Relationship Status Survey
Please complete this survey to help us better understand relationship statuses and experiences. Your responses are confidential.
What is your current relationship status?
*
Single
In a relationship
Married
Divorced
Widowed
It's complicated
Other
How long have you been in your current relationship (if applicable)?
*
Please Select
Not applicable
Less than 6 months
6 months to 1 year
1-3 years
3-5 years
More than 5 years
How satisfied are you with your current relationship or single status?
*
1
2
3
4
5
How often do you communicate with your partner (if applicable)?
*
Multiple times a day
Once a day
A few times a week
Once a week
Rarely
Not applicable
How likely are you to consider a new relationship in the next year?
*
Very unlikely
1
2
3
4
Very likely
5
1 is Very unlikely, 5 is Very likely
What are the most important values you seek in a relationship? (Select all that apply)
*
Trust
Communication
Respect
Shared interests
Physical attraction
Financial stability
Emotional support
Other
What challenges have you faced in your relationship(s)? (Select all that apply)
Communication issues
Trust issues
Financial stress
Different life goals
Family interference
Long distance
None
Other
Please indicate your level of agreement with the following statements about relationships:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am happy with my current relationship status.
1
2
3
4
5
I believe open communication is key to a successful relationship.
6
7
8
9
10
I feel supported by my partner (or support system).
11
12
13
14
15
I am optimistic about my future relationships.
16
17
18
19
20
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender?
*
Male
Female
Non-binary
Prefer not to say
Other
If you wish, please share any additional comments about your relationship experiences.
Submit Survey
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