Relationship Health Questionnaire

Please read each of the following items carefully and using the rating scale, rate your current partner and relationship (ranging from 1 = not at all to 7 = extremely).

Name

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Relationship Questionnaire Results

Thank you for taking the time to complete the measure of Perceived Relationship Quality.

Please use the PRINT button below to provide your relationship counsellor with a copy. Your relationship counsellor will provide further information on the results. A copy of these results has been automatically emailed to you.