Questionnaire
Please fill out this questionnaire to share your feedback or information.
Name
First Name
Last Name
Email
example@example.com
Age
Sexual Orientation
Heterosexual
Homosexual
Bisexual
Pansexual
Asexual
Other
Other
Do you believe zodiac compatibility matters in relationships?
Yes
No
What's your zodiac sign?
Please Select
Aries
Taurus
Gemini
Cancer
Leo
Virgo
Libra
Scorpio
Sagittarius
Capricorn
Aquarius
Pisces
Pick the sign you clash with most (instinctively).
Please Select
Aries
Taurus
Gemini
Cancer
Leo
Virgo
Libra
Scorpio
Sagittarius
Capricorn
Aquarius
Pisces
People usually describe your energy as?
Calm
Energetic
Reserved
Outgoing
Intense
Balanced
Which matters more to you in a relationship?
Emotional connection
Physical attraction
Shared values
Financial stability
Sense of humor
Finish the sentence: “I lose respect for people when they __________.”
In group settings, you’re usually the one who:
Talks the most
Observes quietly
Cracks jokes
Mediates tension
Leads decisions
Keeps the peace
Causes the chaos (respectfully)
When conflict happens, you tend to:
Address it immediately
Avoid it until forced
Shut down
Over-explain
Get defensive
Reflect first, then respond
Which describes you best?
Emotion-led
Logic-led
Balanced
Depends on the situation
What do you do for work?
How do you feel about your career right now?
Very satisfied
Content
Unsure
Actively changing paths
Figuring it out
Which statement fits you best?
My work is a big part of my identity
My work funds my life
I’m building toward something
I’m in survival mode
I’m in my soft-life era
Choose your ideal free day:
Staying home
Being outside
Traveling
Creating something
Socializing
Resting & resetting
Are your interests more:
Solo-based
Social
A mix of both
How do you usually process emotions?
I talk them out
I journal / reflect
I distract myself
I suppress them
I explode then apologize
When someone gives you feedback, you usually feel:
Appreciative
Defensive
Embarrassed
Curious
Annoyed
Finish the sentence honestly: “My biggest emotional pattern in relationships is __________________.”
Do you believe you are emotionally mature? Why or why not?
How would you describe your social circle?
Your friends would say you are the one who:
Gives advice
Needs advice
Disappears
Brings the vibe
Keeps secrets
Calls people out
How often do you socialize?
How would you describe your financial situation?
Your relationship with money is best described as:
Which matters more in a partner?
What usually ends your relationships?
What do you think you do well in relationships?
What do you struggle with most?
Are you open to being challenged (playfully) on camera?
Yes
Depends
No
Why do you want to be on this show?
What would people be surprised to learn about you?
Anything you absolutely don’t want discussed on camera?
Which day works better for you?
January 16th
January 17th
January 18th
Submit
Should be Empty: