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Relationship Survey
Name:
*
Today's date:
*
Jan
Feb
Mar
Apr
May
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Aug
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Oct
Nov
Dec
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How long have you been in this relationship?
Where do your parents live?
What do they do when you get upset?
What do you do when this person gets upset?
What does this person do when you get upset?
Why are you together?
1 to 10, how committed are you?
What does love look and sound like to you?
What does love look like and sound like to this person?
What role does stress play in this relationship?
How do your kids react when you get upset?
Describe this person's relation ship with your kids:
How would your kids describe your relationship with this person?
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Home
|
|
Services
|
|
About me
|
|
FAQ
|
|
Fees
|
|
Contact me
|
|
Directions
|
|
Forms
|
|
Skills
|
|
For Counselors
|
|
Fun Stuff
|
|
Sex Test
|
|
Cartoons 1
|
|
Cartoons 2
|
|
Cartoons 3
|
|
Cartoons 4
|
|
Cartoons 5
|
|
Cartoons 6
|
|
Cartoons 7
|
|
Cartoons 8
|
|
Marketing
|
|
Links
|
|
Download
|