What is Your Dating Diagnosis

1

What best describes aspects of your biggest challenge or frustration?* This field is required.

Meeting people, engaging conversation and/or making connections.

Expressing and sharing yourself.

Your image, first impression and presentation.

I feel confident about my style, expressing myself and social relations.

2

If you could change one thing about yourself and appearance, what would it be?* This field is required.

I want to look slimmer, younger and more body confident. I hate the way I look.

I want to learn how to shop, put together a wardrobe and discover my style.

I need to become more aware of clothing, grooming, and body language.

I don’t need help with my image. I like the way I look and feel.

3

What kind of image do you think you project to others?* This field is required.

Usually I am invisible in social settings and rarely get noticed.

People tend to be “put off” by me and I tend to say the wrong things.

Passive, low key and relaxed.

I am the life of the party and create a magnetic energy with people.

4

Which best describes the way you think about your appearance?* This field is required.

I constantly obsess about the way I look and really don’t like my body.

I wish I had different clothes. I feel outdated, frumpy and stuck in a rut.

I’ve given up on making the effort to look attractive.

I am stylish, chic and know what’s what but I am still an individual.

5

How do you describe your body language when interacting with someone?* This field is required.

Stiff, guarded and stand-offish.

I have a lot of energy but can appear anxious and fidgety.

When I’m in a good mood I am open and approachable.

Open, warm and approachable.

6

What phases in conversations do you find difficult?* This field is required.

Initiation — approaching someone or being approached.

Engagement & Sustainability — being engaging and creating attraction.

Meaningful Connection — ability to really connect so they want to see you again.

I don’t have any challenges when it comes to initiating, engaging and connecting.

7

When I’m talking to someone I tend to...* This field is required.

Not know what to say and freeze up. I’d rather not engage in conversations.

Get in my head a lot and go in and out of being present.

Be a great listener and make others feel good but share less about myself.

Be present and find the conversation flows evenly between talking and listening.

8

I make others feel connected...* This field is required.

Never

Occasionally

Regularly

Always

9

My self-esteem hinges on what other people think and say about me,* This field is required.I desperately want their approval....

Never

Occasionally

Regularly

Always

10

I re-run negative comments people have said about me in the past and still feel hurt by them in some way...* This field is required.

Never

Occasionally

Regularly

Always

11

I often call myself names; I generally put myself down...* This field is required.

Never

Occasionally

Regularly

Always

12

I feel constantly tired, worried and unhappy...* This field is required.

Never

Occasionally

Regularly

Always

13

My emotions are often tainted with negativity like cynicism, hopelessness and lethargy...* This field is required.

Never

Occasionally

Regularly

Always

14

What is your Gender* This field is required.

Female

Male

15

What is your name?* This field is required.

First Name

Last Name

16

Where do we send your results?* This field is required.

example@example.com

17

Score