5 Keys | Dating with Dignity

FINAL ASSESSMENT

Part 1: Directions: Choose your level of agreement with each statement.

First Name

As a result of participating in this program, I am clear on who is - and who isn’t - my right partner based on my values.

As a result of participating in this program, I uncovered limiting beliefs that have held me back from attracting a high-quality partner.

As a result of participating in this program, I am aware of how I respond to triggers around dating.

As a result of participating in this program, I can more easily identify my feelings.

As a result of participating in this program, my self-worth as a potential love partner was strengthened.

As a result of participating in this program, I released negative thoughts and beliefs about previous dating/relationship experiences.

As a result of participating in this program, I feel more confident about attracting the right partner.

As a result of participating in this program, I learned how to feel safe with others, and as a result, I am more authentic in dating and relationships.

As a result of participating in this program, I feel equipped to deal with rejection.

As a result of participating in this program, I can more quickly identify “Mr. Crumbs” – the unrequited love, the toxic or “bad for me” partner, the emotionally unavailable guy.

As a result of participating in this program, I can more easily identify what I want and need, and I know how to say it.

As a result of participating in this program, I have more compassion for myself.

As a result of participating in this program, I communicate online and offline with more positive energy.

As a result of participating in this program, I released feelings of embarrassment or shame over past relationship “failures.”

As a result of participating in this program, I am aware of when I leak masculine energy.

As a result of participating in this program, I feel empowered to tell a date when I feel hurt or vulnerable by something he said or did.

As a result of participating in this program, I can shift my energy from a catabolic state to a more anabolic state at will.

As a result of participating in this program, I have a specific strategy to attract my high-quality man and I am using it.

As a result of participating in this program, I created assets for dating online (profile, dating image, & photos) that are an authentic reflection of myself.

As a result of participating in this program, I have been able to see and create new possibilities at work and at home.