First

Your name.

Question 01

In relationships, which feels closest to your natural way?

I like to take the lead and make things happen

I bring energy, warmth, and connection

I value peace, harmony, and consistency

I focus on facts, details, and clarity

Question 02

How do you usually make choices about love or life?

Quickly, by trusting my gut

Based on how I feel in the moment

After reflecting and weighing my options

By gathering facts and making a plan

Question 03

In a group, what role do you naturally take?

Take charge and guide the direction

Keep things light and connected

Observe and listen before I speak

Offer thoughtful input when it feels right

Question 04

Finish this sentence: The version of me I lose in relationships is _____, and the version I’m trying to get back is _____.

Question 05

What’s the biggest block or repeating pattern for you right now?

Question 06

If this session gave you one breakthrough, what would you want?

Question 07

If your next aligned step was clear today, how ready would you feel to act on it?

I am ready to invest in myself now

I would need to reflect before deciding

I am here to explore without pressure

Question 08

What support helps you feel most confident about your next move?

Clear structure and concrete facts

Emotional support and encouragement

Space to process and reflect on my own

Accountability and follow-through

Question 09

What could get in the way of you showing up fully?

Scheduling conflicts

Feeling nervous or uncertain about the process

Financial concerns

Nothing. When I commit, I show up.

Question 10

What level of investment feels realistic for you in the next 60 days?

$0

$150 to $450

$500 to $1,000

$2,500 to $7,500

$14,000 or more

Question 11

Where did you hear about Mindful Dating?

You keep giving yourself away.
Here’s why.

Answer everything above to reserve your spot.

You keep giving yourself away.Here’s why.

Answer everything above to reserve your spot.

You keep giving yourself away.
Here’s why.