Full Name

Phone *

Email *

How would you describe your current dating mindset? *

I feel unsure about what I truly want in a partner or relationship.

I have an idea of what I want but struggle to attract the right kind of partner.

I’m confident in myself but want to be more intentional in my dating approach.

Do you find yourself settling for relationships that don’t align with your values or goals? *

Yes, I struggle to prioritize my needs.

Sometimes, but I’m learning to set boundaries.

Rarely, I know what I want and stick to it.

Do you feel like your dating experiences often repeat similar patterns? *

Yes, I keep ending up in the same kind of relationship.

I’m trying to break old patterns, but it’s tough.

No, I’m improving and learning from past experiences.

Are you seeking clarity on how to identify a purposeful partner and build a healthy relationship? *

Yes, I want a clear plan for purposeful dating.

I want to ensure my relationship choices align with my goals.

Both!

What is your biggest challenge when it comes to dating? *

Overcoming fear of rejection or self-doubt.

Understanding how to communicate my needs effectively.

Finding someone who aligns with my values and long-term goals.

How soon are you ready to take action on dating with purpose? *

Right now! I’m ready to date with intention and purpose.

In the next few weeks—I’m preparing myself for the journey.

I’m exploring my options but need more guidance and clarity.

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