Exit Survey

You are invited to participate in our Couples Quiz. You'll be asked to complete 10 questions about your relationship. It will most likely take less than five minutes to complete.

Your participation in this quiz is completely voluntary. There are no foreseeable risks associated with this. If you feel uncomfortable answering any questions, you can withdraw from the quiz at any point.

Your responses will be strictly confidential and data from this quiz will be used to send you tips about where your relationship is. Your information will be coded and will remain confidential.

If you have questions at any time about the quiz or the procedures, you may contact Travis Atkinson at 212-725-7774 or by email at travisatkinsonlcsw@gmail.com.

Please start with the quiz now by clicking on the Continue button below.