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Receive a personalized digital package with 2+ Date Plans designed to fit you and your person's goals, interests, and zipcode.

Contact Info

First Name *

Last Name *

Email *

Phone *

Zipcode *

Dating Details

Relationship Status *

Married

Engaged

Longterm Relationship

Single & Dating One Person

Single & Dating Openly

Single & Looking to Date

Partner's Name *

Partner's Title *

Husband
Wife
Fiance
Partner
Boyfriend
Girlfriend
Situationship
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How long have you and your person been together? *

What is your current dating frequency? *

More than 1x per week
1x per week
2x per month
Less than 2x per month
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Who Usually Plans the Dates in Your Relationship? *

I do
My partner does
We both do
Nobody really does — we wing it
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What is/are your main dissatisfactions with your dating life right now? *

Too expensive

Bored with our dates

Don't like planning them

Don't have time

Childcare Challenges

No dissatisfactions - just trying something new

What are your goals for what you'd like to get out of dating in this season? (Choose 1-2 goals) *

To have fun & make memories

To deepen & strengthen our relationship

To help restore & repair our relationship

To still have great dates on a budget

To have more unique & creative dates

To have more frequent dates

What type of date sounds the most appealing to you right now? *

Formal / Fancy Date

Fun / Indoor Date

Relaxing / Chill Date

Outdoorsy Nature Date

Active / Sporty Date

Outdoor Entertainment Date

Tell us a little about yourselves. (Include any interests/hobbies & favorite things one or both of you enjoy) *

How would you feel if one of the features of your date includes alcohol? *

Neutral - fine either way
No alcohol please
Yes, include alcohol
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What is your price range for this date? *

Do you have a specific calendar date you're planning to use this Date Plan? *

How did you hear about our Date Planning Services? *

Additional Info

(Not required, just helpful info to get to know you both better.)

#1 Love Language

Words of Affirmation

Quality Time

Receiving Gifts

Physical Touch

Acts of Service

Partner's #1 Love Language

Words of Affirmation

Quality Time

Receiving Gifts

Physical Touch

Acts of Service

Go-To Coffee/Drink Order

Partner's Go-To Coffee/Drink Order

Anything else you'd like us to know about you both that might be helpful in our planning?

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Jen Sartain

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