Conflict Resolution Questionnaire

This Conflict Resolution Questionnaire is not intended to be a diagnostic tool but instead is meant to give you and I a better idea about how conflict is being resolved in your relationship.

Answer the questions below to the best of your ability.

Rate your answers as follows:

(1) Sometimes
(2) Often
(3) Never - or I don't know

1. My partner and I rarely argue about the same issue more than once.

1	2	3

2. Even during a disagreement, my partner and I frequently laugh and praise each other.

1	2	3

3. One partner usually talks a long time before the other partner has a chance.

1	2	3

4. I feel free to do whatever I want at home whether or not my partner is there.

1	2	3

5. One partner makes more of the decisions than the other.

1	2	3

6. My partner and I almost never make threats about what he/she will do if the other takes a certain action.

1	2	3

7. Overall, I criticize my partner more than I praise him/her.

1	2	3

8. If I get angry at my partner, he/she usually gets angry back.

1	2	3

9. When making an important decision, we almost always discuss it until we find a solution with which we are both happy.

1	2	3

10. If one us loses our temper with the other, he/she almost always tells the other about it in a diplomatic way without losing his/her temper.

1	2	3

11. Sometimes when we are trying to resolve a difficult problem, we may talk about it for many hours. We keep going until we reach a solution.

1	2	3

12. My partner and I resolve long disagreements/arguements to both of our satisfaction equally often.

1	2	3

13. There are certain tasks that are more of a woman's responsibility, such as cleaning the house,and fixing meals.

1	2	3

14. There are certain tasks that are more the man's responsibility, such as providing economic support, and mowing the lawn.

1	2	3

15. One of us worries about whether the other is really committed to this relationship.

1	2	3

16. I frequently feel as if my partner is manipulating me.

1	2	3

17. In our relationship, it is okay for one partner to take time to think and be alone.

1	2	3

Congratulations on completing this questionnaire. Enter your contact information below and I will contact you within the next day to discuss your results and find out if you would like to schedule an appointment.

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Dr. Randi Fredricks Ph.D. is a Psychotherapist and licensed as a Marriage Family Therapist MFC 47803. Dr. Fredricks is not licensed with the California Medical
Board or the California Bureau of Naturopathic Medicine. © 2012 Randi Fredricks, Marriage and Family Therapist, Inc. All rights reserved. Serving
San Jose, Sunnyvale, Santa Cruz, Palo Alto, Monte Sereno, Los Gatos, Cupertino, Mountain View, Scotts Valley, Campbell, Willow Glen, and Milpitas CA.