• Couples Counseling Questionnaire

    Please submit one for yourself and then forward the link to your partner to complete their own form. Note: Your answers will save and be visible until you hit "submit."
  • Each of you will need to submit his/her own form.  Please do not share your answers with one another or discuss them.

  • OR

  • Thank you for completing this. Please note that you may be asked to talk about your answers in sessions, but your partner will not be shown this form.

  • Should be Empty: