About this template
The Weekly Relationship Check-in Google Form Template is designed for therapists, counselors, and couples working together to improve relationship health outside of scheduled sessions. This structured tool helps clients reflect on their interpersonal dynamics, record proactive steps they took during the week, and prepare meaningful talking points for their next appointment.
By encouraging weekly self-reflection, this form helps partners stay accountable to their shared relationship goals and highlights recurring friction points before they escalate. Therapists can review submissions prior to sessions to identify trends, measure progress over time, and tailor interventions to the couple's immediate needs.
With Doc2Form, you can instantly turn this document into a fully functional Google Form in seconds. Streamline your practice workflow, boost client engagement between sessions, and maintain a clear historical record of each couple's emotional journey.
Key features
- Track weekly relationship efforts and proactive communication steps
- Streamline session prep for marriage and family therapists
- Encourage consistent client accountability between appointments
- Identify emotional trends and recurring conflicts early
- Easily deploy via a secure link for quick weekly completion
Use cases
Weekly homework assignments for couples in marriage counseling
Progress tracking for licensed professional counselors and therapists
Self-guided relationship maintenance for partners practicing independ…
Self-guided relationship maintenance for partners practicing independent check-ins
Pre-session reporting to maximize the value of therapy hours
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Date of Check-in (Date)Select today's date.
- Relationship Motivation (Weekly) (Linear scale)Rate your overall motivation and commitment to working on your relationship this past week.
- Relationship Improvement Actions (Paragraph)Describe specific positive actions, acts of kindness, or constructive conversations you initiated this week.
- Relationship Changes (Looking Back) (Paragraph)What shifts, positive or negative, did you notice in your dynamic or communication patterns over the last seven days?
- Upcoming Week Commitment (Paragraph)What is one concrete step or goal you commit to focusing on for your relationship in the coming week?
FAQ
How does Doc2Form convert this template into a Google Form?
Doc2Form instantly parses the template structure and builds a ready-to-use Google Form directly in your Google Drive, saving you hours of manual copying and pasting.
Can I customize the questions on this weekly check-in?
Yes! Once the form is generated in your Google account, you have full freedom to add, remove, or modify any questions to match your therapeutic approach.
Is this form template secure for therapy clients?
Google Forms relies on Google's robust cloud security infrastructure. However, always ensure your account and data collection practices align with relevant client privacy standards.
How often should clients fill out this check-in form?
It is typically designed for weekly completion, ideally 24 hours before a scheduled counseling session so the therapist has time to review the responses.
Do my clients need a special app to submit their check-in?
No. Clients can complete the form directly from any smartphone, tablet, or desktop web browser without needing to download any software.
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.