Marriage Inventory Sheet

Dr. Dawn-Marie Pearson

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Marriage Inventory (Short Version)

Hello Friend!! Your completed inventory is confidential. It is seen only by Dr. Dawn-Marie.

* Indicates required field

Name (Initials are fine.) *

First

Last

Email *

I am the: *

Husband Wife

Select as many of the statements below as are true regarding your marriage. *

I receive the amount and type of affection I desire from my spouse. I feel loved and cared for by my spouse. My spouse is happy to see me when I come into the room. I believe we handle conflict well. When we have a disagreement, we work it out and both feel heard and understood. My spouse knows and cares about my worries and stresses. We enjoy each other's company. We regularly spend recreational time together. I am happy to be married to my spouse. I regularly confide in my spouse. My spouse knows and values my life dreams. I experience compassion and empathy from my spouse. I really enjoy chatting with my spouse. I feel heard when I talk to my spouse. For the most part I do not feel lonely in my marriage. We reconnect with each other daily. My spouse and I laugh a lot. My marriage is very satisfying. My marriage used to be more satisfying. My marriage is not satisfying.

Any additional comments. *

Thank you. Once you submit your completed assessment, Dr. Dawn-Marie will compile your personalized results and email them to you.

Submit

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