Couples Therapy Questionnaire

These questions can be answered individually or together as a means of open discussion:

  1. Who brought up the idea of couple’s therapy first, and for what identified reason?
  2. What degree of commitment do you want to make regarding the issue?
    • How much time and space can be devoted?
  3. What is your initial hope/goal/change to be achieved through couple’s therapy?
  4. What is your favorite thing about the other person?
    • What about in yourself?
  5. What do you admire most about your partner?
  6. What degree of trust do you have in your partner?
  7. How do you hope your partner will help you improve/maintain the relationship?
    • How do you want to help keep and improve the relationship?
  8. What are your supports to the relationship at this time?
    • Friends, family, others, time, resources, etc.?
  9. What are your limitations to consider?
    • social liabilities, availability, lack of resources, etc.?
  10. What are the living arrangements expected to be in the future?
    • together or separate, with children or no, other adults/partners/family members?
  11. If you have children, what kind of parenting style are you using?
    • co-parenting, head of household, division of labor/duties/depts, etc.
  12. How much space and time is devoted to being together without distraction or others?
    • Is this enough for each person?
  13. How did you first meet?
    • What where the expectations from the beginning and how have they changed?
  14. How important are any of the following activities to each of you, how are the needs met?
    • Having alone time
    • Talking with each other
    • Doing domestic chores together
    • Traveling (alone and together)
    • Engaging in live shows, social gatherings, media
  15. How do your social activities affect the relationship?
    • Positive, negative, neutral, unsure, mixed?
  16. How do public obligations like parenting or working together affect the relationship?
  17. What relationships exist around the primary one that are of importance to know about?
    • What are the boundaries, influences, or obligations with these relationships?
  18. Is there active/historic conflict in the relationship?
    • What efforts have already been made to resolve conflict in the relationship?
  19. What relationship does each person have with substances, and how does it affect the partner?
    • Any behavioral addiction/pattern to consider/talk about?
  20. What thoughts, feelings, or expressions have come up while reviewing these questions?

Please use download button below for a .docx version of the above questionnaire

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