Married Couples Interview Questionnaire
Please complete this questionnaire to help us understand your experiences and perspectives as a married couple.
Couple's Full Names
*
First Name
Last Name
How long have you been married?
*
Your ages
*
How did you meet?
*
Do you have children?
*
Yes
No
How satisfied are you with the following aspects of your marriage?
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Communication
1
2
3
4
5
Trust
6
7
8
9
10
Intimacy
11
12
13
14
15
Shared goals
16
17
18
19
20
Conflict resolution
21
22
23
24
25
How often do you and your spouse engage in the following activities together?
*
Rows
Never
Rarely
Sometimes
Often
Very Often
Eating meals
26
27
28
29
30
Traveling
31
32
33
34
35
Recreational activities
36
37
38
39
40
Discussing important matters
41
42
43
44
45
Socializing with friends/family
46
47
48
49
50
What do you consider the greatest strength of your relationship?
What is the biggest challenge you have faced together?
How would you describe your overall marital satisfaction?
*
Very Unsatisfied
1
2
3
4
5
6
7
8
9
Very Satisfied
10
1 is Very Unsatisfied, 10 is Very Satisfied
Would you recommend marriage counseling to other couples?
Yes
No
Not Sure
Submit
Should be Empty: