Marital Satisfaction Questionnaire


A marital satisfaction questionnaire is designed in order to assess the satisfaction level of a married couple with respect to their married life. These types of surveys are generally used by marriage counsellors, psychiatrist and other such people.

Sample Marital Satisfaction Questionnaire:

Personals Details of the couple:

Male Partner:

Name: _________________________

Age: _________

Female Partner:

Name: ________________________

Age: _________

Marriage Anniversary Date: ____/____/____

Contact number:

Q1. Tell us something about you marital life?

__________________________

Q2. Is it your first marriage?

  • Yes
  • No
  • Is it: ________________________

Q3. This marriage is a:

  • A love marriage
  • An arrange marriage
  • An interacts marriage
  • Others, please mention: __________

Q4. Kindly tell us something about your over all marital experience?

  • Excellent
  • Very good
  • Satisfactory
  • Not so good

Q5. Do you have kids?

  • Yes
  • No

If yes, please mention about them: ___________________

Q6. Are you both working?

  • Yes
  • No

Q7. Are you living with your in- laws?

  • Yes
  • No

Q8. How often do you fight with each other?

  • Daily
  • One in three days
  • Once in a week
  • Once in ten days
  • Once in a month
  • Other, please write: _________________________

Q9. What is the point of confliction between you as a couple?

  • Not paying enough attention to each other
  • Money matters
  • Problem due to in- laws
  • Immature behaviour
  • Others please write: _________________________

Q10. After having a fight, how do you compromise with each other?

  • Sit & talk to sort out the issues
  • Strat talking automatically after a few days
  • Talk formally and a few days things go normal
  • Take help from the third person
  • Others, _____________________________

Q11. How often do you go for an outing?

  • Once in a week
  • Once in fifteen days
  • Once in a month
  • Others, _____________________________

Q12. How do you rate your understanding level?

  • Outstanding
  • Very good
  • Average
  • Somewhat satisfactory

Q13. Do you think you could have a better life partner than the existing one?

  • Yes
  • No

Q14. Would you like to write something extra about your marital life?

______________________

Category: Satisfaction Questionnaire

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