Important Information Regarding QoL Study

Please Read: This questionnaire includes 32 questions and takes about 7 minutes to complete.
After you finish, please press "DONE" at the bottom of the screen to ensure your answers are recorded.
These questions are highly confidential. Unless you include your first and last name, I will be unable to interpret your results.
Important: What you receive at the end are not your results—just your answers. I will personally review and share your actual results with you.
If you choose to schedule a consultation, I will need your full name to prepare a custom plan.

Question Title

1. Are you a Member of MeDiCo (a Divorce Coaching Program)

Question Title

2. To receive your score please Enter Your First and Last Name

Question Title

3. I have taken this survey - Purpose here is to be able to separate this survey from the same survey you may have taken perhaps 3 months ago or 6 months ago

Question Title

4. I have been separated for

Question Title

5. I'm actively dating casual or long term

Question Title

6. Age

Question Title

7. How much have you accepted your marriage is over

Question Title

8. I'm embracing the Single Life

Question Title

9. I feel like no one will ever want me again

Question Title

10. I feel about myself

Question Title

11. I'm not bragging but I feel I'm attractive to the opposite sex

Question Title

12. I am ready to casually or begin a new long term relationship

Question Title

13. I continue to have flashbacks and wonder where I went wrong here

Question Title

14. When it comes to dating (dating defined as casually or for long term purposes

Question Title

15. Right now I just wanna have fun, date, chill, enjoy my time

Question Title

16. My relationship with my children has gotten better since this happened

Question Title

17. Since this happened, my career is starting to hurt

Question Title

18. Do you exercise or workout?

Question Title

19. Since the Split

Question Title

20. Since My Separation

Question Title

21. Since our separation.

Question Title

22. I'm currently living

Question Title

23. Please Rank What's Been The Hardest Part of Your Divorce

Question Title

24. During my divorce, the Police have been called

Question Title

25. If Police Were Called 

Question Title

26. How long Did I wait until I dated again (casually or long term)

Question Title

27. If I could be any famous actor or character in a movie/series, I would like to be and why?

Question Title

28. I've sought some kind of 1 on 1 help for what I'm going through.

Question Title

29. I've seen YouTube videos of the MensDivorceCoach Channel (formerly ReneSanceMan)

Question Title

30. I have thought about hiring a Divorce Coach

Question Title

31. What has stopped you about reaching out to Rene as a Divorce Coach

Question Title

32. Please Click Here to Make a free 1 on 1 If you're making a 1 on 1 we do a little scientific analysis as to your needs. Feel free to tell us your divorce story. Where' you're at, challenges, hopes, disappointments. No obligation, I just like to know your strengths.

0 of 32 answered
 

T