Step 1. Mark each item twice: select your partner's typical communication score; second, select the behavior you wish for: The difference between typical and wish for is a communication gap.

When you are with your partner, how often does he or she: (1 = Seldom, 6 = Often)

	Typical	Wish For	Gap
1. Speak for you, put words into your mouth?	1 2 3 4 5 6	1 2 3 4 5 6
2. Share feelings?	1 2 3 4 5 6	1 2 3 4 5 6
3. Interrupt you to take over the conversation?	1 2 3 4 5 6	1 2 3 4 5 6
4. Acknowledge your concerns?	1 2 3 4 5 6	1 2 3 4 5 6
5. Avoid issues?	1 2 3 4 5 6	1 2 3 4 5 6
6. Force decisions on you?	1 2 3 4 5 6	1 2 3 4 5 6
7. Understand your point of view?	1 2 3 4 5 6	1 2 3 4 5 6
8. Join in resolving issues together?	1 2 3 4 5 6	1 2 3 4 5 6
9. Discuss, but leave issues unresolved?	1 2 3 4 5 6	1 2 3 4 5 6
10. Carry on pleasant, fun conversation?	1 2 3 4 5 6	1 2 3 4 5 6
11. Argue and fight?	1 2 3 4 5 6	1 2 3 4 5 6
12. Send clear, straightforward messages?	1 2 3 4 5 6	1 2 3 4 5 6
Total Gap Score:

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