First Name Last Name Email 1. What’s your relationship status? Single Coupled Divorced Open Relationship (Alternative)2. Where are you in a love life at this moment (in the last 3 months)? Active online dating Active face to face dating only Not active dating Dating with someone but it’s not serious Being in a relationship but something important is missing3. Where was the last time you’ve been in a committed relationship? 4. I am a person who: Take action to live life more fully, passionately and joyfully I’m fulfilled and comfortable where I am and rather passive I’m not really sure what I am looking for5. When it comes to how I make a decision in love life, I: I need all the data/facts in front of me. I need proof before I jump in! I tend to follow my heart and intuition The fear of making the WRONG decision stops me from making any decision at all!6. When it comes to giving and receiving in a relationship, what is your experience? I like to receive. I need to feel loved before I can give love. I give too much and sometimes it makes me resent the other person or feel that the relationship is not balanced. It’s hard for me to give or receive.7. Partners I date often tell me that I am: Too controlling / too needy. Too serious and not empathetic. Hard to follow / too complex.8. They also tell me that I am: Strong and confident. Beautiful and sexy. Crazy and funny.9. I tend to attract people who: Aren’t committed to create life togetherTake too much from me and can even be a bit manipulative.Are not emotionally available.10. When it comes to trusting a partner: I trust my partner, but I know when I’m right and someone is wrong. I trust too much sometimes. I am very open and quite often feel I get taken advantage of. I don’t trust anyone! I’ve been hurt too many times.11. The one pattern that keeps repeating in my love life is… I tend to not trust people. I tend to give too much and get too little. Nothing ever feels deep and whole. It stays on the surface.12. When it comes to my personal and professional goals: I set them and achieve them. My growth is important, and I don’t let myself down. I have a lot of things I dream of, but I get knock off by self-doubt or struggle by luck of time or other challenges. I’m not sure I have any goals right now! Even if I did, I wouldn’t follow through or achieve them. 13. Do you take lead in a relationship? Yes, I love taking charge and leading. Sometimes, when it’s really required. No really, I prefer when my partner take lead.14. How easy is it for you to stay in your personal power and lose yourself in a relationship? I always stay in my power, no matter what. I stay in my power but when I’m in a committed relationship, I become more adaptable. When I fall in love, I can lose myself from time to time I stay in my power when I’m single, buy when I’m in love I completely loose myself.15. Which personality type resonates with you the most? Direct, taking action, result-orientated, assertive Outgoing, talkative, emotional, entusiastic Calm, stable, patient, supportive Cautious, details-orientated, organized, analytical, 16. When interacting with people are you? bold and decisive social and outgoing peace-loving and kind logical and intelligentSubmit Form