What's a "passing" score on a relationship health check?

Most healthy relationships score 7+/10 across most dimensions. No relationship is perfect on every metric. Red flags appear when multiple dimensions score 4 or below, or when you're mismatched (one partner scores high on happiness, the other low on trust).

Can a relationship be healthy but unhappy?

Briefly, yes—during life stress, grief, or major transitions. But sustained unhappiness despite a structurally healthy relationship suggests unmet needs. A therapist can help identify what's missing.

If one partner thinks the relationship is healthy but I don't, what does that mean?

This mismatch itself is concerning. It suggests you're not communicating your struggles, your partner is dismissing your concerns, or you have different relationship values. A couples therapist can bridge this gap.