1.) How would you describe your overall relationship satisfaction?

Very satisfied—things are great!

Mostly satisfied, but we have some areas to improve.

Somewhat dissatisfied—we struggle with certain issues.

Very dissatisfied—we need help navigating serious challenges.

2.) What is your biggest strength as a couple?

Communication—we talk openly and honestly.

Emotional connection—we deeply understand each other.

Shared goals—we are aligned in our vision for the future.

Commitment—we are willing to work through anything together.

3.) What is the biggest challenge in your relationship right now?

Communication—we often misunderstand each other.

Conflict—we argue or struggle to resolve disagreements.

Emotional connection—we feel distant or disconnected.

External stressors—work, finances, or family pressures affect our relationship.

4.) How comfortable are you discussing difficult topics with your partner?

Very comfortable—we can talk about anything.

Somewhat comfortable, but certain topics are tricky.

Not very comfortable—we avoid difficult conversations.

Uncomfortable—we struggle to communicate about hard things.

5.) How would you describe your conflict resolution style as a couple?

We resolve issues calmly and respectfully.

We argue but usually find a way to work through it.

We struggle to resolve conflicts and often leave issues unresolved.

We avoid conflict altogether or shut down when disagreements arise.

6.) How do you express love and affection in your relationship?

Words of affirmation (compliments, encouragement, appreciation).

Quality time (spending meaningful time together).

Acts of service (doing thoughtful things for each other).

Physical touch (hugs, kisses, intimacy).

7.) What are your long-term relationship goals?

Strengthening emotional intimacy and connection.

Improving communication and conflict resolution.

Preparing for a major life transition (marriage, kids, relocation, etc.).

Repairing trust or working through past hurts.

8.) How aligned are you and your partner when it comes to future goals (family, finances, lifestyle, career, etc.)?

Completely aligned—we are on the same page.

Mostly aligned, but we have some differences to work through.

Somewhat misaligned—we see things differently in key areas.

Very misaligned—we need help finding common ground.

9.) How would you rate the level of trust in your relationship?

Very high—we trust each other completely.

Generally good, but there are some doubts or past issues.

Somewhat low—we struggle with trust in certain areas.

Very low—trust is a major issue for us.

10.) What do you hope to gain from couples coaching?

Stronger communication and deeper emotional connection.

Tools to navigate conflict and improve problem-solving.

Guidance for building a long-term, fulfilling partnership.

Help repairing our relationship and rebuilding trust.