About this template
Whether you are conducting relationship research, checking in with therapy clients, or gathering user feedback for a dating platform, this Couples Survey Google Form template provides a streamlined way to capture meaningful insights. The questionnaire explores key relationship dynamics, including emotional and financial support, communication habits, conflict resolution speed, and overall satisfaction across various areas of partnership.
Built for professionals who need reliable data without friction, this template helps you collect structured responses on demographics, background details, and relationship health. Instead of managing messy paperwork or complex software, use Doc2Form to instantly deploy this survey to your respondents and route every submission directly into your connected spreadsheets for seamless analysis.
Key features
- Assess emotional, financial, and relational satisfaction instantly.
- Gather structured demographic and background data from respondents.
- Evaluate conflict frequency and resolution speeds objectively.
- Fully customizable questions tailored to your specific research or practice.
- Zero setup time — deploy instantly via a simple link or email.
Use cases
Clinical check-ins and client intakes for marriage and family therapi…
Clinical check-ins and client intakes for marriage and family therapists.
Academic or market research studies focusing on modern relationship d…
Academic or market research studies focusing on modern relationship dynamics.
User research and feedback collection for dating apps and relationshi…
User research and feedback collection for dating apps and relationship platforms.
Pre-workshop assessments for couple retreats and relationship coachin…
Pre-workshop assessments for couple retreats and relationship coaching seminars.
What this form collects
- Your Age (Short answer)Enter your current age in years.
- Partner's Age (Short answer)Enter your partner's current age in years.
- Your Annual Income (Dropdown)Select your approximate annual income range.
- Partner's Annual Income (Dropdown)Select your partner's approximate annual income range.
- Your Education Level (Dropdown)Select the highest level of education you have completed.
- Partner's Education Level (Dropdown)Select the highest level of education your partner has completed.
- Relationship Status (Multiple choice)Describe your current relationship stage.
- Years Together (Short answer)How long have you and your partner been together?
- Relationship Satisfaction (Linear scale)Rate your overall satisfaction with your relationship on a scale from 1 to 10.
- Emotional Support Satisfaction (Linear scale)How satisfied are you with the emotional support you receive from your partner?
- Respect & Admiration Satisfaction (Linear scale)How satisfied are you with the level of mutual respect and admiration in your relationship?
- Financial Support Satisfaction (Linear scale)How satisfied are you with how financial responsibilities and support are handled?
- Time Together Satisfaction (Linear scale)How satisfied are you with the quality and quantity of time spent together?
- Issue Resolution Speed (Multiple choice)How quickly and effectively do you and your partner resolve disagreements?
- Additional Thoughts or Comments (Paragraph)Share any additional reflections, feedback, or context regarding your relationship.
FAQ
What is a Couples Survey Template?
It is a pre-designed questionnaire used to collect structured feedback and insights regarding satisfaction, communication, and interpersonal dynamics within romantic relationships.
Who typically uses this survey?
This template is ideal for licensed therapists, marriage counselors, academic researchers studying interpersonal relationships, and dating app developers looking to understand user demographics and preferences.
Can I customize the questions?
Yes. Once the template is in your Google Drive, you can freely add, remove, or edit any questions to fit your specific clinical or research requirements.
How do I share this survey with respondents?
You can share the Google Form via a direct link, embed it on your website, or send it out through email invitations for respondents to complete on any device.
Where are the survey responses saved?
All submissions are automatically collected and organized in a connected Google Sheets spreadsheet, making it easy to analyze trends and review individual responses securely.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.