1. Are you dealing with any unresolved issues from your past relationships, trauma, or other feelings of insecurity?
A. I still feel like I have trust issues because of my past, but I don’t know if that is something that will go away
B. I am working through it, but I am definitely feeling better
C. I think I have successfully worked through all of that
2. Are you ready and willing to allow someone into your life and give all of yourself to that person?
A. It still scares me a little to think about that
B. I think so
C. Yes, I definitely am
3. Are you happy with where you are in your life in regards to your career and professional life?
A. Not really
B. Somewhat
C. Yes
4. Do you feel like you have the ability to effectively communicate your desires and needs to a partner and work together to make a relationship work?
A. No, I am not sure
B. I think so
C. Yes, I am
5. Do you have an idea of exactly what you are looking for in a relationship and the kind of person that would be the best fit for you?
A. I still am not sure exactly
B. I am working on that, but I think I have a good idea
C. Yes
6. Do you feel like you have spent enough time focusing on yourself and becoming the person that you want to be in a relationship and in your own personal life?
A. I am not sure. I haven’t been alone that long
B. I am working on that now but still have some work to do
C. Yes, I have made a lot of changes and am happy with the person I’ve become
7. Have you identified specific ways to care for yourself and healthy ways to cope with stress?
A. I am not sure
B. I think so
C. Yes
8. Are you satisfied with your current living situation and do you have your finances in order?
A. That is still something I am working on
B. I am satisfied with one of the two
C. Yes, I am
9. Are you feeling content in your life right now and confident in your future?
A. Not really
B. Somewhat
C. Yes
10. How long have you been single?
A. Less than 6 months
B. 6 months-1 year
C. More than 1 year