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Remember, you can scroll backwards and forwards in the form and edit your answers. So please take your time.

  1. Instructions

    • 1. Run through the questionnaire together, reaching consensus on each individual question.
    • 2. If you are unable to reach consensus working together at first, then do the following:
      • a. First you are each going to complete the questionnaire on your own.
      • b. Then you will make time to sit together and discuss your results.
      • c. Lastly you complete this questionnaire together. This time around you will indicate the boundaries you agree on together.
      • d. If you are battling to reach consensus, then please seek alternative help from a life coach.

  2. Your Email Address(*)
    Invalid Input

  3. Your Partner's Email Address(*)
    Invalid Input
  1. Daily Chores & Duties

    Who is responsible for which chores on a daily basis?


  2. Partner 1 is responsible for the following daily:(*)


























    Invalid Input

  3. Partner 2 is responsible for the following daily:(*)


























    Invalid Input

  4. The couple is jointly responsible for the following daily:(*)


























    Invalid Input
  1. Weekly Chores & Duties

    Who is responsible for which chores on a weekly basis?


  2. Partner 1 is responsible for the following on a weekly basis:(*)



















    Invalid Input

  3. Partner 2 is responsible for the following on a weekly basis:(*)



















    Invalid Input

  4. The couple is jointly responsible for the following on a weekly basis:(*)



















    Invalid Input
  1. Monthly Chores & Duties

    Who is responsible for which chores on a monthly basis?


  2. Partner 1 is responsible for the following on a monthly basis:(*)










    Invalid Input

  3. Partner 2 is responsible for the following on a monthly basis:(*)










    Invalid Input

  4. The couple is jointly responsible for the following on a monthly basis:(*)










    Invalid Input
  1. Garden, DIY & Maintenance Chores & Duties

    Who is responsible for which chores in the garden around the house?


  2. Partner 1 is responsible for the following in the garden and around the house:(*)


















    Invalid Input

  3. Partner 2 is responsible for the following in the garden and around the house:(*)


















    Invalid Input

  4. The couple is jointly responsible for the following in the garden and around the house:(*)


















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  1. Paid Help

    Where can you look for help and find ways to lighten the domestic load on yourself, and how much money are you willing to part with each month for the privilege?


  2. Do you require domestic assistance from a cleaner?(*)
    Invalid Input
  3. What monthly budget will you allocate to a cleaner?(*)
    Invalid Input

  4. Do you require assistance from a laundry service?(*)
    Invalid Input
  5. What monthly budget will you allocate to a laundry service?(*)
    Invalid Input

  6. Do you require assistance with food preparation, such as takeaways or food delivery?(*)
    Invalid Input
  7. What monthly budget will you allocate to takeaway and food delivery services?(*)
    Invalid Input

  8. Do you require assistance with childcare?(*)
    Invalid Input
  9. What monthly budget will you allocate to childcare?(*)
    Invalid Input

  10. Do you have an emergency repair fund in place?(*)
    Invalid Input
  11. What monthly budget will you allocate to an emergency repair fund?(*)
    Invalid Input

  12. Total Estimated Budget for Domestic Help

    Invalid Input

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