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1. How do you feel about what you have to offer in a relationship?
- a) I don’t know what I feel about myself most of the time
- b) I feel like I have some qualities but I need to work on others
- c) I am clear about what’s missing and want to work on self-improvement
- d) I genuinely like myself and feel good about who I am and what I have to offer
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2. Do you still feel angry and upset about how your ex treated you in the past
- a) Yes, definitely
- b) I am not entirely sure
- c) I still feel anger but I am willing to let it go
- d) No, it’s over and I’m okay with that
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3. My relationship strengths are:
- a) I go with the flow to make my spouse happy
- b) I respect the other person’s values but I can be flexible with mine
- c) I know my values
- d) I know my values and my deal breakers
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4. My relationship weaknesses are:
- a) I don’t trust anyone
- b) Lose my sense of self
- c) I have no weaknesses
- d) I don't know, I wish my ex's would tell me
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5. My primary goal when starting to date someone is to
- a) Make my ex jealous
- b) Get serious
- c) See if they are the one
- d) Meet new people and see what happens
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6. What would stop you from investing time for relationship right now?
- a) Lack of time due to work commitments
- b) Lack of time due to family commitments
- c) Not enough interest
- d) Not knowing the qualities I am looking for
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7. How often do you try new things?
- a) Never I love my life the way it is
- b) Once a year
- c) Once a month
- d) Every few weeks
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8. Do you feel pressured by family or friends to get into a relationship?
- a) Yes, and it’s suffocating
- b) Yes, but it doesn’t really affect me
- c) Not really
- d) I am determined to find the right person for me
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9. Do you find it easy to seek help when you need it?
- a) Never
- b) I would rather not
- c) Sometimes
- d) All the time
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10. Do you think there could be a conflict between your career and your relationship?
- a) Yes, my career is very important to me
- b) At times, yes.
- c) I am willing to make space for something this important
- d) It is important to share my life with someone to make my life more fulfilling
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11. Do you still feel the pain from past hurts and experiences?
- a) Sometimes I lie in bed thinking about it
- b) Yes, but I am willing to let it go now
- c) I have forgiven but haven’t forgotten
- d) I have healed and learnt from the experience
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12. Are your thoughts full of reliving past relationships?
- a) Yes, I can’t figure out what I did wrong
- b) Sometimes, those were the best years of my life
- c) Sometimes and I am open to creating new memories
- d) No, I like living in the present
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13. When it comes to your relationship, do you spend most of your time visualising how it will be in the future?
- a) I can’t imagine what my future could look like
- b) Sometimes I am sure but I don’t believe I can get it
- c) Yes, I can see clearly what experiences I want to have
- d) Yes and I am open to new possibilities I haven’t yet imagined
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