Dating & Relationships
Thank you so much for sharing your dating & relationship experiences. Please answer the following questions as honestly as possibly.

If you don't know me already, I am dating and relationship coach assisting smart, single women in finding their Mr Right.

I will be using the results of this survey to ensure my dating and relationship programs provide as much value as possible to people just like you.  

All results will remain anonymous unless you choose to share your email address.

If you are open to having a short discussion with me so we can chat in some more detail please provide your email address when prompted and I'll be in touch.

Kat
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On a scale of 1-5, how important is finding a lasting relationship to your personal happiness? *
Not important
Very important
How long have you been single? *
What are your primary dating challenges? (Tick all that apply) *
Required
From the above list, what do you feel is your single biggest challenge with finding a lasting relationship? (Choose one) *
Required
What excites you most about the prospect of a healthy lasting relationship? *
Do you feel being in a healthy lasting relationship would contribute to your self-confidence? *
If you're deeply honest with yourself, do you ever feel embarrassed or like a failure for being single? *
Do you ever doubt you will find a long-lasting relationship? *
Is there anything else you'd like me to know? *
If you are open to having a short one-on-one discussion on your experiences, please leave your name and email address below.
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