Impact Quiz - Post Course

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Impact Quiz – 6 month Post Course

Thanks for being part of our research project. Our goal is to better understand how relationships work and how this course is impacting the participants so that we can improve our service. Thanks for coming back again – we really appreciate your insights.

Confidentiality

All data is analysed without identifying information. This is why we sometimes ask the same questions that you have already completed in your enrolment form. Individual responses are NOT shared with anyone other than our research team.

Please answer honestly as you can – its not a test, and there are no right answers. And please, only answer for yourself, and not your partner.

If you’d like a copy of your answers, complete the optional field with your email address.

Impact Quiz: 6 months Post Course

If you are doing this quiz as a couple you can complete the quiz twice - once for each of you. Your score will be displayed on the screen after you press submit.

"*" indicates required fields

Step 1 of 12

Part I

Thinking about your relationship in the past week (if it wasn't a typical week, answer in terms of a typical week in the past month)...

1. How would you rate your personal contentment in your relationship?*

Very Discontented	Discontented	Neutral	Contented	Very Contented

2. How often did you think that things were going well between you?*

Never or rarely	Sometimes	Mostly	Always

3. How safe and at ease did you feel in your relationship?*

Never or rarely	Sometimes	Mostly	Always

4. How often did you feel hurt or disappointed in your relationship?*

Never	Once or twice	Almost daily	Lost Count

5. How often did you connect on a significant level?*

Never	Once or twice	Almost daily	Lost Count

6. How often did you laugh or have fun together?*

Never	Once or twice	Almost Daily	Lost Count

7. How often did you have time together (of 10+ mins) for just the two of you?*

Never	Once or twice	Almost daily	Lost Count

8. How equitable do you think your relationship is (ie both are contributing)?*

None	A Little	Acceptable	Good

9. How often did you argue or disagree?*

None	Once or twice	3-4 Times	Every day	Lost Count

10. How many positive to negative interactions did you have?*

Only Negative	Mostly Negative	About Even	Mostly Positive	Only Positive

11. How often were you physically intimate (sex, kissing, caressing, other non-genital touch etc)?*

Never	Once	Twice	Three times	Four times	Lost Count

Part 2

Thinking about yourself in the past week…

12. How often did you make a gesture of kindness or service towards the other?*

None	Once	Twice	3-4 Times	Every day	More than Daily

13. How often did you express affection towards the other?*

None	Once	Twice	3-4 Times	Every day	More than Daily

14. How often did you express gratitude and appreciation to the other?*

None	Once	Twice	3-4 Times	Every day	More than Daily

15. How often did you speak or act in anger towards the other?*

None	Once	Twice	3-4 Times	Every day	More than daily

16. How often did you criticise or negatively judge the other?*

None	Once	Twice	3-4 Times	Every day	More than daily

17. How often were you dishonest with the other (withheld information, kept a secret, misled or lied)?*

None	Once	Twice	3-4 Times	Every day	More than Daily

18. How much did you grow or develop as a person?*

Went Backwards	No Growth	Grew a Little	Grew a Lot

19. How committed are you to becoming a better husband/wife?*

Not at all	Somewhat	A little	Totally

20. How hopeful are you with regards to the future of your relationship?*

Total Despair	Despair	Cautiously Hopeful	Extremely Hopeful

Your Sex*

Male

Female

Relationship Status*

Dating

Cohabitating/Defacto

Engaged

Married

Remarried

Separated

Divorced

Other

Sexual Status*

Please select the one that best describes your relationship.

Pre-sexual - some physical intimacy but no intercourse

Sexual - includes genital intercourse

Post-sexual - were previously sexual but are not currently so.

Other

What SmartLoving course did you do?*

Discern

Engaged

Fertility

Sponsor

Newlywed

Marriage Kit

Breakthrough

Theology

Other

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Comments

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Impact Quiz – 6 month Post Course

Confidentiality

Impact Quiz: 6 months Post Course

Part I

Part 2

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