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Relationship

Name

How old are you?

What is your gender?

What is your gender?
A
B
C
D

What is your sexual orientation?

What is your sexual orientation?
A
B
C
D

What’s your biggest dating challenge?

What’s your biggest dating challenge?
A
B
C
D
E
F

How many hours per week can you work on this?

Describe your personality type (MBTI or in your own words)

On a scale of 1–10, how confident do you feel today?

Anything else we should know to help you better?