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"All who participate in a marriage workshop led by Susan Silvers will leave with the tools and confidence they need to build and sustain a mutually satisfying marriage relationship."

Henry L. McKinney, Jr.
Hawthorne First Baptist Church
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Marriage Survey

Directions: For each of the phrases below select an answer to reflect what is true of your spouse's behavior. There are 35 phrases in all.

IMPORTANT NOTE: Some of the survey statements may seem very similar. This is intentional. It will make sense once your survey is scored.

01.Raises his/her voice/yells when angry
rarely to never sometimes frequently

02. Lies to me
rarely to never sometimes frequently

03. Insists that he/she is right and I am wrong
rarely to never sometimes frequently

04. Gives me the silent treatment or shuts me down by yelling
rarely to never sometimes frequently

05. Has irritating habits
rarely to never sometimes frequently

06. Is either too harsh or too lenient with our children
rarely to never sometimes frequently

07. Is not forthcoming about what he/she is spending
rarely to never sometimes frequently

08. Acts as if my thoughts and opinions are inferior to his/hers
rarely to never sometimes frequently

09. Does things that set my teeth on edge (irritate me)
rarely to never sometimes frequently

10. Calls me unkind or disrespectful names when angry
rarely to never sometimes frequently

11. Does not seem to enjoy our times of physical intimacy
rarely to never sometimes frequently

12. Misleads me with what he/she says
rarely to never sometimes frequently

13. Tells me what to do/behaves like a boss
rarely to never sometimes frequently

14. Does not clean up after himself/herself
rarely to never sometimes frequently

15. Takes our children’s side rather than presenting a united front
rarely to never sometimes frequently

16. Either spends too freely or is too tight-fisted with money
rarely to never sometimes frequently

17. Uses language that offends me when angry
rarely to never sometimes frequently

18. Does not tell me everything I would like to know.
rarely to never sometimes frequently

19. Walks away when I am speaking
rarely to never sometimes frequently

20. Frightens me when he/she is angry
rarely to never sometimes frequently

21. Seems to intentionally leave important information out of what he/she tells me
rarely to never sometimes frequently

22. Either does not spend enough time with our children or focuses on the children to the neglect of the marriage relationship
rarely to never sometimes frequently

23. Refuses to be physically intimate with me
rarely to never sometimes frequently

24. Gets angry or irritated if I see things differently from the way he/she does
rarely to never sometimes frequently

25. Tries to make me feel guilty
rarely to never sometimes frequently

26. Criticizes or belittles me when I do not agree with him/her
rarely to never sometimes frequently

27. Engages in annoying behaviors
rarely to never sometimes frequently

28. Has kept secrets from me that he/she should not have
rarely to never sometimes frequently

29. Tells the children that there will be consequences/discipline for their behavior, but does not follow through
rarely to never sometimes frequently

30. Shows little interest in learning how to please me sexually
rarely to never sometimes frequently

31. Laughs at or makes fun of my point of view
rarely to never sometimes frequently

32. Slams or throws things when angry
rarely to never sometimes frequently

33. Continues to do irritating things that I have asked him/her not to do when I am around (i.e. chew ice, smack his/her food, pass gas, etc.)
rarely to never sometimes frequently

34. Intentionally withholds physical intimacy when upset with me
rarely to never sometimes frequently

35. Overturns the decisions I make regarding our children
rarely to never sometimes frequently

Marraige Survey | Meeting Survey | Team Survey

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