1.In the last 12 months, how often have you set aside time for a date night with you solely and your spouse (it must be a joint activity that is non-sexual)?

1x per month

2x per month

3x per month

4x per month

5 or more times per month

2.I feel (emotionally) close to my spouse.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

3.My spouse is attentive to me and my (non-sexual) needs.

Extremely attentive

Very attentive

Somewhat attentive

Not so attentive

Not at all attentive

4.I am very satisfied with the frequency of sex with my spouse.

Strongly Agree

Agree

Neither agree or disagree

Disagree

Strongly disagree

Desire more

Desire less

5.I can be vulnerable with my spouse sharing my thoughts and feelings knowing he/she will make me feel heard and understood.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

6.Would you purchase a monthly subscription box for couples if it was designed to increase intimacy and help you to connect better with your spouse?

Yes

Maybe: depends on cost and/or level of involvement

No

7.What was fun about dating your spouse?

8.Would you attend a marriage event, retreat, conference, etc?

Definitely would

Probably would

Probably would not

Definitely would not

9.Would you join an online marriage group if it provided access to a counselor/relationship coach who provides a Q&A, teaches tips/tools, and to use members as a source of support enriching marital relationships?

Extremely interested

Very interested

Somewhat interested

Not so interested

Not at all interested

10.Name one thing you would like to improve in your marriage?