How satisfied are you with your intimate relationship?
Rate the statement from 1 to 5 depending how much your relationship fulfills your desires and needs. The higher the number, the greater your satisfaction.
Email address *
1. My partner provides security and safety so I know that I am taken care of. *
Never
always
2. My partner is financially responsible. *
never
always
3. My partner and I share the same life values. *
never
always
4. My partner supports me emotionally. *
never
always
5. I feel listened to and understood so that our communication is heartfelt and meaningful. *
never
always
6. I am acknowledged for my contribution to the relationship. *
never
always
7. I feel unconditionally loved. *
never
always
8. My partner easily receives my loving attention. *
never
always
9. My partner is physically affectionate. *
never
always
10. My partner nurtures our spiritual relationship. *
never
always
First Name *
Your answer
Submit the survey with your personal question to Janet. *
Your answer
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