1.
How important is it to you that a partner function as your best friend and that you be able
to share your most important inner thoughts, feelings and life experiences with him or her?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
2.
How important is it to you that you have true sexual chemistry with a partner?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
3.
How important is it to you to be able to manage any addictions or
compulsions, such as alcohol, tobacco, food, work or sex, so they
would present no problems in your relationship?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
4.
How important is it to you that relationships with others -- including
family, friends, ex's and work colleagues -- are sufficiently straight-forward so
they would present no problems in a relationship?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
5.
How important is it to you to be able to regularly level with a
partner about how you feel toward each other, even when those feelings are
difficult or painful to express?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
6.
How important is it to you to be able to label your feelings, both
"good" (e.g., gratitude, admiration and love) and "bad" (e.g., guilt, disappointment,
anger), at the moment you experience them?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
7.
How important is it to you to be able to express these same feelings to a
partner in such a way that he or she could understand and accept them?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
8.
How important is it to you that you and a partner have quality time
together on a regular basis, where you are able to talk and listen to each
other from your hearts?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
9.
How important is it to you that the way money is earned and managed in a
relationship be completely fair?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
10.
How important is it to you that all the day-to-day duties and
responsibilities of your life together be divided fairly between you and a partner?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
11.
How important is it to you to be able to discuss with a partner
your feelings about differences in gender, age, ethnicity, religion, education,
career and financial status?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
12.
How important is it to you that you and a partner be able to consistently --
either on your own or with facilitation -- resolve conflicts until all
resentment is dissolved?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
13.
How important is it to you to be able to successfully
communicate to a partner when you're feeling angry, irritated, frustrated
or resentful?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
14.
How important is it to be able to clearly express to a partner
that abusive and self-destructive behaviors and sexual betrayals are
unacceptable to you?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
15.
How important to you is the awareness that the most confounding issues
with partners relate to the most confounding issues with your parents,
siblings, and others you grew up with?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
16.
How important is it to be able to stick up for yourself with a partner?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
17.
How important is it to you to be aware of and working to raise your areas of low self-esteem?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
18.
How important is it to you to do work that is deeply fulfilling and
contributes to the greater good?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
19.
How important is it to you to have the inner strength to leave
a partner if your baseline conditions for relationship are
violated or ignored and outside help had been refused or failed?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
20.
How important is it to be willing to pursue whatever education
and healing is necessary to keep your relationship healthy?
Please choose one
Essential
Very Important
Not Very Important
Not At All Important
