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Relationship Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Morgan and Taylor
1

Do you feel happy in your relationship?

Please choose one of the following options.
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.
5

How often do you have conflicts with your partner?

Please choose one of the following options.
6

Are you willing to work on your relationship to make it better?

Please choose one of the following options.
7

Have you sought professional help for your relationship issues?

Please choose one of the following options.
8

Do you feel emotionally connected to your partner?

Please choose one of the following options.
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.
11

Do you want to break up final answer

Select one answer