GrateFULL Mind Wives Club Pre-Survey
Please answer all questions with HONESTY, this is a judgement-free zone. Your answers are confidential and will help us provide you with the best support. Sometimes it's hard to speak the truth when the truth sounds bad, but doing so, will be a disservice to you and this group, so BE ABSOLUTELY HONEST.

This pre-survey is a self-reflective activity, it may stir up particular feelings, please note that its important to continue and provide all answers.

ALERT! Please note that this group is not for everyone. This group is NOT for you if: 1) your husband is physically abusive to you (and/or your children), 2) your husband has an active addiction,  3) your husband has chronic infidelity issues. Instead you would likely benefit more from individual therapy, please email us for more information: thegratefullmind@gmail.com
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address: *
Do you currently reside in California? *
How long have you been married? *
Do you have children? *
Where did you hear about this group? Be specific, which WhatsApp group etc. *
What is your age? *
What do you hope to gain from this group? *
Are you ready and willing to make changes to your behavior and thinking, while knowing your husband will not be required to do the same? *
Do you feel like you are smarter than your husband? *
Do you nag your husband? *
Do you do things for your husband that he can do himself? *
Do you ever find that neither of you are interested in sex? *
Do you complain to others about your husband? *
Do you criticize your husband? *
Do you think about leaving the marriage? *
Do you feel like you need to control your husband, because you are afraid he will make a mistake or not meet your needs or "fill in the blank"? *
Do you get angry with your husband when he makes a mistake? *
Do you feel jealous/bitter/resentful if your husband enjoys free time away from you? *
Do you tend to blame your husband? *
Do you have a hard time trusting your husband? *
Do you have a hard time respecting your husband? *
Do you say "I told you so," to your husband? *
Do you try to teach, improve or correct your husband? *
Do you have a hard time apologizing to your husband? *
Who's in charge of the finances in your household? *
Do you consider your husband the leader of your family? Choose the best one that applies. *
How involved are your parents and/or siblings in your life? *
How involved are your in laws (his parents and/or siblings) in your life? *
Do you think your marriage lacks intimacy? *
Was there a time in the past that you were satisfied with the level of intimacy in your relationship? *
Do you think your behavior could be a factor to the lack of intimacy in your relationship? *
If you could change one thing about your marriage what would it be? *
If you could change one thing about your HUSBAND what would it be?
Do you practice regular self-care? *
What are things you are doing for self-care right now?
Would you like to share any marital advice you got before marriage that actually helped you?
While completing this pre-survey what feelings came up for you?
Would you like to share any thing else with us?
Would you like to join the GMC Wives Club? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms