Which best describes you? *


 
What's your age? *





 
Which best describes your current relationship situation? *




 
Which best describes why you're taking a break from dating? *


 
Tell me, why are you taking a break?

 
How often do you date? *


 
Which best describes your dating experience? *


 
Tell me, why do you date rarely?

 
Which best describes your dating experience? *


 
Tell me, what's your biggest dating challenge?

 
Which best describes your biggest relationship challenge? *


 
Tell me, what's your biggest relationship challenge?

 
On a 1-10 scale how important is it that you find lasting love? (10 means finding love is the most important thing to you.) *

 
On a 1-10 scale, how urgent is it for you to solve the problem you have today? (10 means you want to solve it right now.) *

 
What's your first name? *

Powered by Typeform