Know Yourself

Love Quiz 1

1. Know Yourself

The mistake that most people make in the area of love is to believe that relationships start with someone other than themselves. This questionnaire is designed to assist you in getting to know yourself better so that you can make better love choices. Find a quiet time to read and carefully review each of the questions posed and respond honestly. Most people report that it is helpful to review their answers as if they were reading about a stranger, thereby making it easier to draw more impartial conclusions. It is better not to compare notes and/or share this private information with friends, family, lovers or potential lovers. However, it may prove insightful in a therapeutic setting with a professional therapist. Note: This questionnaire is written from a woman’s point of view. Apply the gender reference that applies to you.

Start With You Love Relationship Questionnaire

Write down the following: Basic Self-Information

1.	Name (first name only)
2.	State (Province) in which you live or have lived
3.	Your Current Occupation
4.	Your Age
5.	Highest Educational Level Attained
6.	Marital Status Husband's/wife's Occupation
7.	Your Husband’s/wife’s and/or lover’s Highest Educational Level Attained
8.	Years Married
9.	Years living together without Marriage
10.	Divorced? Widowed?
11.	Boyfriend’s/girlfriend’s Occupation
12.	Children
13.	Age(s)
14.	Race
15.	Religious Affiliation
16.	Cultural Background
17.	General State of Health (Poor, good, excellent)
18.	Appearance (Considered below average, average, attractive, exceptional)
19.	Hobbies / Interests outside of work

Childhood

1.	How many years were your parents (or care givers) married? If married multiple times, please briefly explain (the endurance of each marriage, etc.).
2.	Were they happily married? (Again if parents were married multiple times explain overall happiness of each marriage).
3.	Did you have siblings?
4.	What role did religion play in your family-of-origin’s life?
5.	Did you have an extended family?
6.	How would you describe your early childhood experience?
7.	Were you a happy child? Explain.
8.	What did you learn about relationships from your Mother?
9.	What did you learn about relationships from your Father?
10.	How has what you learned in childhood impacted on the kinds of relationships you have today?
11.	What is your worst childhood moment in regard to relationships?
12.	What was your happiest childhood moment in regard ro relationships?
13.	Are you generally a happy person today?
14.	When you were a child what impacted your thinking the most about love relationships from what you saw with your parents (care givers), relatives, and friend’s parents and/or from television?

Teen Years

15.	How many friends did you have as a teenager?
16.	Were your friends sexually active?
17.	How old were you when you had your first boyfriend/girlfriend?
18.	How old were you when you had your first sexual experience?
19.	If you had a daughter/son what would you want her/him to know about sex?
20.	Describe your life as a teenager (in relation to love relationships).
21.	As a teenager what was more important to you, having a boyfriend/girlfriend or getting into a good college?
22.	How would you describe your attractiveness level as teenager?
23.	What hobbies did you have?
24.	Did you drink or smoke?
25.	What was your over all attitude toward love and relationship in your teen years? Where did your attitude come from primarily?

Adulthood

26.

Are you now or did you ever live with your romantic partner before marriage?

27.

If yes, did it work out for you? Explain.

28.

Would you recommend living together before and/or instead of marriage?

29.

How would you describe dating now? Explain fully.

30.

How would you describe the state of marriage today?

31.

Are you or have you ever been married?

32.

How would you describe your dating and/or marital situation now and/or dating/marriage(s) from your past?

33.

Do you recommend marriage? Why or why not?

34.

What do (would) you tell your daughter/son (if you had one) about dating, love and marriage?

35.

Was what your Mother/Father (care givers) told you about dating, love and marriage accurate to what you have experienced so far? Explain.

36.

What if any influence has the media had on your experience of dating, love and/or marriage?

37.

Fill In (and explain):

a.	Love is
b.	Dating is
c.	Sex is
d.	Men are
e.	Women are
f.	Divorce is
g.	Education is
h.	My Professional Life is
i.	Children are
j.	Marriage is
k.	My Religion is
l.	My parents taught me that love is
m.	Men don’t understand that Women need
n.	Women don’t understand that Men need
o.	My Love Relationship now (or in the past) was lacking
p.	If I had to do it all over again I would
q.	My finances are
r.	Meeting and dating a Man/ Women (romantic partner) from the internet is
s.	I am most confident about
t.	Knowing what I know now about life and relationships I would
u.	I always get involved with guys/gals that
v.	The best kinds of guys/gals for me to have a healthy relationship with are
w.	I would like to change (fill in) about my choice of love partners
x.	I would like to learn more about (fill in) as it pertains to love and relationships.
y.	I would love to read a book that could help me identify my love strategies, so that I could make better love choices.
z.	Women want men to be more
aa.	Men want woman to be more
ab.	The best places to meet a romantic interest is
ac.	The biggest problem I have with men/women is

38.

