About this template
This Relationship Questionnaire is designed for researchers, counselors, and students looking to gather structured data on romantic dynamics and interpersonal values. Whether you are conducting academic research on attachment styles or gathering intake information for therapy sessions, this template provides a professional and organized way to collect sensitive information efficiently.
The form covers a wide range of topics, including personal relationship history, core values in a partnership, definitions of trust, and reflections on past experiences. By using a standardized digital format, you ensure consistent data collection that is easy to export and analyze, helping you identify patterns and insights across your participant pool.
Key features
- Comprehensive coverage of relationship values and history.
- Mobile-responsive layout for easy participant access.
- Standardized questions for consistent research data.
- Fully customizable to add or remove specific research topics.
- Instant data collection directly into your Google Sheets.
Use cases
- Academic research on romantic relationship trends.
- Intake forms for marriage and family therapists.
- Workshops focused on communication and relationship building.
- Social psychology studies on dating habits.
What this form collects
- What is your current relationship status? (Multiple choice)Select the option that best describes your current situation.
- How many serious relationships have you had in your life? (Short answer)Please provide a numerical estimate.
- What is the first trait you notice in a potential partner? (Short answer)Briefly describe the quality that catches your attention first.
- Rank the following aspects of a relationship by importance (Linear scale)1 = Least Important, 5 = Most Important.
- How do you define cheating in a relationship? (Paragraph)Please explain your personal boundaries and definition.
- What is your biggest relationship dealbreaker? (Short answer)What is one behavior or trait that would cause you to end a relationship immediately?
- What is the most important lesson you learned from a past unsuccessful relationship? (Paragraph)Reflect on a previous experience and the takeaway.
- How would you describe your parents' marriage? (Paragraph)Briefly describe the influence it had on your view of relationships.
FAQ
Can I customize the questions for my specific research study?
Yes. Once you copy the template to your Google Drive, you have full control to add, remove, or rephrase any questions to fit your specific study requirements.
Is this form suitable for clinical therapy intake?
This template is excellent for gathering initial background information. However, ensure you comply with your local healthcare data privacy regulations when handling sensitive patient information.
How do I analyze the responses?
Google Forms automatically populates a Google Sheet with all responses, allowing you to use charts, pivot tables, or external statistical software to analyze the data.
Can I keep the responses anonymous?
Yes. You can configure your Google Form settings to not collect email addresses, ensuring that respondent data remains anonymous.
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.