How did you find out about this group or website?
How long have you been practicing dating skills?
1-6 Months
1-2 Years
2-3 Years
3+ Years
How regularly do you go out to socialize with the intention of meeting women?
Never
Once per month
Once per week
Multiple days per week
When was the last date you went on?
This week
This month
A few months ago
Longer than a few months
*
Which, if any, of the follow material or programs have you attended or studied?
Love Systems
Real Social Dynamics
Venusian Arts (Mystery)
The Game (Neil Strauss)
Adam Lyons
Brad P
Other
What are your goals with women?
What are your goals in life
BESIDES
women?
I'm nervous to approach strangers
True
False
I often feel I don't know what to say
True
False
I mostly end up friends with women I want to date
True
False
I am comfortable getting physical with a women
True
False
First Name
*
Phone (Mandatory, we respond to you by telephone only)
*
Email Address (for verification)
*
Indicates Response Required
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