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Relationship Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Are you currently in a relationship?
Select yes if you are in a relationship, otherwise select no.
Yes
No
2
On a scale of 1 to 10, how satisfied are you with your relationship?
Rate your satisfaction level, where 1 is extremely dissatisfied and 10 is extremely satisfied.
3
What is the main reason for your satisfaction level in the relationship?
Please provide a brief explanation.
4
Do you feel understood and respected by your partner?
Choose an option that best describes your feelings.
Yes, always
Sometimes
No, never
5
How often do you engage in activities together with your partner?
Select the frequency that applies to you.
Daily
Weekly
Monthly
Rarely
Never
6
In your opinion, what makes a relationship strong and healthy?
Please share your thoughts.
7
How important is communication in a relationship?
Choose the level of importance for you.
Extremely important
Important
Neutral
Not very important
Not important at all
8
What are the challenges you face in your relationship?
List the main challenges you encounter.
9
Would you like to improve any aspect of your relationship?
Indicate if there are areas you would like to work on.
Yes
No
10
Overall, how would you rate the quality of your relationship?
Provide an overall rating reflecting your entire relationship experience.
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