1) Do you agree when it comes to religious matters?
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
2) Do you agree about how much affection you should show one another?
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
3) Do you agree when it comes to making major decisions that affect you both? (e.g. finances, big purchases, whether to have children, moving, etc)
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
4) Do you agree about your sex life? (e.g. do you agree or disagree about how often you both want to have sex or what type of sex you want to have)
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
5) Do you agree about what's considered right and wrong?
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
6) Do you agree with one another's career decisions?
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0-Always Disagree
1-Almost Always Disagree
2-Frequently Disagree
3-Occasionally Agree
4-Almost Always Agree
5-Always Agree
7) How often have you and your partner discussed ending your relationship?
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0-All the time
1-Most of the time
2-More often than not
3-Occasionally
4-Rarely
5-Never
8) How often do you and your partner argue?
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0-All the time
1-Most of the time
2-More often than not
3-Occasionally
4-Rarely
5-Never
9) Do you ever regret that you committed to this relationship?
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0-All the time
1-Most of the time
2-More often than not
3-Occasionally
4-Rarely
5-Never
10) How often do you and your partner "get on each other's nerves"?
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0-All the time
1-Most of the time
2-More often than not
3-Occasionally
4-Rarely
5-Never
11) Do you and your partner like to spend your free time in a similar way? (e.g. do you share any hobbies or outside interests?)
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0-Never
1-Occasionally
2-More often than not
3-Most of the time
4-All the time
12) You have a stimulating exchange of ideas.
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0-Never
1-Less than once a month
2-Once of twice a month
3-Once or twice a week
4-Once a day
5-More than once in a day
13) You work together on a project.
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0-Never
1-Less than once a month
2-Once of twice a month
3-Once or twice a week
4-Once a day
5-More than once in a day
14) You calmly discuss something.
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0-Never
1-Less than once a month
2-Once of twice a month
3-Once or twice a week
4-Once a day
5-More than once in a day
Name
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First Name
Last Name
Email
*
Agreement
*
