Peterborough County, ON

Screening Tool: Relationships

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This survey is designed to provide a quick assessment of the health of your couple relationship. However, no test is 100% accurate. No matter what your score is, you should seek help if you have any concerns about yourself or your loved ones.

This relationships quiz was developed by the Gottman Institute.

Please answer the following questions:

I can name my partner's best friends.

	Yes
	No

I know what stresses my partner is currently facing.

	Yes
	No

I know the names of some of the people who have been irritating my partner lately.

	Yes
	No

I can tell you some of my partner's life dreams.

	Yes
	No

I can tell you about my partner's basic philosophy of life.

	Yes
	No

I can list the relatives my partner likes the least.

	Yes
	No

I feel that my partner knows me pretty well.

	Yes
	No

When we are apart, I often think fondly of my partner.

	Yes
	No

I often touch or kiss my partner affectionately.

	Yes
	No

10.

My partner really respects me.

	Yes
	No

11.

There is fire and passion in this relationship.

	Yes
	No

12.

Romance is definitely still part of our relationship.

	Yes
	No

13.

My partner appreciates the things I do in this relationship.

	Yes
	No

14.

My partner generally likes my personality.

	Yes
	No

15.

Our sex life is mostly satisfying.

	Yes
	No

16.

At the end of the day my partner is glad to see me.

	Yes
	No

17.

My partner is one of my best friends.

	Yes
	No

18.

We just love talking to each other.

	Yes
	No

19.

There is lots of give and take (both people have influence) in our discussions.

	Yes
	No

20.

My partner listens respectfully, even when we disagree.

	Yes
	No

21.

My partner is usually a great help as a problem solver.

	Yes
	No

22.

We generally mesh well on basic values and goals in life.

	Yes
	No

eMentalHealth.ca acknowledges the generosity of the Gottman Institute in making possible the use of this quiz.

The How Well Do You Know Your Partner quiz was written by Dr. John Gottman and re-printed from the website of The Gottman Institute. Dr. Gottman is a world-renowned researcher in the area of couples and family relationships. For further information on couples workshops and private therapy, training programs for therapists and relationship books and DVDs, visit www.gottman.com.