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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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Morgan and Taylor
1
Do you feel happy in your relationship?
Please choose one of the following options.
Yes
No
2
On a scale of 1 to 10, how satisfied are you with your relationship?
Please rate your satisfaction level.
3
Why are you considering breaking up?
Please provide your reasons in detail.
4
Do you think communication can improve your relationship?
Please choose one of the following options.
Yes
No
Not sure
5
How often do you have conflicts with your partner?
Please choose one of the following options.
Rarely
Occasionally
Frequently
6
Are you willing to work on your relationship to make it better?
Please choose one of the following options.
Yes
No
Maybe
7
Have you sought professional help for your relationship issues?
Please choose one of the following options.
Yes
No
8
Do you feel emotionally connected to your partner?
Please choose one of the following options.
Yes
No
Sometimes
9
Are there any deal-breakers in your relationship?
Please explain if there are any non-negotiable issues in your relationship.
10
Do you see a future with your partner?
Please choose one of the following options.
Yes
No
Not sure
11
Do you want to break up final answer
Select one answer
Yes
No
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