Relationship Starting-Point Assessment
This reflection was designed to be completed independently. It is not a compatibility test and does not tell you whether your relationship should continue.
Part 1
Immediate concern
Q1.1What brings you to this reflection, therapy, or this conversation now?
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Q1.2If things began to improve, what would success look or feel like in your relationship or daily life?
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Q1.3What feels most urgent to you right now?
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Part 2
Relational safety and freedom to participate
Q2.1I can disagree, say no, request space, or express a need without fearing punishment or retaliation.
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Q2.2I feel free to answer honestly without worrying about how my partner may react if my responses are shared.
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Q2.3Conflict has included:
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Q2.4Is there anything the Guide needs to know before suggesting an activity to complete together?
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Part 3
What happens during conflict
Q3.1A common trigger or event is:
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Q3.2The conclusion or story I tend to form is:
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Q3.3I usually feel:
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Q3.4I notice these body sensations or nervous-system responses:
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Q3.5I tend to protect myself by:
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Q3.6Then my partner tends to:
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Q3.7What usually happens next?
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Part 4
Communication capacity
Q4.1We can discuss a difficult subject without insults, threats, contempt, or intimidation.
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Q4.2We can listen long enough to understand before defending ourselves.
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Q4.3We can pause when overwhelmed and return to the subject.
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Q4.4We can acknowledge impact even when harm was not intended.
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Q4.5We can make and answer clear requests.
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Q4.6We can take responsibility and make repair.
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Part 5
Connection, care, and mutuality
Q5.1I feel most connected to my partner when:
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Q5.2A way my partner shows care that I recognize is:
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Q5.3A form of care I need but struggle to request is:
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Q5.4Effort in the relationship currently feels:
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Q5.5What am I willing and able to contribute to this relationship?
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Q5.6What am I not willing to continue participating in?
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Part 6
History and patterns
Q6.1What from earlier relationships or family learning may become activated here?
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Q6.2Do older relationship patterns, family experiences, losses, betrayals, or unmet needs seem to be showing up here? If so, what do you notice?
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Q6.3What current stressors are affecting my capacity in this relationship?
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Part 7
Goals and starting direction
Q7.1aPriority 1
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Q7.1bPriority 2
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Q7.1cPriority 3
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Q7.2The first skill or change I would like to begin with is:
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