Your gender
----
female
male
How long have you been in a relationship with your partner?
--
we haven't
less than a month
1 - 3 months
3 - 6 months
6-12 months
1-2 years
2-4 years
4-8 years
8-16 years
16-32 years
32-64 years
How would you rate your overall satisfaction with the relationship from 1 to 10
-----
Not Applicable
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
How would you rate your sex life with your partner on a scale from 1 to 10
-----
Not Applicable
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
How would you rate the quality of conversations with your partner on a scale from 1 to 10
-----
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
How would you rate the physical attractivenss of your partner on a scale from 1 to 10
-----
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
How would you rate the compatibility of your partner's life path with your own on a scale from 1 to 10
-----
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
How would you rate the physical chemistry you have with your partner on a scale from 1 to 10
-----
1 - Very Poor
2
3
4
5 - Acceptable
6
7
8
9
10 - Excellent
Their gender
----
female
male