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Free Survey
Name
First
Last
Email
Phone
Gender
Male
Female
Transgender
Non-Binary
Age
20-29
30-39
40-49
50-59
60-69
70-79
80-89
Longest Lasting Relationshiop
Current Relationship Status
What are your relationship goals?
Choose all that apply.
Marriage
Monogamy
Long-Term
Blending Families
Friendship
Open
Having Children
Independence
Companionship
Flexibility
Sex
Romance
How do you envision a healthy and fulfilling relationship?
PICK YOUR TOP 5 in no particular order.
Stable
Independent
Connected
Similar Values
Part of a Team
Financially Secure
Committed
Best Friends
Reliable
Warm
Similar Goals
Chemistry
Intimate
Passionate
Respectful
Fun
Social
Physical Attraction
Cooperative
Structured
Trusting
Honest
Romantic
Family
Why are you here?
Choose all that apply
To get to know myself better
To improve my communication skills
To improve my existing relationship
To feel understood
To find relationship environments that are harmonious
To understand why I repeat past mistakes in my relationships
To understand my motivations
To understand how I make decisions
How do you know when you are in a successful relationship?
Imagine you are the royal King or Queen of a castle, and you receive word that an enemy army is marching toward your gates and will arrive in 2 hours. How would you respond to this threat?
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