Relationship Questionnaire


Relationship Questionnaire

PEYMA's Relationship Questionnaire is a revolutionary new approach to relationship counseling, the analysis of which is carried out manually by one of our qualified counselors. The Relationship Questionnaire enables the counselor to determine the root cause of your relationship disputes without you having to attend any counseling sessions. Our Relationship Questionnaire is used by couples and professional Relationship Counselors from around the world (Please see our marriage counselling testimonials).

Instruction for completing the Relationship Questionnaire:

  1. You must complete all 5 Relationship Questionnaire sections.
  2. Select the behavior according to the extent to which you agree or disagree with each statement.
  3. You must choose at least one behavior from each section that you "Agree" with.
  4. In order to determine the root cause of your behavioral disputes, both partners must complete the relationship questionnaire. However, if only one partner submits the relationship questionnaire then the analysis will be done as a compatibility test which will provide a report on how a partner needs to behave to be more compatible with the person that completed the questionnaire.

What happens after you have completed the Relationship Questionnaire:

  1. Once you press the Submit for Analysis button, you will be asked to make a secure online payment of £15 +VAT per person(or $38 US if you choose to pay with US Dollars). Payments can be made using PAYPAL, which accepts all major credit cards (PEYMA Ltd. is a Verified vendor of PAYPAL).
  2. One of our Customer Support representatives will schedule your questionnaires for analysis and also email you to acknowledge the receipt of your questionnaire and the payment you have made.
  3. The Relationship Questionnaire will be allocated to one of our counselors for analysis.
  4. The counselor allocated to you will manually analyse your relationship questionnaire and produce a Microsoft Word report detailing each of your behaviors in the relationship. This includes, the root cause of your behavioral disputes and what you need to do to overcome them (If only one partner completes the relationship questionnaire then the counselor will provide the behavior of that partner and what his/her partner needs to do to be more compatible). The report will be emailed to you, in both the Microsoft "Word" and the Adobe ".PDF" formats, within FIVE working days.

The Relationship Questionnaire

Personal Details

Your Name:

Your E-mail:

Your Partner's Name:



Relationship Questionnaire: Section 1 of 5

When in a relationship

I enjoy socializing

Strongly Disagree -2 -1 0 1 2 Strongly Agree

My comments and guidance are generally well received by my partner

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I always put my partner's needs before mine

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I prefer my partner and I to indulge in creative or artistic past-times

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I often encourage my partner to contribute to decisions made effecting both of us

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I often prevent careless mistakes from spoiling the success of any plan's we make

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I only feel close to my partner when we discuss a hobby or a job that I specialize in

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I am prepared to be blunt with my partner in the cause of making the right things happen

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I am highly disciplined and organized

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I try to keep my emotions under control and find it difficult to just let go

Strongly Disagree -2 -1 0 1 2 Strongly Agree


Relationship Questionnaire: Section 2 of 5

I believe my shortcomings in a relationship are

I need everything to be very structured, controlled and generally well conducted

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I can easily manipulate my partner

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I only like to do things that I know I am good at

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I get bored very easily and have a need to try new and exciting things

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I worry about the details of any plan, so I prefer to do things myself rather than delegate

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I can be overly critical of my partner

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I am seen as forceful and authoritarian

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I find it difficult to be forceful towards my partner as I care too much about their feeling

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I lose track of what my partner wants me to do as I tend to get caught up in my own "world"

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I evaluate and analyze situations too much and find it hard to just let go

Strongly Disagree -2 -1 0 1 2 Strongly Agree


Relationship Questionnaire: Section 3 of 5

My partner sees me as (If not in a relationship, then think about your last one)

Caring

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Extremely intellectual and knowledgeable

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Forceful

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Unemotional

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Disciplined and organised

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Creative and imaginative

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Perfectionist

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Adventurous

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Sociable

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Confident yet not overly domineering

Strongly Disagree -2 -1 0 1 2 Strongly Agree


Relationship Questionnaire: Section 4 of 5

I prefer

To make decisions based on facts rather than intuition or gut feel

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To be organized and have a structured routine to my life

Strongly Disagree -2 -1 0 1 2 Strongly Agree

My partner and I to be caring and sensitive to each others needs

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To have a strong influence on any decisions my partner and I make

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To be socializing with friends and family rather than staying in

Strongly Disagree -2 -1 0 1 2 Strongly Agree

For my partner and I to make decisions together

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To be a perfectionist in everything I do

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To be creative when it comes to solving problems

Strongly Disagree -2 -1 0 1 2 Strongly Agree

To be given the freedom to pursue a specialised hobby or job

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Not to be restricted by rules and regulations

Strongly Disagree -2 -1 0 1 2 Strongly Agree


Relationship Questionnaire: Section 5 of 5

If my partner gives me a difficult task

I prefer not to delegate it to anyone else as I find it difficult to trust the quality of their work

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I like to read up as much as I conveniently can on the subject before tackling it

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I will be creative in the delivery of the task

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I will try to seek my partner's help in tackling the task

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I will delegate the task to some one else and then supervise them

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I believe the best way to completing the task is to focus on the details

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I would prefer to take my time and be objective in finding the best approach

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I would complete the task even if I don't enjoy doing it

Strongly Disagree -2 -1 0 1 2 Strongly Agree

I would challenge the need for the task to be done

Strongly Disagree -2 -1 0 1 2 Strongly Agree

Talk to as many people as possible to find the best solution

Strongly Disagree -2 -1 0 1 2 Strongly Agree


  
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