Love Derailed Survey
Questions related to 'the one that got away'.
Respondent Details
1. What gender do you identify with?
*
Male
Female
Non-Binary
Prefer not to say
2. What is your age?
*
3. Do you have a one that got away?
*
Yes
No
4. What is your current relationship status?
*
Single
In a relationship
Married
Defacto
Other
5. On a scale from 1 to 10, please rate your happiness in your current relationship status. (1 being low, 10 being high)
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Not happy at all
1
2
3
4
5
6
7
8
9
Very happy
10
1 is Not happy at all, 10 is Very happy
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Intensity Meter
6. One a scale from 1 to 10, please rate the intensity of 'the one that got away'. (1 being low intensity, 10 being high intensity)
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Low Intensity - It was more chill
1
2
3
4
5
6
7
8
9
High Intensity - It was like fireworks every day
10
1 is Low Intensity - It was more chill, 10 is High Intensity - It was like fireworks every day
7. Use three words to describe the relationship e.g. exciting, comfortable, rollercoaster
*
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Memorable Moments
8. On a scale from 1 to 10, how vivid is the most positive memory of 'the one that got away'? (1 being not vivid, 10 being very vivid)
*
Faded like an old photograph
1
2
3
4
5
6
7
8
9
Crystal clear like it happened yesterday
10
1 is Faded like an old photograph, 10 is Crystal clear like it happened yesterday
9. On a scale from 1 to 10, rate the vividness of a not-so-great memory of 'the one that got away'? (1 being not vivid, 10 being very vivid)
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Kind of a blur
1
2
3
4
5
6
7
8
9
Vivid as a movie scene
10
1 is Kind of a blur, 10 is Vivid as a movie scene
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Attachment Style
10. Choose your love style you most identify with?
*
Secure: Comfortable in relationships, balanced
Anxious: Crave closeness but worry about rejection
Avoidant: Value independence, uneasy with emotional intimacy
11. How much did your love style influence the relationship for 'the one that got away'? Rate from 1 to 10 (1 being low, 10 being high)
*
Not at all, it was smooth sailing
1
2
3
4
5
6
7
8
9
Completely shaped the dynamics. It was a significant factor in how things played out
10
1 is Not at all, it was smooth sailing, 10 is Completely shaped the dynamics. It was a significant factor in how things played out
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External Factors
12. Did external factors affect the relationship?
*
Nope, smooth sailing
Absolutely, lots of outside influence
13. On a scale from 1 to 10, how much did outside factors impact the relationship? (1 being a lot, 10 being not at all.
*
Minimal impact
1
2
3
4
5
6
7
8
9
Major game changer
10
1 is Minimal impact, 10 is Major game changer
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Personal Growth
14. Rate the impact of this relationship on your personal growth. (1 being no change, 10 being a lot of change)
*
Not much changed
1
2
3
4
5
6
7
8
9
Changed a lot
10
1 is Not much changed, 10 is Changed a lot
15. If your life happiness was a number, where would it sit on a scale of 1 - 10. (1 being low, 10 being high)
*
Struggling
1
2
3
4
5
6
7
8
9
Blissfully Happy
10
1 is Struggling, 10 is Blissfully Happy
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Closure
16. Did you get closure after the relationship ended?
*
No - still waiting for closure
Yes - closure achieved and sorted
17. Did this past relationship influence your approach to new relationships?
*
No impact on my approach
Completely shaped how I approach new relationships
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Belief Index
18. Do you believe in the concept of 'the one that got away'?
*
Yes - absolutely
No - not really
19. If you could rewrite your romantic story, how likely would it be to turn out differently?
*
Almost certain it would play out the same
Highly likely to be a different story
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