Get Couples Questionnaire

Completing the Couples Questionnaire online is an essential step toward effective couples therapy. This guide will provide clear and supportive instructions to help you fill out the form with ease and efficiency.

Follow the steps to complete the Couples Questionnaire with confidence.

1. Click ‘Get Form’ button to obtain the Couples Questionnaire and open it in your preferred document editor.
2. Begin by entering the information for Partner #1. Provide their name, email address, current address, cell phone number, date of birth, employer, and occupation.
3. Next, fill in the same details for Partner #2, ensuring accuracy for their name, email address, current address, cell phone number, date of birth, employer, and occupation.
4. Indicate how you heard about the therapist's office, as this information can be helpful for understanding client outreach.
5. Answer questions about your current relationship status by selecting the applicable option such as 'Single', 'Engaged', 'Partnered', 'Married', 'Separated', 'Divorced', or 'Widowed'.
6. Provide information regarding the duration of your relationship and any past separations, including details about previous marriages for both partners.
7. If applicable, list any children from previous relationships, including their ages and custody arrangements.
8. Address whether you have children together. If yes, list their names and ages.
9. Reflect on your relationship by completing the qualitative sections. List qualities you appreciate and find challenging about your partner, as well as activities you enjoy or dislike doing together.
10. State your specific goals for couples therapy, identifying three clear objectives that you hope to accomplish.
11. Finally, both partners must provide their signatures and date the questionnaire to give consent for sharing the information during therapy sessions.
12. Once all fields are completed, you can save your changes, download the document, print a copy for your records, or share it with your therapist.

Complete your Couples Questionnaire online today to take a positive step towards improving your relationship.