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?
 

Rating Scale

Rate each question using the following scale:
  1. Always 
  2. Frequently
  3. Sometimes
  4. Rarely 
  5. Never

I feel angry when:

 12345
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

I feel happy when:

 12345
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
 YesNo
assured
anxious
regret
positive
capable
cheerful
ignored
charming
afraid
magnificent
insecure
needed
empty
strong
pleased
safe

Self-assessment

 12345
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

 Indicates Response Required


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