Site Home Site Home
Medical Services
Support Services
Contact Us
Donor News
Events

Relationship Survey

Section 2:  Relationship History

  1. On a scale of one (least) to ten (most), how satisfied are you with your current relationship?
    1  2  3  4  5  6  7  8  9  10



  2. How likely is it that this relationship will continue for more than one year?
    1  2  3  4  5  6  7  8  9  10



  3. How likely is it that this relationship will result in marriage?
    1  2  3  4  5  6  7  8  9  10



  4. Have you seriously discussed the future of your relationship with your boyfriend/girlfriend?
    Yes   No



  5. How long have you known your boyfriend/girlfriend?



  6. For how long have you been dating?



  7. How long has sex been a part of your relationship?



  8. Who was most anxious for there to be sexual expression within your relationship?
    You   Your Partner



  9. Do you spend more or less time talking about things than you did before sex became a part of your relationship?      More   Less



  10. Are there more or less arguments in your relationship now than there were before you started having sex?      More   Less



  11. Was your relationship more or less enjoyable before you and your boyfriend/girlfriend started having sex?      More   Less



  12. How would your boyfriend/girlfriend respond if you told him/her that you want to continue the relationship, but without sex?



  13. Is your current boyfriend/girlfriend your first sexual partner?      Yes   No



  14. Are you his/her first sexual partner?      Yes   No



  15. Have you seriously discussed the risks of sexually transmitted diseases?      Yes   No



  16. Have you ever been exposed to a sexually transmitted disease?      Yes   No



  17. Has your boyfriend/girlfriend or any of his/her previous sexual partners ever been exposed to a sexually transmitted disease?      Yes   No



  18. Have you ever been shown the risks of sexually transmitted diseases?      Yes   No



  19. Have you ever been pregnant?      Yes   No



  20. If your boyfriend/girlfriend asked to continue his/her relationship with you, but without sex, how would you feel?

Observations

Many people who complete this survey discover that they are quite concerned about the risk of pregnancy, sexually transmitted diseases, and their sexual partner's long-term commitment. Perhaps your responses express some of these same concerns.

It is possible to avoid the risks of sex without sacrificing the benefits of romantic relationships. In fact, many people find that their own enjoyment in dating relationships is increased when sex is placed off-limits--resevered for permanent relationships.

Beyond freedom from worry about pregnancy and disease, there are other benefits. Some people find that their boyfriend or girlfriend shows more interest in their personality and feelings, and that less emphasis is placed on their bodies. There is greater respect, greater confidence and less pressure to prove commitment through physical contact.

Relationships that don't work out have an oppotunity to end gracefully, and those that endure develop a strong foundation for marital friendship, commitment, and a truly safe and satisfying sexual expression.


Go to Survey Section: 1  2  3  |   Survey Home  |  Printable Version of Entire Survey