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Question 1 of 7
Full Name
Question 2 of 7
Email
Question 3 of 7
What is your relationship status?
Single
Married
Divorced
Recent Breakup
It's Complicated
Question 4 of 7
What kind of relationship are you seeking?
Casual, exploring what you want
Meaningful relationship, looking for long-term
Not sure yet
Question 5 of 7
What has been your biggest dating challenge?
Finding like-minded partners
Healing and letting go of the past
Lack of clarity on what you want
Other
Question 6 of 7
Are you willing to invest time, energy, and resources to transform your love life?
Yes, I am ready
No, not yet maybe in the future
Question 7 of 7
Anything you would like to share about yourself?