0 of 60 answered
Sound Relationship House Questionnaires
Self-reported responses, one part of a broader clinical evaluation. Full item-by-item responses follow below.
Love Maps
Fondness and Admiration System
Turning Towards or Away
Negative Sentiment Override
Fill out this section thinking about your immediate past (last 2 to 4 weeks) or a recent discussion of an existing issue.
Harsh Startup
The statements below describe what happens when you and your partner discuss your issues.
Accepting Influence
The statements below describe what happens when you and your partner discuss your issues.
Repair Attempts
The statements below describe your attempts to resolve conflict together.
Compromise
The statements below describe your attempts to resolve conflict together.
Gridlock on Perpetual Issues
The statements below describe what happens when you and your partner discuss your issues.
The Four Horsemen
The statements below describe what happens when you and your partner discuss your issues.
Flooding
Emotional Disengagement and Loneliness
Your Name (optional, helps Mary identify your results)
Step 1: When you're finished, even if Mary only asked you to complete part of this, click “Print / Save as PDF” below. A print window will open on your device. Nothing is sent anywhere automatically at this point.
On a Mac: click the “PDF” button in the bottom-left corner of the print window, then choose “Save as PDF…” from the menu.
On Windows: choose “Save as PDF” (or “Microsoft Print to PDF”) from the printer or destination list, then click Save.
On an iPhone or iPad: tap the share icon on the print preview screen, then choose “Save to Files.”
Save the file somewhere you can find it again, like your Desktop or Downloads folder.
Step 2: Log into the Client Portal, go to the Documents tab, and scroll to My Uploads. Upload the PDF you just saved (drag and drop it, or click Upload Files), then click Submit or Finish to share it with Mary.
This page is not continuously monitored and is not an emergency communication method.
If you are in immediate danger or experiencing a mental health emergency, call 911, go to the nearest emergency department, or call or text 988.