A Relationship Check-Up is the most basic element in a relationship-building program. In simplest terms: you have to know the actual condition of your relationships before you can do anything to improve them. Effective communication is the bedrock upon which effective relationships are built. All effective communication programs, in turn, must begin with listening, not speaking. A Relationship Check-Up developed by and available exclusively from thePRguy. It is a listening tool, just like many others used by professional communicators. This guide originally was commissioned by a statewide hospital association for its CEO members. While it speaks to the hospital industry, the principles of the process are the same for any organization.