Questionnaire – Feminine Love Vibes

If single: When was your last relationship?

If in a relationship: How long have you been in your current relationship?

Have you ever been married?

YES NO

Would you like to be married one day?

Do you have children? If so, how many:

Do you live with family, alone or with your partner?

How was your parents' relationship with themselves and with you?

Do you have siblings?

YES NO

Do you have a support system, friends, family etc?

Describe your daily routine from morning to night?

Do you workout? If so, how often?

Describe your eating habits on a typical day?

Are you currenting taking any medications?

Are you currently seeing a therapist, psychologist or psychiatrist>? If so, since when?

Do you have goals and things you want to achieve with a plan in place romantically & financially? If so, please describe:

Have you taken any steps to start this process of achieving your goals? If so, what are they:

What is the first thing you would like to start on immediately regarding your goals:

Name

Last name

Age

Email address

Phone number