Marital Satisfaction Inventory
Email address *
1. Name: *
Your answer
2. Date of Birth: *
Your answer
3. Address: *
Your answer
4. Home Phone: *
Your answer
5. Work/Cell Phone: *
Your answer
6. How long have you been married? *
Your answer
7. How long did you date prior to being married? *
Your answer
8. How did you meet? *
Your answer
9. How did you know s/he was the one you were to marry? *
Your answer
10. Was either spouse previously married?
If so, for how long?
Your answer
11. If you have children, please list the names and ages of each:
Your answer
12. How do you make decisions together as a couple? *
Your answer
13. What would you say is the # 1 struggle in your marriage right now? *
Your answer
14. What qualities do you like best in your spouse? *
Your answer
15. What qualities do you like the least in your spouse? *
Your answer
16. What is the greatest concern you have for your spouse related to his/her calling? *
Your answer
17. What has been one of the most fulfilling experiences in your marriage? *
Your answer
18. What has been one of the most upsetting experiences in your marriage? *
Your answer
19. On a scale of 1 to 10, with 10 being the best, what is the health of your marriage right now and Why? *
Your answer
20. Level of marital satisfaction in the past *
Divide the timeline of your marriage into, roughly, 5 equal segments of time and plot your satisfaction accordingly. For example, if you have been married 15 years, the first segment would be how satisfied you were the first 3 years of marriage
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Extremely satisfied
1st segment
2nd segment
3rd segment
4th segment
5th segment
21. Level of marital satisfaction in the past *
Now do the same to indicate what you believe is your spouses level of satisfaction
Very unsatisfied
Unsatisfied
Satisfied
Very satisfied
Extremely satisfied
1st segment
2nd segment
3rd segment
4th segment
5th segment
22. What is your current level of marital satisfaction in the following categories: Check a number to indicate where your level of satisfaction lies *
With 1 being lowest and 10 being highest
1
2
3
4
5
6
7
8
9
10
1. Daily involvement with each other
2. Romantic interaction
3. Sexual relationship
4. Trust in my spouse
5. Communication with each other
6. Way we divide chores
7. Way we make decisions
8. Way we manage conflict
9. Amount of time playing together
10. Ability to compromise
11. Space for time apart
12. Interaction with friends as a couple
13. Way we support each other
14. Way we manage finances
15. Way we support each other’s ministry/careers
16. Our spiritual interaction
17. Parenting style
18. Roles in our marriage
19. Common Life Goals
23. Check a number to indicate where you think your spouse’s level of satisfaction lies *
With 1 being lowest and 10 being highest
1
2
3
4
5
6
7
8
9
10
1. Daily involvement with each other
2. Romantic interaction
3. Sexual relationship
4. Trust in my spouse
5. Communication with each other
6. Way we divide chores
7. Way we make decisions
8. Way we manage conflict
9. Amount of time playing together
10. Ability to compromise
11. Space for time apart
12. Interaction with friends as a couple
13. Way we support each other
14. Way we manage finances
15. Way we support each other’s ministry/careers
16. Our spiritual interaction
17. Parenting style
18. Roles in our marriage
19. Common Life Goals
* Privacy Notice *
In compliance with the General Data Protection Regulation (EU) 2016/679, we are informing you that the data you provide in this form to the SentWell team will be treated with complete confidentiality. We will keep your data for the purposes as stated in this form until a time when we hear from you that you would like your data removed. We will not share nor sell your information to anyone. You can contact the Delegation of Data Control at: info@sentwell.org if you wish to alter, remove or limit your data. Thank you.
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