20 min. Love Assessment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Use the Love Assessment chart below to fill in the form answers.

Instructions – Below are 10 rows of boxes. Using the numbering system of 1 – 6, read each statement then put a number in the space, for that statement.

Put a 6 in the statement you like the BEST, then a 1 in the statement you like the LEAST. Fill in the other spaces based upon your feelings about that particular statement.

NOTE: YOU CAN ONLY USE THE SAME NUMBER ONCE PER ROW. Repeat this process for each Row.

TIP 1: If the print in the image below is too small pull up or print this PDF and continue with the assessment below.

TIP 2: Printing out and fill out this PDF FIRST, then completing the form below may be easier.

Email *

Name *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 1

Row 1 Green *

Row 1 Brown *

Row 1 Blue *

Row 1 Red *

Row 1 Yellow *

Row 1 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 2

Row 2 Green *

Row 2 Brown *

Row 2 Blue *

Row 2 Red *

Row 2 Yellow *

Row 2 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 3

Row 3 Green *

Row 3 Brown *

Row 3 Blue *

Row 3 Red *

Row 3 Yellow *

Row 3 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 4

Row 4 Green *

Row 4 Brown *

Row 4 Blue *

Row 4 Red *

Row 4 Yellow *

Row 4 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 5

Row 5 Green *

Row 5 Brown *

Row 5 Blue *

Row 5 Red *

Row 5 Yellow *

Row 5 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 6

Row 6 Green *

Row 6 Brown *

Row 6 Blue *

Row 6 Red *

Row 6 Yellow *

Row 6 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 7

Row 7 Green *

Row 7 Brown *

Row 7 Blue *

Row 7 Red *

Row 7 Yellow *

Row 7 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 8

Row 8 Green *

Row 8 Brown *

Row 8 Blue *

Row 8 Red *

Row 8 Yellow *

Row 8 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 9

Row 9 Green *

Row 9 Brown *

Row 9 Blue *

Row 9 Red *

Row 9 Yellow *

Row 9 Purple *

Love Assessment Chart

REMEMBER ONLY USE THE SAME NUMBER ONCE PER ROW

Row 10

Row 10 Green *

Row 10 Brown *

Row 10 Blue *

Row 10 Red *

Row 10 Yellow *

Row 10 Purple *

Green Total 1-10 *

Brown Total 1-10 *

Blue Total 1-10 *

Red Total 1-10 *

Yellow Total 1-10 *

Purple Total 1-10 *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms