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Check for Relationship Distress Symptoms

Take this brief quiz to assess your relationship satisfaction and to see if treatment like IBCT for Relationship Distress may help your relationship.

Use this brief screening tool to see if Integrative Behavioral Couples Therapy may be helpful to you and your partner. The questions that follow are about how satisfied you are with your relationship right now. Your responses to these questions will be anonymous, and no information will be collected, saved, or sent over the Internet. Mark the response that best fits you. Your partner may also visit this page to answer these questions separately if he or she wishes to do so.

About these questions

The questions you will be asked come from the "Couple Satisfaction Index" (Funk & Rigge, 2007). This is a proven tool for screening for relationship satisfaction. This questionnaire does not provide a diagnosis. Only a health care or mental health care provider can provide a diagnosis.

Source: Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the Couples Satisfaction Index. Journal of Family Psychology, 21, 572-583.

Please provide a response to the following:

All things considered, indicate the degree of happiness of your relationship.

Please provide a response to the following:

In general, how often do you think that things between you and your partner are going well?

How TRUE is the following statement?

Our relationship is strong.

How TRUE is the following statement?

My relationship with my partner makes me happy.

How TRUE is the following statement?

I have a warm and comfortable relationship with my partner.

How TRUE is the following statement?

I really feel like part of a team with my partner

Please provide a response to the following:

How rewarding is your relationship with your partner?

Please provide a response to the following:

How well does your partner meet your needs?

Please provide a response to the following:

To what extent has your relationship met your original expectations?

Please provide a response to the following:

In general, how satisfied are you with your relationship?
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.
Select the answer that best describes how you feel about your relationship. Base your responses on your first impressions and immediate feelings about the item.

Summary of Your Results

You report overall being satisfied with your relationship. Although there may be some things you'd like to improve, you have a number of strengths in your relationship that provide a strong foundation. You likely do not feel the need for couples therapy at this time, though you still may wish to learn more about Integrative Behavioral Couples Therapy, which has helped many Vets. To find treatment or learn more about your options, visit the visit the Find Treatment section of this website, or visit your health care provider. To learn about other resources, or about resources for different mental health conditions, visit the Additional Resources section of this website.

Your responses indicate you are somewhat satisfied with your relationship and that you may like to see some things improve. You may not feel the need for formal help, though focusing on your relationship with your partner before issues grow into bigger problems is usually easier to do. You may wish to learn more about Integrative Behavioral Couples Therapy, which has helped many Vets. To find treatment or learn more about your options, visit the visit the Find Treatment section of this website, or visit your health care provider. To learn about other resources, or about resources for different mental health conditions, visit the Additional Resources section of this website.

Your responses indicate that you are dissatisfied with aspects of your relationship. Your overall level of satisfaction is similar to partners who often seek help for their relationship. Your responses suggest that you and your partner may benefit from couples therapy like Integrative Behavioral Couples Therapy. learn more about this proven treatment, which has helped many people, including Vets. To find treatment or learn more about your options, visit the Additional Resources section of this website.

If you are in crisis or are in need of immediate help:

If you feel at any time that you might be in danger of harming yourself or someone else or you would like to speak with someone immediately, please know that there are people who care and ready to help right away. There are several options for support right now:

  1. Call the Veterans and Military Crisis Line at 988 and Press 1.
  2. Text the Veterans and Military Crisis Line at 838255.
  3. Chat confidentially online with a Veterans and Military Crisis Line counselor.
  4. Call 911 or go to the nearest hospital emergency room.
Next: Find Treatment

Your privacy is very important. No information that you provide will be kept or stored.

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Questions or problems? Contact Rocky Mountain MIRECC.

 

Contact Information

Colorado

Rocky Mountain Regional VAMC (RMR VAMC)
1700 N Wheeling St, BLDG A2
Aurora, CO 80045
303-399-8020
RockyMountainMIRECC@va.gov

Utah

VA Salt Lake City Health Care System
500 Foothill DR
Salt Lake City, UT 84148
801-582-1565 ext 2835

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