Sustaining Healthy Relationships Survey

Thank you for agreeing to complete our survey on healthy relationship support needs. We are trying to find out what needs there are in communities for healthy relationship support. By completing this survey you are helping us to identify and fulfil that need.

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* 1. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 2. How would you describe your gender?

Female

Male

Other

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* 3. How would you describe your sexual orientation?

Straight

Gay

Bisexual

Other

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* 4. How would you best describe your current employment status?

Working - Full Time

Working - Full Time Plus Second Job

Working - Part - Time

Not Working - Looking for Work

Not Working - Not Looking for Work

Retired

Unable to Work

Student / Training

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* 5. Are you deemed to be a Carer?

Yes - Full time carer

Yes - Part time carer

No, I am not a carer

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* 6. What is your Local Council Area?

Ards & North Down

Antrim & Newtownabbey

Armagh, Banbridge & Craigavon

Belfast City Council

Causeway Coast & Glens

Derry City & Strabane

Fermanagh & Omagh

Lisburn & Castlereagh

Mid & East Antrim

Mid Ulster

Newry Mourne & Down

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* 7. How would you describe your relationship status?

Single

Single - Dating

Single - Separated / Bereaved

In a Relationship (Living Together)

In a Relationship (Not Living Together)

Married / Engaged

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* 8. How long has this been your relationship status?

Less than 1 Year

1-2 Years

3-5 Years

5+ Years

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* 9. Do you have any children falling into the following age ranges? (tick all that apply)

Baby (0-2)

Toddler (2-3)

Pre-Schooler (3-6)

School Age (6-12)

Teenager (13-17)

Adult (18+)

I Am Pregnant / Expecting A Child

I Don't Have Children

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* 10. In healthy relationships, individuals feel that their partner treats them with respect. If you have a partner or are dating, please rate how each of the following statements on how they apply to your partner, otherwise skip to question 11;

	Most/All of the time	Some of the time	Not very often	Never	Unsure / Don't Know
They are willing to compromise	They are willing to compromise Most/All of the time	They are willing to compromise Some of the time	They are willing to compromise Not very often	They are willing to compromise Never	They are willing to compromise Unsure / Don't Know
They let you feel comfortable being yourself	They let you feel comfortable being yourself Most/All of the time	They let you feel comfortable being yourself Some of the time	They let you feel comfortable being yourself Not very often	They let you feel comfortable being yourself Never	They let you feel comfortable being yourself Unsure / Don't Know
They are able to admit to being wrong	They are able to admit to being wrong Most/All of the time	They are able to admit to being wrong Some of the time	They are able to admit to being wrong Not very often	They are able to admit to being wrong Never	They are able to admit to being wrong Unsure / Don't Know
They try to control what you wear, where you go or what you do	They try to control what you wear, where you go or what you do Most/All of the time	They try to control what you wear, where you go or what you do Some of the time	They try to control what you wear, where you go or what you do Not very often	They try to control what you wear, where you go or what you do Never	They try to control what you wear, where you go or what you do Unsure / Don't Know
They physically hurt you	They physically hurt you Most/All of the time	They physically hurt you Some of the time	They physically hurt you Not very often	They physically hurt you Never	They physically hurt you Unsure / Don't Know
They emotionally hurt you (call you names, threaten you, make you feel bad)	They emotionally hurt you (call you names, threaten you, make you feel bad) Most/All of the time	They emotionally hurt you (call you names, threaten you, make you feel bad) Some of the time	They emotionally hurt you (call you names, threaten you, make you feel bad) Not very often	They emotionally hurt you (call you names, threaten you, make you feel bad) Never	They emotionally hurt you (call you names, threaten you, make you feel bad) Unsure / Don't Know
They try to resolve arguments and conflict by talking honestly	They try to resolve arguments and conflict by talking honestly Most/All of the time	They try to resolve arguments and conflict by talking honestly Some of the time	They try to resolve arguments and conflict by talking honestly Not very often	They try to resolve arguments and conflict by talking honestly Never	They try to resolve arguments and conflict by talking honestly Unsure / Don't Know
They enable you to feel safe being with them	They enable you to feel safe being with them Most/All of the time	They enable you to feel safe being with them Some of the time	They enable you to feel safe being with them Not very often	They enable you to feel safe being with them Never	They enable you to feel safe being with them Unsure / Don't Know
They Respect your feelings, your opinions and your friends	They Respect your feelings, your opinions and your friends Most/All of the time	They Respect your feelings, your opinions and your friends Some of the time	They Respect your feelings, your opinions and your friends Not very often	They Respect your feelings, your opinions and your friends Never	They Respect your feelings, your opinions and your friends Unsure / Don't Know
They accept you saying no to things you don't want to do (like having sex)	They accept you saying no to things you don't want to do (like having sex) Most/All of the time	They accept you saying no to things you don't want to do (like having sex) Some of the time	They accept you saying no to things you don't want to do (like having sex) Not very often	They accept you saying no to things you don't want to do (like having sex) Never	They accept you saying no to things you don't want to do (like having sex) Unsure / Don't Know
They accept you changing your mind	They accept you changing your mind Most/All of the time	They accept you changing your mind Some of the time	They accept you changing your mind Not very often	They accept you changing your mind Never	They accept you changing your mind Unsure / Don't Know
They resprect your wishes if you want to end the relationship	They resprect your wishes if you want to end the relationship Most/All of the time	They resprect your wishes if you want to end the relationship Some of the time	They resprect your wishes if you want to end the relationship Not very often	They resprect your wishes if you want to end the relationship Never	They resprect your wishes if you want to end the relationship Unsure / Don't Know

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* 11. All relationships go through ups and downs, especially at times of transition. If you have experienced any of the following relationship transitions in the past year, please rate the severity to which it caused stress on your relationships. Please skip any sections that aren't relevant to your situation.

