ONLINE RELATIONSHIP ASSESSMENT

We will reach out to you within 1-2 business days. Based on your results, we will recommend a program designed to help you close the gap between the life of your dreams and your current reality.

Please Take the Online Assessment Now

    Contact Information
    Gender
    Marital Status

    Please describe your situation in your own words, honestly and without sugar coating. We are here to help you, not to judge you. We are professional and confidential and will never share your private information with anyone without your permission. Thank you.


    Heart Status

    Type of a Dater

    Reasons for Being Single

    What is Missing?

    Your Current Dating & Relationship Issues:

    Your Goal Is:

    Rate Qualities in Your Partner by Importance (from 1 to 10):

    Level of Your Satisfaction with Current State of Your Life and Relationships With Others: Rate (1 - Not at all: 2 - No; 3 - More likely No; 4 - More likely Yes; 5 –Absolutely Yes)
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