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?

______________________