đź§© Relationship Repair Questionnaire

“What Steps Do You Intend to Take to Repair the Relationship?”

This reflective questionnaire is designed to promote emotional accountability, foster healthy dialogue, and explore the willingness and capacity for rebuilding trust, respect, and connection.


1. 🌱 Acknowledgment and Ownership

  • What specific actions or behaviors do you believe contributed to the damage in this relationship?
  • Can you acknowledge the impact your behavior may have had on the other person?
  • Are you willing to take full responsibility for your part in what went wrong, without deflecting blame?

2. đź’¬ Communication & Active Listening

  • How do you plan to ensure the other person feels heard, validated, and respected during this repair process?
  • Are you willing to have difficult conversations and truly listen without interrupting or becoming defensive?
  • How can you create a safe space for open dialogue?

3. ❤️ Empathy & Emotional Insight

  • What do you understand now about the other person’s emotional experience?
  • How do you plan to show empathy, even if you don’t fully agree with their version of events?
  • Have you taken time to reflect on what emotional needs may have gone unmet for both of you?

4. 🔄 Behavioral Change & Rebuilding Trust

  • What specific changes are you willing to make in your behavior to support the healing process?
  • What consistent actions will you take to rebuild trust?
  • Are you open to feedback if the other person feels those changes are not being maintained?

5. ⏳ Patience & Timeline

  • Do you understand that rebuilding trust takes time? Are you prepared to commit to a long-term process?
  • How will you manage your own expectations and frustrations during this journey?
  • What signs of progress would feel meaningful to you?

6. 🛠️ Support & Accountability

  • Are you willing to seek support (therapy, counseling, mediation, education) to help repair the relationship?
  • What systems of accountability will you put in place to maintain your growth and changes?
  • Who else (if anyone) can support you or help you stay grounded in this process?

7. ✨ Future Vision & Commitment

  • What is your genuine hope for this relationship moving forward?
  • Why is it important for you to repair this relationship?
  • What are you willing to do consistently to nurture it into a healthier place?

8. ⚠️ Boundaries and Realism

  • Are there any non-negotiables or boundaries that you believe need to be respected moving forward?
  • Can you accept if the other person is not ready or willing to repair the relationship at this time?
  • How will you respect their pace and choice, even if it’s not what you hoped for?

Final Reflection

“Repair is not about perfection; it’s about showing up with honesty, humility, and a willingness to grow.”

What does “healing” mean to you in this relationship? How will you know when healing is truly taking place?


— Linda C J Turner

Trauma Therapist | Neuroscience & Emotional Intelligence Practitioner | Advocate for Women’s Empowerment

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