Relationship Check-In Form

Relationship Check-In Form — Form Fields

This personal template includes 6 fields. Reflect on the health and quality of an important relationship in your life. Use this check-in to identify strengths, areas to nurture, and intentions for deepening your connection. Free to customize and use on ZenBuild.

• Date (text, required)
• Relationship type (dropdown selection, required) — options: Romantic partner, Close friend, Family member, Coworker or colleague, Mentor or mentee
• Overall relationship health (rating, required)
• What is going well in this relationship? (long text, optional)
• What needs more attention or care? (long text, optional)
• One action you will take this week to nurture this relationship (text, required)