We want to help you have healthy relationships. So, we've provided you with a survey to help you look at your relationships. Just answering these questions will help you put your relationship into perspective.

1. On a scale of one (least) to ten (most), how important are your relationships with the opposite sex? (1-10)__________
    
2. Would you like to be married someday? Yes___ No____
    
3. How important is it to you that your boy/girl friend is only involved with you?(1-10)__________
    
4. If you marry, how important is it for your spouse to be faithful to you? (1-10)__________
    
5. How important is it for you to be faithful to your spouse? (1-10)__________
    
6. If you know your spouse right now, would you want him or her to have sexual relationships with the opposite sex before your marriage?(1-10)__________
    
7. How about vise a versa? (1-10)__________
    
8. Does the fear of getting a STD affect your choices about sex? (1-10)__________
    
9. How about pregnancy? (1-10)__________
    
10. How satisfied are you with your current relationship?(1-10)__________
     
11. How likely is it that your relationship will continue for more than a year? (1-10)__________
     
12. Have you seriously discussed the future of your relationship with your boy/girl friend? Yes__No__
     
13. How long have you been dating? ______months
     
14. How long has sex been a part of your relationship? ______months
     
15. Who was most anxious for sex to be a part of your relationship? You ___ Your partner___
     
16. Do you spend more or less time talking about things than you did before sex? More ___ Less___
     
17. Are there more or fewer arguments in your relationship now than there was before you had sex? More ___ Less___
     
18. Was your relationship more or less enjoyable before you and your boy/girl friend had sex? More ___ Less___
     
19. How would your boy/girl friend respond if you decided not to have sex anymore?(1-10)__________
     
20. Want to know more about healthy relationships? Contact us.