Question 1: Parenting
Select a number below to show
the degree of difficulty you are having with Parenting. Remember, a
higher number indicates more difficulty.
1 (No problem)
2
3
4
5
6
7
8
9
10 (Severe problem)
Question 2: Couple
Time
Select a number below to show
the degree of difficulty you are having with Couple Time .
1 (No problem)
2
3
4
5
6
7
8
9
10 (severe problem)
Question 3: Visitation
Show the degree of difficulty
you are having with Visitation .
1 (No problem)
2
3
4
5
6
7
8
9
10 (Severe problem)
Question 4: Discipline
Show the degree of difficulty
you are having with Discipline .
1 (No problem)
2
3
4
5
6
7
8
9
10 (Severe problem)
Question 5: Family
Time
Show the degree of difficulty
you are having with Family Time .
1 (No problem)
2
3
4
5
6
7
8
9
10
Question 6: His Ex
Show the degree of difficulty
you are having with His Ex .
1 (No problem)
2
3
4
5
6
7
8
9
10
Question 7: Her Ex
Show the degree of difficulty
you are having with Her Ex .
1
2
3
4
5
6
7
8
9
10
Question 8: Trust
Show the degree of difficulty
you are having with Trust .
1
2
3
4
5
6
7
8
9
10
Question 9: Intimacy
Show the degree of difficulty
you are having with Intimacy.
1
2
3
4
5
6
7
8
9
10
Question 10:
Admiration
Show the degree of difficulty
you are having with Admiration .
1
2
3
4
5
6
7
8
9
10
Question 11: Honesty
Show the degree of difficulty
you are having with Honesty .
1
2
3
4
5
6
7
8
9
10
Question 12: Fidelity
Show the degree of difficulty
you are having with Fidelity .
1
2
3
4
5
6
7
8
9
10
Question 13: Sex
Show the degree of difficulty
you are having with Sex .
1
2
3
4
5
6
7
8
9
10
Question 14:
Acknowledgement and Recognition
Show the degree of difficulty
you are having with Acknowledgement and Recognition .
1
2
3
4
5
6
7
8
9
10
Question 15: Finances
Show the degree of difficulty
you are having with Finances .
1
2
3
4
5
6
7
8
9
10
Question 16: Privacy
Show the degree of difficulty
you are having with Privacy .
1
2
3
4
5
6
7
8
9
10
Question 17: Money
Show the degree of difficulty
you are having with Money.
1
2
3
4
5
6
7
8
9
10
Question 18:
Communication
Show the degree of difficulty
you are having with Communication .
1
2
3
4
5
6
7
8
9
10
Question 19:
Scheduling
Show the degree of difficulty
you are having with Scheduling .
1
2
3
4
5
6
7
8
9
10
Question 20: Forgiving
Show the degree of difficulty
you are having with Forgiving .
1
2
3
4
5
6
7
8
9
10
Question 21: Criticism
Show the degree of difficulty
you are having with Criticism .
1
2
3
4
5
6
7
8
9
10
Question 22:
Inheritance
Show the degree of difficulty
you are having with Inheritance .
1
2
3
4
5
6
7
8
9
10
Question 23: Rules
Show the degree of difficulty
you are having with Rules .
1
2
3
4
5
6
7
8
9
10
Question 24: Roles
Show the degree of difficulty
you are having with Roles .
1
2
3
4
5
6
7
8
9
10
Question 25:
Conversation
Show the degree of difficulty
you are having with Conversation .
1
2
3
4
5
6
7
8
9
10
Question 26:
Commitment
Show the degree of difficulty
you are having with Commitment .
1
2
3
4
5
6
7
8
9
10
Question 27: Sharing
Housekeeping Responsibilities
Show the degree of difficulty
you are having with Sharing Housekeeping Responsibilities .
1
2
3
4
5
6
7
8
9
10
Question 28:
Attractiveness of Spouse
Show the degree of difficulty
you are having with Attractiveness of Spouse .
1
2
3
4
5
6
7
8
9
10
Question 29: Holidays
and Special Occasions
Show the degree of difficulty
you are having with Holidays and Special Occasions .
1
2
3
4
5
6
7
8
9
10
Question 30: Caught in
the Middle.
Show the degree of difficulty
you are having with Caught in the Middle .
1
2
3
4
5
6
7
8
9
10
Question 31: Anger and
Aggression
Show the degree of difficulty
you are having with Anger and Aggression .
1
2
3
4
5
6
7
8
9
10
Question 32:
Disrespect
Show the degree of difficulty
you are having with Disrespect .
1
2
3
4
5
6
7
8
9
10
Question 33: Food,
Meals and Diet
Show the degree of difficulty
you are having with Food, Meals and Diet .
1
2
3
4
5
6
7
8
9
10
Question 34: Hygiene
Show the degree of difficulty
you are having with Hygiene .
1
2
3
4
5
6
7
8
9
10
Question 35:
Sibling/Stepsibling Relations
Show the degree of difficulty
you are having with Sibling/Stepsibling Relations .
1
2
3
4
5
6
7
8
9
10
Question 36: School
Problems
Show the degree of difficulty
you are having with School Problems .
1
2
3
4
5
6
7
8
9
10
Question 37:
Involvement with the Police
Show the degree of difficulty
you are having with Involvement with the Police .
1
2
3
4
5
6
7
8
9
10
Question 38:
Involvement with the Courts
Show the degree of difficulty
you are having with Involvement with the Courts .
1
2
3
4
5
6
7
8
9
10
Question 39: Fees and
Tuition
Show the degree of difficulty
you are having with Fees and Tuition .
1
2
3
4
5
6
7
8
9
10
Question 40:
Unfairness
Show the degree of difficulty
you are having with Unfairness .
1
2
3
4
5
6
7
8
9
10
Question 41: Having
Fun
Show the degree of difficulty
you are having with Having Fun .
1
2
3
4
5
6
7
8
9
10
Question 42: Recreation
Show the degree of difficulty
you are having with Recreation .
1
2
3
4
5
6
7
8
9
10
Question 43: Extended
Family
Show the degree of difficulty
you are having with Extended Family .
1
2
3
4
5
6
7
8
9
10
Question 44: Chores
Show the degree of difficulty
you are having with Chores .
1
2
3
4
5
6
7
8
9
10
Question 45: Change
Show the degree of difficulty
you are having with Change .
1
2
3
4
5
6
7
8
9
10
Question 46: Overly
Controlling Behaviour
Show the degree of difficulty
you are having with Overly Controlling Behaviour .
1
2
3
4
5
6
7
8
9
10
Question 47: Affection
Show the degree of difficulty
you are having with Affection .
1
2
3
4
5
6
7
8
9
10
Question 48: Guilt
Show the degree of difficulty
you are having with Guilt .
1
2
3
4
5
6
7
8
9
10