	Mild	Moderate	Severe	Extreme	None
Became a Parent	Became a Parent Mild	Became a Parent Moderate	Became a Parent Severe	Became a Parent Extreme	Became a Parent None
Unemployment	Unemployment Mild	Unemployment Moderate	Unemployment Severe	Unemployment Extreme	Unemployment None
Kids Moving Schools	Kids Moving Schools Mild	Kids Moving Schools Moderate	Kids Moving Schools Severe	Kids Moving Schools Extreme	Kids Moving Schools None
Personal Mental Ill Health	Personal Mental Ill Health Mild	Personal Mental Ill Health Moderate	Personal Mental Ill Health Severe	Personal Mental Ill Health Extreme	Personal Mental Ill Health None
Family Members Mental Ill Health	Family Members Mental Ill Health Mild	Family Members Mental Ill Health Moderate	Family Members Mental Ill Health Severe	Family Members Mental Ill Health Extreme	Family Members Mental Ill Health None
Financial Hardship	Financial Hardship Mild	Financial Hardship Moderate	Financial Hardship Severe	Financial Hardship Extreme	Financial Hardship None
Increased Stress At Work	Increased Stress At Work Mild	Increased Stress At Work Moderate	Increased Stress At Work Severe	Increased Stress At Work Extreme	Increased Stress At Work None
Children Becoming Teenagers	Children Becoming Teenagers Mild	Children Becoming Teenagers Moderate	Children Becoming Teenagers Severe	Children Becoming Teenagers Extreme	Children Becoming Teenagers None
Inter generational Family Tensions	Inter generational Family Tensions Mild	Inter generational Family Tensions Moderate	Inter generational Family Tensions Severe	Inter generational Family Tensions Extreme	Inter generational Family Tensions None
Caring for an Older Parents	Caring for an Older Parents Mild	Caring for an Older Parents Moderate	Caring for an Older Parents Severe	Caring for an Older Parents Extreme	Caring for an Older Parents None
Change in Benifits	Change in Benifits Mild	Change in Benifits Moderate	Change in Benifits Severe	Change in Benifits Extreme	Change in Benifits None
The Covid-19 Pandemic	The Covid-19 Pandemic Mild	The Covid-19 Pandemic Moderate	The Covid-19 Pandemic Severe	The Covid-19 Pandemic Extreme	The Covid-19 Pandemic None
Illness or Changes To General Health	Illness or Changes To General Health Mild	Illness or Changes To General Health Moderate	Illness or Changes To General Health Severe	Illness or Changes To General Health Extreme	Illness or Changes To General Health None
Living With A Disability	Living With A Disability Mild	Living With A Disability Moderate	Living With A Disability Severe	Living With A Disability Extreme	Living With A Disability None
Changes in Family Structure	Changes in Family Structure Mild	Changes in Family Structure Moderate	Changes in Family Structure Severe	Changes in Family Structure Extreme	Changes in Family Structure None

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* 12. if you remember receiving relationships & sexuality education (RSE) at school, how would you rate this in helping you navigate and maintain healthy relationships?

It was very helpful to me

It was somewhat helpful to me

It was not very helpful to me

I did not find it helpful at all

I do not remember receiving any RSE at school

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* 13. Even the happiest of relationships require support from time to time. Please tick below all the avenues from which you would be likely to seek relationship support if you need it;

Friends

Family

Partner

Social Worker

Other Healthcare Worker

Community Organisation

Specialist Organisation

A Relationship Counsellor

The Internet

Social Media

I have no reached out for relationship support

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* 14. Some people feel stigma around reaching out for relationship support. How comfortable do you feel to reach out for relationship support?

0 (Not Comfortable)

100 (Very Comfortable)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 15. If you have experienced relationship stress in the past, how much has it affected your wider family unit? Please skip to Question 16 if you if this question doesn't affect you.

It has very much affected others in the family

It has moderately affected others in the family

It has mildly affected others in the family

It has not yet affected the rest of the family

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* 16. Which of the following do you think would be helpful to you in supporting yourself and your relationships?

read an information resource

Watch videos from trained relationship support professionals

attend a workshop or information event

Short social media tips

A programme of relationship counselling

A single session of relationship counselling

A regular newsletter with tips & tools

Other (please specify)

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* 17. Relate NI has a monthly newsletter filled with tips & tools for maintaining healthy relationships, and other news and information on our services. Would you like to sign up to receive this monthly email? (If so, please leave your email address below)