Therapist, couples therapy, family counseling, Gig Harbor, Tacoma, WA Therapist, couples therapy, family counseling, Gig Harbor, Tacoma, WA
    Relationship Inventory Sheet

    Rate Your Satisfaction in the following areas from 10% to 100%
    Print this document & use the key at the bottom of the page to self-score

    1. Commitment _______
    2. Respect for each other _______
    3. Intimacy - (sharing, spending time together) _______
    4. Fidelity _______
    5. Romance _______
    6. Fun _______
    7. Honesty _______
    8. Affection _______
    9. Sex _______
    10. Money _______
    11. Responsibility - (score self and partner and divide by 2) _______
    12. Lifestyle Plan _______
    13. Fighting Fair - (score self and partner and divide by 2) _______
    14. Communication _______
    15. Shared Values _______
    16. Spiritual Growth _______
    17. Parenting _______
    18. Anger Management _______

    Total Scores and Divide by 18

    Raw Score of 1440 and over 80-100% GOOD
    Raw Score of 1260-1439 70-79.9% MODERATE
    Raw Score of 1080-1259 60-69.9% FAIR
    (could use therapy)
    Raw Score of 900-1079 50-59.9% POOR
    (Email Us)
    Raw Score of 0-889 0-49.9% FAILING
    (Email Us)

    Please feel free to contact me for an appointment or with any questions

    Keywords: Therapy | Therapist | Counseling | Counselor | Psychiatrist | Psychologist | Gig Harbor | Tacoma | Port Orchard | Key Peninsula
    Bremerton | Pierce County | Kitsap County| Cognitive Behavioral Therapist | EMDR | Practice Areas
    Individual Therapy | Couples Therapy | Clinical Hypnosis | Guided Imagery | Depression | Relationships | Carole Bergen