Right to REAL Love Community Survey

1

What is your current relationship status?* This field is required.

Single

In a Relationship

Engaged

Married

Divorced

Widowed

2

Are you currently dating?* This field is required.

YESNO

3

What is your age group?* This field is required.

18-29

30-39

40-49

50 or older

5

Are you currently practicing celibacy?* This field is required.

YESNO

6

Which of the following best describes your current relationship with God?* This field is required.

Strong

Okay

In Need of Improvement

Non-existent

Other

7

What is the BIGGEST challenge you currently have with your relationship with God?* This field is required.

8

Are you interested in developing a habit of praying for your future husband weekly or daily?* This field is required.

YESNO

9

What is the BIGGEST challenge you currently have with men, dating, and/or relationships?* This field is required.

10

What question(s) do you have for or about men that you want the answer to?* This field is required.

11

Are you interested in coaching in one of the following areas?* This field is required.Please select all that apply.

Dating

Relationships

Communicating with Men

Spiritual Development

Starting or Growing an Online Business

Becoming a YouTuber or Podcaster

12

What is your name?* This field is required.

First Name

Last Name

13

What is the best email address to send the DYB workbook to you?* This field is required.

example@example.com

14

Are you ready to submit your form and buy the DUMP YOUR BAGGAGE Workbook for 50% OFF today?* This field is required.When you click 'SUBMIT' you will be taken directly to the checkout page.

YESNO