Relationship Questionnaire

The following questionnaire is designed to help you gain the awareness you need to help you begin to heal your negative subconscious programming. Answer all questions as honestly as you can. There are no right or wrong answers. You are simply learning about yourself and what has been true for you-until now!

When you have completed the questionnaire (a total of 31 questions on 4 pages), you will receive a numerical score and a general interpretation of your score.

The pages of this questionnaire are not cached by your browser. If you try to navigate backwards through the questionnaire you may be unable to complete it successfully.

Let's start with a bit of demographical information.



Martial Status

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