel are your most important attributes that you bring to a relationship?
How do you define your parents marriage?
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