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Dating Coaching Discovery Questionnaire
First name
*
Last name
*
Email
*
1. What brings you to dating coaching at this time in your life? (Please select all that apply)
I want to regain my confidence in dating
I’m ready to find a meaningful relationship
I’m unsure where to start after being out of the dating world
I want to improve my dating approach and results
I want to understand modern dating (including apps and technology)
I want support after a difficult breakup or life transition
Other
If other, please tell me more:
2. What aspects of dating do you find most challenging? (Please select all that apply)
Knowing where to meet quality people
Feeling confident approaching or connecting with someone new
Creating an authentic dating profile
Taking better photos and presenting myself online
Starting conversations and building connection
Knowing how to recognize compatibility
Overcoming past dating disappointments
Balancing dating with my lifestyle and responsibilities
Gaining confidence in recognizing a healthy relationship
Other
If other, please tell me more:
3. Would you like to receive coaching in any of the following areas? (Please select all that apply)
Learning how to ask someone out
Improving flirting skills
Becoming a more confident texter
Recognizing signs of attraction
Distinguishing love from lust
Dressing with confidence for dating
Learning how to thoughtfully vet potential partners
Identifying long-term relationship potential
Learning to trust my instincts
Breaking unhealthy dating patterns
Expanding my social circle
Becoming more approachable in everyday life
4. Is there any other specific subject you would like us to discuss?
Submit
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