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27
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1
Name
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First Name
Last Name
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2
Email
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3
1.) Are there any trust issues that causes you to feel insecure?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
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4
2.) Have you ever cheated on an ex-partner? How did it feel?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
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5
3.) Have you ever been intentionally physically abused by your ex-partner?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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6
4.) You meet a nice couple and after hanging out for a couple of months you find out they are swingers and they invite you to a party, what do you do?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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7
5.) You get a call from the police and find out your partner is in jail stealing a car, what do you do?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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8
6.) You catch your partner wrapping your surprise gift, now you know what It is and you know you don’t like It, how would you handle the situation?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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9
7.) Your partner has been working out to lose 50lbs for three months but with little results, how would you encourage them?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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10
8.) Do you allow other people's opinion affect your relationship at times?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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11
9.) How would you feel if I donated my last few dollars to a homeless person?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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12
10.) If you could go back to the 6th grade and rule the school for one day, what would you do?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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13
11.) What’s the worst thing about where you grew up?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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14
12.) How do you feel about people owning 10 bedroom mansions and we have homeless people on the streets?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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15
13.) What's the worst traveling experience you have had?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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16
14.) What's one destination you would never travel to, and why not?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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17
15.) How would you react if your partner misses your call and didn't call you back until a couple of hours?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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18
16.) Have you ever overheard a conversation you weren't suppose to hear? What was it about?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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19
17.) Have you ever walked in on something you weren't suppose to? What was it about?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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20
18.) On a scale of 1-10. how difficult is it to hold your tounge and not say what's on your mind?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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21
19.) What was your most embarrassing moment from middle school to high school?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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22
20.) If your worst enemy wrote a book about you, what would the title be?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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23
21.) What challenge would you never want to face?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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24
22.) What's one moment where you had to stand up for what you believed was right?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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25
23.) What controversial issue - social or political- do you feel strongly about?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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26
24.) What do you think is the most devastating event in history of the human race?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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27
25.) What are your most common negative thoughts?
Notes
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
a. Laugh with my partner more
b. Show my love more
c. Make time for my partner
d. Share my hopes and dreams more
e. Trust my partner more
f. Disagree with effective kindness
g. Listen more effectively
How should you maximize this question?
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