Problem Area Assessment for Couples

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Emotional Connection
We do not usually struggle with emotional connection
We are struggling with

Simply talking to each otherSpending time togetherStaying emotional closeFeeling taken for grantedDon't feel very known by my partnerWe appear to be growing in different directionsThis is not the relationship I had hoped forWe seem to be facing a real difference in our valuesWe don't have fun like we used toWe don't make time for fun/just hanging outMissing/feeling distant from partnerWe have very different interestsOther things get in the way of spending time together
Comments:
Handling Job & Other Stresses
We do not generally struggle with job/other stresses
We are struggling with:

Helping each other reduce daily stressesTalking about stresses in a helpful mannerTaking stresses out on each other
Comments:
Handling Disagreements/Conflict Management
We handle conflict pretty well overall
We are struggling with

Frequent ArgumentsArguments getting out of control with yelling, insults, etcWe can't seem to resolve anythingResentment and hurt appear to be increasingOne of us wants to withdraw; the other to keep arguingArguments feel overwhelming and/or toxicThere has been physical violence between usFeeling criticized or disrespected
Comments:
Romance & Intimacy
We overall have a good romantic and sexual life
We are struggling with:

Flirting, kissing, being affectionateOffering words of affection and praiseMaking time for dates/time aloneFrequency of sexQuality of sexWanting different things sexuallyAmount of love in the lovemakingSexual Functioning- ED, Premature Ejaculation, Vaginal Dryness, Inability to orgasmLack of passion or attraction
Comments:
Infidelity & Trust Issues
We do not have infidelity issues and/or we have solid trust in each other
We are struggling with:

Recently finding out about an affair/infidelityJealousy and insecurityLack of trust in partnerTrouble letting go of angerTired of apologizingEmotional rollercoasterUnsure if we can recover from this
Comments:
Teamwork/Sharing Workload/Managing Family
We generally handle household and/or family tasks as a team
We are struggling with:

Major imbalance in handling household choresDifferences in cleanliness expectationsFeeling alone managing household/familyAccomplishing tasks togetherMaking decisions togetherPlanning our time and communicating expectationsParenting as a teamFinding adequate time to maintain closeness with kidsBeing on the same page in major areas
Comments:
Handling Finances
We do not generally disagree about finances and/or feel good about our finances
We are struggling with:

One person is not carrying weight financiallyWe are overwhelmed with bills/have less than we needWe have different ideas on how to spend our moneyFeeling cut out of financial decision makingFeeling burdened with managing the financesFeeling controlled through money
Comments:
Other Areas:
We are struggling with:

Tensions with In-LawsDifferences in our Spirituality/ReligionAlcohol or Drug Addiction IssuesMental Health IssuesCultural/Racial Differences
Comments:
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Should be Empty:

Emotional Connection

Handling Job & Other Stresses

Handling Disagreements/Conflict Management

Romance & Intimacy

Infidelity & Trust Issues

Teamwork/Sharing Workload/Managing Family

Handling Finances

Other Areas: