Work and Relationships Survey

Description:

This survey was designed by Psyched in San Francisco, a downtown psychotherapy center. Dr. Robert Solley is spearheading this work in collaboration with Traci Ruble, MFT and Andrew Groeschel, MFT. Please check out Psyched Magazine and our Huffington Post Blog here.

Who should take this survey?

This poll is for individuals who are in a relationship with one other person.

How long will it take?

It should take approximately four minutes to complete.

Results?

The results of this survey will be crafted into a part 2 article on our current work culture and its impact on our relationships to be published on Psyched Magazine and Huffington Post. If you care to read Dr. Robert Solley's first article on work and relationships you can find it here on overwork and families.

Please share this survey with friends, colleagues and family.

Warmly,

Traci Ruble, Psyched Director

info@psychedinsanfrancisco.com

1.How many hours a week, on average, have you been working at your job in the last 12 month period?(Required.)

2.How many hours a week, on average, has your partner been working at his/her job in the last 12 month period?(Required.)

3.If you have children, record the number of children you have. If you have none, please enter "0" for none.(Required.)

4.How many hours a week do you both spend (total) tending to home and/or family (household chores/bills, cooking, tending to children, school related activities, social plans, relationship health, sex etc.)?(Required.)

5.My overall level of satisfaction in my current relationship is...(Required.)

6.The number of hours that either or both of us works has the following impact on the quality of our relationship:(Required.)

No impact

Strong negative impact

Moderate negative impact

Moderate positive impact

Strong positive impact

7.What is true about your relationship. Check all that apply.(Required.)

I am satisfied with the quality (independent of quantity) of our sex life.

I feel like I know who my partner is.

I feel like my partner knows who I am.

I look forward to spending time with my partner.

I am satisfied with the quantity (independent of quality) of sex we have.

None of the above

9.What regular things do you do to deliberately tend to the quality of your relationship?(Required.)

We take regularly scheduled vacations together.

We have regular date nights.

We schedule regular sex.

We make a point of saying hello and greeting each other when we see each other.

We attend couples counseling.

We are physically affectionate with hugs and kisses.

We check in with each other regularly to connect and know how each other are doing.

We make contact with each other in the middle of the day.

Other (please specify)

10.If you would like to be emailed a copy of the survey results please enter your email here. (optional)