© 2009 • Midtown Psychotherapy Associates, PLLC
• 701 Richmond, Suite 110 Houston, Texas 77006
• 713.689.8252
Marital Satisfaction
This questionnaire is designed to measure the degree of satisfaction you have with your present marriage. It is not a test, so there are no right or wrong answers. Answer each item as carefully and as accurately as you can by placing a number beside each one as follows.
1 = None of the time
2 = Very rarely
3 = A little of the time
4 = Some of the time
5 = A good part of the time
6 = Most of the time
7 = All of the time
1. ______ My partner is affectionate enough.
2. ______ My partner treats me badly.
3. ______ My partner really cares for me.
4. ______ I feel that I would not choose the same partner if I had it to do over again.
5. ______ I feel that I can trust my partner.
6. ______ I feel that our relationship is breaking up.
7. ______ My partner really doesn’t understand me.
8. ______ I feel that our relationship is a good one.
9. ______ Ours is a very happy relationship.
10. _____ Our life together is dull.
11. _____ We have a lot of fun together.
12. _____ My partner does not confide in me.
13. _____ Ours is a very close relationship.
14. _____ I feel that I cannot rely on my partner.
15. _____ I feel that we do not have enough interests in common.
16. _____ We manage arguments and disagreements very well.
17. _____ I feel that I should never have married my partner.
18. _____ My partner and I get along very well together.
19. _____ Our relationship is very stable.
20. _____ My partner is a real comfort to me.
21. _____ I feel that I no longer care for my partner.
22. _____ I feel that the future looks bright for our relationship.
23. _____ I feel that our relationship is empty.
24. _____ I feel there is no excitement in our relationship.
25. _____ We do a good job of managing our finances.
26. _____ We agree on how to parent our children.
27. _____ We have similar spiritual beliefs.
28. _____ I am happy with our level of intimacy and sexuality.
29. _____ We have very similar values and beliefs.
30. _____ We both agree and are working toward mutual goals for our future.
Looking at your answers to the questions above, how satisfied are you with your relationship?
Having a healthy, happy relationship doesn’t just happen, it is not the luck of the draw, it takes work. If you have questions or would like to set up an appointment for an evaluation, please call us (713) 689-8252.
© 2009 • Midtown Psychotherapy Associates, PLLC • 701 Richmond, Suite 110 Houston, Texas 77006 • 713.689.8252
Info@midtownpsychology.com
