Relationship Check-In Template
Each person can write a few notes about how they feel, what they appreciate and what they would like to discuss.
Free · No signup · Works in your browser
Your relationship check-in
Refreshing clears your entries. If you copy or print them, those copies exist outside this page. Your visit may remain in browser history or website analytics.
Preparing your worksheet…
Use one or both sections. Write only what you feel comfortable sharing.
Person 1
Person 2
Person 1
How I feel this week
____________________________
Something I appreciate
____________________________
One thing I would like to discuss
____________________________
One possible next step
____________________________
Person 2
How I feel this week
____________________________
Something I appreciate
____________________________
One thing I would like to discuss
____________________________
One possible next step
____________________________
About the relationship check-in template
A relationship check-in is a chance to notice what is going well and what needs attention. This template offers a separate space for each person rather than a score or verdict.
Use it in a way that feels safe: skip a question, take a break or write for yourself. A joint conversation is not a substitute for individual support when there is fear or coercion.
How it works
Make room for each person
Fill in the two sections separately, or use only one section if that is more useful.
Choose one topic
Name an issue you would like to explore without trying to solve everything at once.
Choose a next step
Copy or print your notes and revisit the action when you both feel ready.
Ways couples use this tool
A weekly check-in
Create a short, repeatable space for appreciation and requests.
Before a conversation
Write down your thoughts before deciding whether and how to share them.
Things to keep in mind
- Choose a calm time and leave room to listen.
- Keep requests specific and voluntary.
- Refresh only after saving or printing anything you want to keep.
Frequently asked questions
How often should couples check in?
Choose a rhythm that feels useful. A short weekly check-in works for some people; others prefer a different schedule.
Can I fill it in alone?
Yes. Leave the second section blank or use the prompts to organize your own thoughts.
Are responses saved?
No. Refreshing clears the fields; copy or print your notes if you want a record.