Secure Self Couples Quality of Connection Inventory (SS-CQCI)

This inventory helps each partner identify which Secure Self domains most affect their relationship. It measures how personal functioning in each domain strengthens or strains connection, communication, trust, intimacy, and emotional safety.

Please answer each question based on how things have felt in your relationship during the past two weeks. When you finish, save your results as a PDF for your records. You may share results with a therapist, counselor, or trusted support person to guide conversations about your relationship and growth.

🔒 Privacy notice: Your responses are not saved on this platform. If you want to keep a copy of your results, save the PDF and send it only to yourself using a secure personal email account or trusted storage location before sharing it with others.

Rating Scale: 1 = Not at All 2 = A Little 3 = Somewhat 4 = Quite a Bit 5 = A Great Deal

0 of 32 questions answered 0%

💞 Relationship Quality & Connection

🏃 Physical Functioning

💬 Emotional Functioning

🧠 Mental / Identity Functioning

🔍 Cognitive Functioning

💡 Thoughts & Beliefs Functioning

⚙️ Behavioral Functioning

🤝 Relational Functioning

✨ Spiritual / Existential Functioning

🌿 Adaptive / Evolutionary Functioning

⚖️ Integrated Human Functioning

🔗 Attachment & Family Systems Overlay

⚠️ Please answer all questions before viewing your results.

Secure Self™ – Couples Quality of Connection Inventory (SS-CQCI™)

Self-Reliant Wellness · utah23.org ·

Your SS-CQCI™ Results

Secure Self™ – Couples Quality of Connection Inventory

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Total Relationship
Integration Score
(Range: 26–130)

Relationship Quality Score

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Range: 10–50

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Secure Self Couples Functioning

—

Range: 20–100

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Attachment & Family Systems

—

Range: 6–30

—

Total Integration Score

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Range: 26–130

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Domain Score Key (2 items each, range 2–10)

2–4 = Significant Strain

5–6 = Vulnerable

7–8 = Emerging Strength

9–10 = Strong Functioning

Domain	Score	Interpretation

Total Relationship Integration Score Key (Range: 26–130)

26–52 = Significant relationship strain

53–78 = Vulnerable / at-risk

79–104 = Moderate functioning

105–120 = Strong functioning

121–130 = Highly connected / integrated

This inventory is for self-reflection and is not a clinical diagnostic tool. Results are intended to support conversations with a licensed therapist, counselor, or healthcare provider.
© Secure Self™ / Self-Reliant Wellness · utah23.org

Self-Reliant Wellness

Secure Self™ – Couples Quality of Connection Inventory

Your SS-CQCI™ Results

Domain Score Key (2 items each, range 2–10)

Total Relationship Integration Score Key (Range: 26–130)

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Secure Self™ – Couples Quality of Connection Inventory

Your SS-CQCI™ Results

Domain Score Key (2 items each, range 2–10)

Total Relationship Integration Score Key (Range: 26–130)

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