Why Am I Single? Dating & Relationship Research Survey
Please take a few minutes to tell us more about you and your preferences
What is your gender?
Female
Male
What is your age range?
25-34
35-44
45-54
55-64
What is your marital status?
Single
Married
Divorced
Widowed
What is the highest level of education you have completed?
High School
Some College/University
College Diploma/Certificate
Undergraduate Degree
Masters/Graduate Degree
Doctorate
What is your employment status?
Employed Full Time
Employed Part Time
Self-Employed
Student
What is your annual income range?
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000 or more
What are the biggest challenges you face in dating & relationships right now?
Poor Communication
He/She Lacks Substance & Purpose
His Inability to Lead/Her Inability to Submit
Infidelities
Untrustworthy
Going with the Flow/Lacks Commitment
What relationship topics would you love to hear me address?
Healing from Past Relationships
Self-Worth & Setting Boundaries
Masculine/Feminine Energy & Attraction
Navigating Modern Dating
Marriage & Long-Term Commitment
Divorce
Other
What format would you prefer for learning from me?
Live Q&A's & Coaching
E-Books & Workbooks
Online Courses or Webinars
Private Membership Community
In-Person Events & Retreats
Would you be interested in a paid Membership Community where we go deeper on topics ?
Yes
No
How much would you be willing to invest in your growth per month?
$10-$25
$25-$50
$50-$100
I'd pay for Premium Access to Exclusive Content
Please share your email address
example@example.com
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