Make two copies of this. Both you and your spouse should fill them out privately. Then exchange papers with each other and discuss.
YES NO
____ ____ Do I live a holy life?
____ ____ Do I have a daily prayer-life?
____ ____ Do I pray daily for my spouse?
____ ____ Am I a role-model to my spouse?
____ ____ Is my thought-life pure?
____ ____ Do I study the Word of God daily?
____ ____ Do I have sincere love for my spouse?
____ ____ Am I prepared to serve my spouse physically?
____ ____ Am I prepared to serve my spouse emotionally?
____ ____ Am I prepared to serve my spouse spiritually?
____ ____ Do I have a goal to demonstrate love for my spouse today?
____ ____ Do I attain my goal each day?
____ ____ Do I maintain open communication with him/her daily?
____ ____ Do I allow television to interfere with communication?
____ ____ Do I focus clearly on her/his happiness?
____ ____ Have I cleaned up after myself to minimize housework?
____ ____ Do I encourage my spouse in his/her endeavors?
____ ____ Does my body-language express love as I listen to him/her?
____ ____ Do I phone, fax or e-mail my honey from work?
____ ____ Am I a spiritual role-model to my spouse?
____ ____ Do I attend Sunday School with my mate?
____ ____ Am I faithful to my pastor?
____ ____ Am I faithful to attend church services?
____ ____ Do I tithe consistently?
____ ____ Do I get up early enough on Sunday mornings to be on-time?
____ ____ Do I enjoy being alone with God?
____ ____ Is my heart ready to receive fresh truth from God?
____ ____ Is my spirit sweet toward my spouse when I get up each day?
____ ____ Do I greet my spouse with a smile and fresh breath each day?
____ ____ Do I look forward to “dates” with my spouse?
____ ____ Do I assist with the housework?
____ ____ Do I miss my spouse when absent from her/him?
Discuss your findings in a spirit of love and affection.