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Talk Doctors Why Talk Doctors?
For an appointment call 1-877-368-6000
In case of emergency please call 911
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TalkDoctors Relationship Satisfaction Scale (brief version)*

Please print this page and follow the instructions below.

Instructions: Place a check in the box to the right of each category that best describes the amount of satisfaction you feel in your closest relationship. Then total your score, refer to the scoring key below, and call us toll free at 1-877-368-6000 or E-mail if you score at or below 25.

0 - very dissatisfied 1 - moderately dissatisfied 2 - slightly dissatisfied 3 - neutral 4 - somewhat satisfied 5 - moderately satisfied 6 - very satisfied
1. Communication and openness
2. Resolving conflicts and arguments
3. Degree of affection and caring
4. Intimacy and closeness
5. Overall satisfaction with your relationship

Scoring Key for the Relationship Satisfaction Scale

Total Score
Level of Satisfaction
Action
0 - 15
extremely dissatisfied
therapy is needed
16 - 20
moderately dissatisfied
therapy is needed
21 - 25
somewhat dissatisfied
therapy is advisable
26 - 28
moderately satisfied
therapy is optional
29 - 30
completely satisfied
no therapy is needed


TalkDoctors, LLC
808-961-9999
Info@TalkDoctors.com
www.talkdoctors.com

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TalkDoctors, where problems become the lessons learned upon your journey to success.

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