Romance Challenges-1
 

SURVEY ON ROMANCE IN YOUR LIFE

 
Greetings from Romance Alive! Thank you for being part of this important research, the “Survey on Romance in Your Life”.

At Romance Alive we disagree with the unrealistic Hollywood protrayal of romance. We see romance as real and an integral part of relationships. We believe romance is something special that takes place between two people. It births moments of real intimacy, and creates a special bond between these two people, in a way that is unique between them. It then leaves a memory that when recalled results in pleasant thoughts of a special event or time together.

In this survey we are seeking your input to better understand the obstacles and challenges you face in keeping romance alive in your relationship.

Please be open and honest with your responses. Your answers will help us at Romance Alive craft future trainings and make available materials tailored to help individuals and couples conquer relationship challenges.

Please note that your responses are anonymous, confidential and held in strictest confidence. This information will be used only by Romance Alive and will not be sold, shared or made available to any other persons or organization.

If you would like to learn more about Romance Alive, you can visit our public website at www.RomanceAlive.com.

On behalf of all of us at Romance Alive, I would like to personally thank you for your time and your valuable responses.

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1. Do you believe that romance is important in a relationship?

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2. Which of the following would best describe your views of the value of romance in a relationship?

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3. Describe the biggest challenge you face in keeping romance alive in your relationship.

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4. What is your current relationship status?

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5. Which is your age group?

6. In which state do you live?

7. Which of the following would best describe where you live?

8. Your sex:

9. As a thank you, On September 30, 2011 we will conduct a random drawing to send five respondents a special package of Romantic Sparks.
Romantic Sparks are tasteful, non-sexual packages that contain unique items selected by our staff to help individuals create memorable moments in their marriage / relationship.
If you would like to be entered into this drawing, please enter your name and email address in the space below.

10. If you would like to receive information about the results of this survey, enter your name and email address.

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