Emotional Roller Coaster
Roller coasters are designed with highs and lows to heighten emotions in the name of excitement. Even the kiddy rides seek to stir stomachs.
The experience is the same in matters of love, but is the cost for companionship worth the price of admission?
Are you...
African American
Asian
Caucasian
Latino
Native American
Other
Relationship Status
Single
Married
Separated
Divorced
Domoestic Partner
Widow
Other
Rating Scale
Rate each question using the following scale:
Always
Frequently
Sometimes
Rarely
Never
I feel angry when:
Rate your significant other in the following areas.
1
2
3
4
5
My significant other disrespects me when
I come home
We do not talk
I disagree
He/She devotes more time to others
She/he makes me angry
I am given advice
Something does not turn out my way
People are in my business
I cannot do what I want to do
Money is tight
My partner does not show me enough affection
My advances are denied i.e. sex, kisses, hugs, conversation
Comments
I feel happy when:
Rate your significant other in the following areas.
1
2
3
4
5
My significant other respects me when
When I come home
We talk
I am correct (right)
He/She devotes more time to me than others
She/he makes me happy
I give advice
Something turns out my way
People are in my business
I do what I want to do
Money is tight
My partner shows me enough affection
My advances are accepted i.e. sex, kisses, hugs, conversation
Comments
My significant other makes me feel:
Yes
No
assured
anxious
regret
positive
capable
cheerful
ignored
charming
afraid
magnificent
insecure
needed
empty
strong
pleased
safe
Self-assessment
Rate yourself in the following areas.
1
2
3
4
5
Treats partner with respect
Provides and accepts constructive criticism
Willingly works to enhance your relationship
Contributes an appropriate amount of work to your relationship
Displays love and affection
Receives love and affection
Illustrates acts of kindness
Takes responsibility for his/her actions
Capable of loving without constant supervision
Makes sound decisions
Remains calm and effective in high pressure situations
Motivates partner to achieve goals
Overall Performance
In matters of love, would your significant other be considered for termination or promotion?
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