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Men’s Forms
Jay Jimaii
2019-06-23T13:48:53-08:00
Men’s Forms
The Short Form
Attraction
Meeting
First Date
Dating
Marriage
In the bedroom
Dealbreakers and Drama
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Ladies Marriage Form
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Name
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MI
MN
MS
MO
MO
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
OTHER
Email
*
I am a
female
I am
*
married
divorced
age
*
Dating Preference
*
male
female
How long before you knew they were the one for you?
0-3 months
3-6 months
6-12 months
1 year -2 years
2 years plus
How long did you date before you got engaged ?
0-3 months
3-6 months
6-12 months
1 year -2 years
2 years plus
How long were you engaged ?
0-3 months
3-6 months
6-12 months
1 year -2 years
2 years plus
I've been in this marriage for
*
less than a month
1-6 months
6-11 months
1-2 years
3-5 years
5-10 years
10+ years
We have this many kids
*
0
1
2
3
4
5
6+
What is the best part of your marriage?
*
What is the worst part of your marriage?
*
Why did you get married?
*
I felt loved
I was in a good spot with a good person
just didnt want to be alone
we are amazing together
peer pressure
we had kids
I couldn't find anyone I really liked
I feel needed
When did you feel like you wanted to marry this person?
*
Did you tell them you wanted to get married or wait for them to ask you?
*
I knew and hinted about it
we talked about it and it came naturally
I waited for them to say something
How many times a month do you guys go on a date?
*
0
1
2
3
4
5
6
7
8
9
10+
Where do you go on dates?
*
movies
lunch/dinner
hang out with friends/family
drinks
physical activity (jog,walk,bowling,etc)
listen to music
outdoors
event (gallery, poetry reading, etc)
How many times a month are you intimate?
*
0
1
2
3
4
5
6
7
8
9
10+
How many times a month do you have sex?
*
0
1
2
3
4
5
6
7
8
9
10+
I wish we were intimate
*
more
less
it's just right
I wish we had sex
*
more
less
it's just right
In what areas could your partner improve?
*
smarter decisions
better employment
better communication
responsiblity
ambition
sense of humor
better with family/friends
spend more time with you
connection
honesty
spirituality
sex
financial status
leadership
intimacy
Grade your relationship.
*
A excellent
B above average
C average
D heading towards a ditch
F in the ditch
Why do you give your relationship that grade?
*
What could you improve on in your relationship?
*
What would you like to add?
Name
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