True or False (According to your beliefs) and Briefly Explain.

a.	Men should help ladies on with their coats
b.	Woman are now more than ever focused on their career
c.	The women’s movement only increased the workload of women
d.	90% of the success of marriage is due to the woman’s efforts
e.	Divorce is a very painful
f.	I support gay marriage
g.	Manners are not important to me
h.	I will not date a man who is shorter than me (or a women who doesn’t meet my physical ideal)
i.	I voted in the last presidential election
j.	Marriage is almost obsolete
k.	If I like a guy/gal I will date him/her even if he/she is married
l.	Pornography hurts women
m.	Most women will do anything for a man
n.	It is usually expected that a woman will have sex with a man by the third date
o.	Living together (without being married) is a good idea
p.	Women are more interested in having children after they have acquired success in their careers
q.	Laws against Domestic Violence perpetrators have finally caught up to the problem
r.	Children are harmed a great deal today because of divorce
s.	Women are responsible for most of the household chores in relationships
t.	Men are still expected to be the primary bread winner
u.	The media plays little to no role in influencing attitudes about love
v.	I would marry for money
w.	I pay close attention to my appearance
x.	I am dissatisfied with my relationship status (or lack of relationship)
y.	Women are just as unfaithful as men
z.	I have been in a physically abusive love relationship
aa.	Love can last a lifetime
ab.	I am generally distrustful of men/ women
ac.	I want my daughter/son (or would want) my daughter/son to
ad.	I have had or am having an affair
ae.	I would date/marry a person out of my race or culture
af.	I would never cheat on my boyfriend /husband or wife/girlfriend
ag.	My religious faith gives me strength when my love relationship is difficult
ah.	Inlaws play a very important role in marriage
ai.	I have never been in an abusive relationship
aj.	Age is not a factor in dating
ak.	It is helpful to read self-help books
al.	Men are interested in how women look more than anything else
am.	Women want men with money/status to support them
an.	I don’t think it’s smart to date people in the work place
ao.	Most people use some kind of recreational drugs to relax (alcohol, weed, cocaine etc.)
ap.	Gay marriages are immoral
aq.	I still believe in happily ever after
ar.	It doesn’t bother me at all if my boyfriend/husband or girlfriend/wife flirts with other women/men
as.	Health plays an important role in successful relationships
at.	Men and woman play equal roles in relationships today
au.	Men today are not very romantic
av.	All is fair in love and war
aw.	Children often the brunt of divorce
ax.	I come from a divorced family

39.

List your 5 or less (by name or number) most important relationships. And answer the following questions (briefly): How did they start? Use one word to describe the relationship. What did you enjoy the most about it? What did you enjoy the least? As a result of that relationship you learned you would never (fill in). How did the relationship end? What kind of impact did the relationship have on you?

40.

List 10 traits/qualities you want to have in your love relationship. List in order of importance.

41.

Answer by degree of importance to you. V = very important, N = not very important, D = don’t care at all (non-issue).

a.	A potential love interest's looks
b.	A potential love interest's financial status
c.	A potential love interest must have strong communication skills
d.	A potential love interest's occupation
e.	A potential love interest's romantic history
f.	A potential love interest must show respect for my feelings
g.	A potential love interest's educational level
h.	A potential love interest's political affiliations
i.	A potential love interest's skills in bed (sexually)
j.	A potential love interest's Religious views
k.	A potential love interest's attitude toward women/men
l.	A potential love interest's overall personality
m.	A potential love interest's kindness toward you
n.	A potential love interest's family history (parents divorced, etc.)
o.	A potential love interest's race
p.	A potential love interest's sense of fun and adventure
q.	A potential love interest's health habits
r.	A potential love interest's penis/breast size
s.	A potential love interest's age
t.	A potential love interest's intelligence

42.

List at least 5 red flags for you in love relationships (now or in the past). Example: My heart is captured whenever I meet a man/women that has serious problems because I feel he/she needs me.

43.

Do you think women's/men’s attitudes toward love relationships have changed dramatically in the last 5 years? 10 years? 30 years? Explain.

44.

Are there any other areas that were not addressed in this questionnaire that you think are important to women/men?

45.

List 5 things you would advise women/men about when it comes to love relationships?

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