Marriage Assessment Worksheet
Marriage Assessment Worksheet
Name: Name:
Sex: Sex:
Age: Age:
Instructions:
Please answer the following questions honestly and openly. You may choose to discuss your
responses together or individually, but remember that the goal is to foster communication and
understanding within your marriage.
Conflict
Resolution 4. What strategies do you
use to de-escalate tense
situations or arguments?
Category Questions 's Response ’s Response
5. On a scale of 1 to 10,
how satisfied are you with
the level of intimacy and
emotional connection in
your marriage?
Intimacy &
Connection 6. What activities or
behaviors do you believe
strengthen your bond as a
couple?
Roles and
Responsibilities
8. Are there any areas
where you feel there is an
imbalance in roles or
expectations?
Category Questions ’s Response ’s Response
Family and
Social Life
12. Are there any
challenges or conflicts
related to family or social
dynamics that you face as
a couple?
Category Questions ’s Response ’s Response
Future and
Goals
14. How do you envision
your individual and shared
futures evolving over time?
Overall
Satisfaction 16. What are some areas
where you feel your
marriage could improve,
and what steps are you
willing to take to work on
them?