Question 1 of 14

What is your full name? *

Question 2 of 14

What is your date of birth? *

Question 3 of 14

What is your current relationship status? *

Single In a Relationship Married Divorced Widowed It's complicated

Question 4 of 14

What pattern do you tend to follow in love? *

I tend to attract unavailable people I tend to attract needy people Balanced Fearfully avoidant Anxiously attached Securely attached

Question 5 of 14

What is your attachment style? *

Securely attached Anxiously attached Avoidant Disorganized attachment

Question 6 of 14

Do you carry any of these love wounds? *

Select all that apply

Abandonment Betrayal Rejection Feeling suffocated Humiliation No particular affinity

Question 7 of 14

What energy does your ideal partner have? *

Grounded and stable Passionate and intense I turn to spiritual practices Intellectual and deep Nurturing Adventurous and free

Question 8 of 14

What blocks you from finding or keeping love? *

Fear of intimacy Low self-worth Past trauma Unrealistic expectations Wrong timing No particular affinity

Question 9 of 14

How deeply do you love yourself? (1-10) *

Question 10 of 14

Where are you in your love manifestation journey? *

Actively calling in love Working on myself first Feeling like giving up Already found it Healing first

Question 11 of 14

What is your deepest intention regarding love? *

Question 12 of 14

What pattern have your past relationships followed? *

Long-term relationships Short flings or situationships On-again off-again No significant history One significant relationship

Question 13 of 14

How open are you to love right now? (1-10) *

Question 14 of 14

When do you feel love should arrive? *

Urgently, right now This year Fear of the future Whenever the time is right Not a priority right now

Final Step

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