Marriage Performance Review Form
Please complete the Marriage Performance Review Form to help evaluate the overall quality, compatibility, and satisfaction within your marriage or relationship.
How long have you been in your current marriage or relationship?
*
Please Select
Less than 1 year
1–3 years
4–7 years
8–15 years
16–25 years
More than 25 years
How satisfied are you with the overall quality of your marriage or relationship?
*
Not satisfied
1
2
3
4
5
6
7
8
9
Extremely satisfied
10
1 is Not satisfied, 10 is Extremely satisfied
How compatible do you feel you and your partner are?
*
Not compatible
1
2
3
4
5
6
7
8
9
Extremely compatible
10
1 is Not compatible, 10 is Extremely compatible
How would you rate the quality of communication in your relationship?
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
How well do you and your partner resolve disagreements or conflicts?
*
Not well
1
2
3
4
5
6
7
8
9
Very well
10
1 is Not well, 10 is Very well
How aligned are your values and life goals with your partner’s?
*
Not aligned
1
2
3
4
5
6
7
8
9
Completely aligned
10
1 is Not aligned, 10 is Completely aligned
How satisfied are you with the emotional intimacy in your relationship?
*
Not satisfied
1
2
3
4
5
6
7
8
9
Extremely satisfied
10
1 is Not satisfied, 10 is Extremely satisfied
What do you appreciate most about your marriage or relationship?
What areas do you believe could be improved in your marriage or relationship?
Any additional comments or feedback?
Submit Review
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