1. I am interested in men/women _______ between the age of _____ and ____.
2. Please check one of the following:
__a. I do not have children and it is not important for me to have children.
__b. I do not have children and I definitely want to have children.
__c. I do not have children and I am not clear on whether I want to or not.
__d. I have children and it is not important for me to have more children.
__e. I have children and I definitely want to have more children.
__f. I have children and I am not clear on whether I want to have more or not.
A Description of my Ideal Love Partner.
What I hope to find in my love partner.
Evaluate the following possible characteristics and qualities that you might find in your ideal love partner and indicate how important they are to you with a number from 0 to 10. Zero means that it does not interest you at all. And ten means that it is extremely important to you. Place your evaluation on the left of the number and any clarifications on the right.
A. I would like him / her to have the following characteristics:
__1. I would like him / her to love me as I am.
__2. To understand and forgive my weaknesses and mistakes.
__3. To keep his/ her agreements.
__4. To be able to sacrifice time and energy form me when I am in need.
__5. To be happy about my successes and evolution.
__6. To be with me because he / she loves me and not because she/ he needs me.
__7. To be wealthy
__8. Attractive
__9. Lovable to others
__10. Affectionate
__11. Capable with his / her hands
__12. Friendly with others
__13. Smart
__14. Well educated
__15. Honest
__16. Respectful towards others
__17. Physically strong.
__18. Industrious
__19. Well known
__20. Religious
__21. Creative
__22. Enjoys music
__23. Enjoys dancing
__24. Plays a musical instrument
__25. Likes to sing
__26. Treats me with respect
__27. Loves children
__28. Likes sports
__29. Ambitious
__30. Peaceful and calm
__31. Believes in God
__32. Loves animals
__33. Loves nature
__34. Enjoys the sea
__ 35. Self-confident
__36. Likes to read
__37. Likes to help others
__38. Is sensitive to others feelings and needs
__39. Attractive
__40. Freely expressive
__41. Dependent on me
__42. Independent of me
__43. Loves only me
__44. Humble
__45. Always agrees with me
__46. Does what I tell him / her
__47. Has similar interests with me ? specifically ______________________
__48. Likes to enjoy life ? specifically ______________________
__49. Simple ? easily satisfied
__50. Flexible
__51. Democratic and fair
__52. Courageous
__53. Sexually responsive
__54. Not extremely interested in sex
__55. Accepts and uses criticism
__56. Interested in self-improvement and evolution
Other qualities I would like my ideal partner to have
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B. I would like him/ her to help me with the following needs.
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
5. _________________________________________________________________________
6. _________________________________________________________________________
7. _________________________________________________________________________
C. I would like him/her to express love to me in the following ways:
(Except sexually ? that is taken for granted.)
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
5. _________________________________________________________________________
6. _________________________________________________________________________
7. _________________________________________________________________________
D. I would like him/her to behave in the following ways.
1. _________________________________________________________________________
2. _________________________________________________________________________
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6. _________________________________________________________________________
7. _________________________________________________________________________
E. When we have different needs, I would like to solve those conflicts in the following ways:
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F. I would like us to enjoy ourselves in the following ways.
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
5. _________________________________________________________________________
6. _________________________________________________________________________
7. _________________________________________________________________________
G. I would like to share the following activities that care for and improve our bodies, minds, and souls.
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
5. _________________________________________________________________________
6. _________________________________________________________________________
7. _________________________________________________________________________
H. I would like to share the following forms of work and / or service.
1. _________________________________________________________________________
2. _________________________________________________________________________
3. _________________________________________________________________________
4. _________________________________________________________________________
5. _________________________________________________________________________
The absolutes !
Three qualities that my ideal partner must have ? otherwise I simply cannot be with him/ her.
1. __________________________________________________________________________
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2. __________________________________________________________________________
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3. __________________________________________________________________________
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Three qualities my ideal partner must not have ? because I cannot be with someone who is like that.
1. __________________________________________________________________________
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2. __________________________________________________________________________
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3. __________________________________________________________________________
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J. I would like to Create a Conscious Love Relationship for the following reasons:
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K. I feel that I have the following to offer my partner if I am treated well by him/ her.
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L. More details I would like to express about my ideal partner.
(Knowing of course that as I am not perfect, neither will the other be.)
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