This questionnaire allows couples to grade their relationship as a whole, their partner, and themselves on everything from sense of humor to sexual responsiveness. Please read our privacy policy and terms of service before you make your purchase.

Material from The Relationship Report Card: Grading Myself copyright 1997 by Western Psychological Services. Format adapted by The Healing Continuum Inc., for specific, limited clinical use under license of the publisher, WPS, 12031 Wilshire Boulevard, Los Angeles, California 90025, U.S.A. (www.wpspublish.com). No additional reproduction, in whole or in part, by any medium or for any purpose, may be made without the prior, written authorization of WPS. All rights reserved.

Upon completion of purchase please print the document and either mail to The Healing Continuum: 4327 South Highway 27, Suite 428, Clermont, FL. 34711. For faster response or you can scan the document and e-mail to it info@thehealingcontinuum.com. Please be certain to include your e-mail address and a day and evening phone number so we may reach you.