Relationship Pattern & Pre-Session Reflection | VastuKriya
VastuKriya RELATIONSHIP COUNSELLING

Relationship Pattern & Pre-Session Reflection

Understand the pattern before the session begins.

Please answer honestly and briefly. There are no right or wrong answers. One question at a time, so nothing feels overwhelming. You can skip a question and come back, or leave it blank.

A gentle note: this form is not here to diagnose your partner or label anyone. It simply helps us understand the relationship pattern and your experience, so the session can focus on what you are actually living through.
Getting startedStep 1 of 1
Getting started

Before we begin

You will go through one question at a time. Take your time with each one. If a question is too hard right now, you can leave it blank and move ahead. Your answers save together at the end, when you press submit.

Your answers are shared only with your counsellor, stored privately, and never shown to your partner or anyone else.

About the relationshipQuestion 1 of 30

How long have you been in this relationship?

About the relationshipQuestion 2 of 30

Are you currently together, separated, or in the process of breaking up?

Or write it in your own words
About the relationshipQuestion 3 of 30

How would you describe the relationship in the beginning?

About the relationshipQuestion 4 of 30

What initially attracted you to your partner?

About the relationshipQuestion 5 of 30

When you think back, were there any early warning signs that you ignored or did not understand at the time?

What changed?Question 6 of 30

When did you first feel that something in the relationship had changed?

What changed?Question 7 of 30

What was happening around that time?

What changed?Question 8 of 30

What specifically changed in your partner's behaviour?

What changed?Question 9 of 30

What changed in your behaviour or feelings during the relationship?

What changed?Question 10 of 30

Was the change sudden, or did it happen gradually?

Or write it in your own words
The relationship patternQuestion 11 of 30

What are the biggest problems you repeatedly face?

The relationship patternQuestion 12 of 30

Is there a pattern that keeps repeating after arguments?

For example: they hurt you → you raise the issue → they deny, blame, withdraw or turn it back on you → distance → things become normal again → the same problem happens again. Select all that fit.

Describe what usually happens, in your own words
The relationship patternQuestion 13 of 30

When you raise a concern, how does your partner usually respond?

The relationship patternQuestion 14 of 30

Do you often end up feeling that an argument was somehow your fault, even when you initially raised a concern about their behaviour?

Please explain
The relationship patternQuestion 15 of 30

Have there been situations where you felt confused about what really happened after an argument or conversation?

How has this relationship affected you?Question 16 of 30

Compared with before this relationship, have you noticed changes in…

Select all that apply.

Please describe any changes, in your own words
How has this relationship affected you?Question 17 of 30

Do you find yourself constantly thinking about the relationship or analysing conversations and incidents?

How has this relationship affected you?Question 18 of 30

Do you feel you can be yourself around your partner? Why or why not?

How has this relationship affected you?Question 19 of 30

What do you feel you have lost about yourself during this relationship, if anything?

Breaking up and stayingQuestion 20 of 30

Have you ever thought about ending the relationship?

Or write it in your own words
Breaking up and stayingQuestion 21 of 30

Has your partner ever said they wanted to end the relationship?

Or write it in your own words
Breaking up and stayingQuestion 22 of 30

Have either of you actually broken up or separated before?

Or write it in your own words
Breaking up and stayingQuestion 23 of 30

What has stopped you from leaving or ending the relationship so far?

You can select more than one.

Other, or write it in your own words
About the label "narcissistic"Question 24 of 30

What makes you believe this may be a narcissistic or emotionally unhealthy relationship?

We are not here to diagnose anyone. This helps us understand the actual behaviours and patterns.

Specific examplesQuestion 25 of 30 · introduction

Are there specific situations you would like us to understand?

The next five pages ask for 2 to 5 specific examples of situations that affected you. For each one, briefly write what happened, what you said or did, how your partner responded, and how you felt afterwards.

This is one of the most useful parts of this form, because it shows real patterns instead of only a label. Skip any page you do not need.

Specific examplesExample 1 of 5

Describe one specific situation that affected you.

You can leave this page empty and move ahead if you would rather skip it.

Specific examplesExample 2 of 5

Another specific situation.

Leave empty to skip.

Specific examplesExample 3 of 5

One more, if there is one.

Leave empty to skip.

Specific examplesExample 4 of 5 · optional

Another moment, if it mattered to you.

Leave empty to skip.

Specific examplesExample 5 of 5 · optional

The last one, if anything is still on your mind.

Leave empty to skip.

What you want from counsellingQuestion 26 of 30

What is the main reason you are seeking counselling now?

What you want from counsellingQuestion 27 of 30

What would you most like clarity about?

You can select more than one.

Or write it in your own words
What you want from counsellingQuestion 28 of 30

At the end of our session, what would make you feel that the session was helpful?

One important questionQuestion 29 of 30

If nothing changed in this relationship for the next 2 years, how would you feel about continuing exactly as things are today?

Take your time with this one.

A brief safety questionQuestion 30 of 30

Do you currently feel physically or emotionally unsafe in this relationship, or afraid of your partner's reaction to certain things you say or do?

Thank you for telling us. Your safety comes first. Your session will begin with a proper safety conversation, and if there is ever immediate danger, please contact your local emergency services or a trusted person near you.
Almost done

Review and submit

Scroll through what you shared. Use the Back button if you want to change anything, then submit. Nothing is sent until you press the button.

Your answers are shared only with your counsellor, stored privately, and never shown to your partner or anyone else.

Your reflection has been received.

Thank you for answering honestly. That took courage, and it gives your counsellor exactly what they need to prepare.