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Love Survey Form Template

Create meaningful connections with our Love Survey Template

Are you curious about what your partner truly thinks? Our Love Survey Form Template helps you engage in insightful conversations with your significant other, leading to deeper understanding and connection. Whether you want to gauge feelings, spark open dialogue, or explore relationship dynamics, this customizable template simplifies the process of gathering honest feedback. It's easy to use, mobile-friendly, and integrates seamlessly with over 100 apps, ensuring accessibility for all users. Consider trying it out to enhance your relationship today.

What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
How do you describe your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
How do you describe your sexual orientation?
Heterosexual or straight
Gay or lesbian
Bisexual
Pansexual
Asexual
Queer
Prefer to self-describe
Prefer not to say
What is your current relationship status?
Single
Casually dating
In a committed relationship
Engaged or married
Separated or divorced
Widowed
Prefer not to say
If in a relationship, how long have you been together?
Under 6 months
6-11 months
1-2 years
3-5 years
6-10 years
More than 10 years
Not applicable
Love can grow over time.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I believe in lifelong partnership.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Which relationship structures are you open to?
Monogamy
Ethical non-monogamy
Open relationship
Polyamory
Unsure
Prefer not to say
Which love languages do you most value receiving? (Select all that apply)
Words of affirmation
Quality time
Acts of service
Physical touch
Gift-giving
Not sure
Which qualities do you appreciate in a partner? (Select all that apply)
Please Specify:
How often do you go on dates?
Very rarely
Rarely
Sometimes
Often
Very often
How likely are you to meet partners online?
Very unlikely
Unlikely
Neutral
Likely
Very likely
How do you prefer to meet new people? (Select all that apply)
Through friends
Dating apps or sites
Events or hobbies
Work or school
Community or faith groups
Nightlife or social venues
I am not looking to meet new people
Prefer not to say
I feel comfortable discussing boundaries early.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I prioritize consent in all interactions.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Which of the following are dealbreakers for you? (Select all that apply)
If you are in a relationship, how satisfied are you with the relationship?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
If you are in a relationship, how often do you feel appreciated by your partner?
Very rarely
Rarely
Sometimes
Often
Very often
Not applicable
How likely are you to seek support (e.g., counseling or coaching) when relationship challenges arise?
0 Not at all likely
1
2
3
4
5 Extremely likely
In your own words, what does love mean to you?
Email address (optional)
Would you like to receive updates or participate in follow-up surveys?
Yes
No
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Paper art illustration featuring hearts and survey elements for Love Survey Form Template FormCreatorAI article

When to use this form

Use this survey when you want a light, honest check-in about how you and your partner connect. It fits new couples learning what matters most, long-term partners planning a reset, and coaches running group workshops. Send it before a big step (moving in, a trip) or after a milestone to compare answers over time. If you need a deeper pulse on commitment and communication, follow up with the Relationship satisfaction survey form. Want a playful companion for date night? Pair it with the Boyfriend application form to spark conversation and laughter. The outcome: clear insights you can act on, from planning better dates to avoiding mismatched expectations.

Must Ask Love Survey Questions

  1. How do you prefer to give and receive affection?

    This reveals your love languages (words, time, gifts, acts, touch) so you meet needs in the right way. It reduces missteps and makes everyday choices, like texts or date plans, more meaningful.

  2. What are your top three relationship priorities for the next six months?

    Priorities show where to invest energy now, not later. Comparing answers helps you align goals and negotiate trade-offs.

  3. How often do you want check-ins about feelings, plans, and issues?

    Agreeing on a cadence sets expectations and prevents over- or under-communicating. It also tells you which channel (texts, calls, in person) works best.

  4. Which shared activities make you feel closest, and which leave you drained?

    Knowing high-connection activities guides how you spend time and budget. Calling out draining ones helps you avoid avoidable friction.

  5. What boundaries do you need respected around time, privacy, and social media?

    Boundaries make trust actionable and reduce conflict. If you met through apps, you can compare norms with the Online dating survey form.

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