Deliberate Dating Offerings Waitlist
Please complete ALL questions below to be added to the student waitlist.
1.
First & last name
2.
Date and time of waitlist entry
3.
What is your identified gender?
Female
Male
Transgender
4.
I am looking for my perfect-fit-partner who identifies as...
Male
Female
Either Male OR female (I.e. you are bi-sexual)
Transgender
Unsure/questioning what works best for me
5.
What is your current age?
6.
Which Deliberate Dating offerings are you interested in? (Check all that apply)
Deliberate Dating Intro: 5 Keys to Successful Online Romance (1 class)
Loving ME First: Deliberate Dating Prep Course (5 classes over 5 weeks)
Deliberate Dating Program: 5 Weeks to Successful Online Romance (5 classes over 5 weeks)
7.
What FORMAT of Deliberate Dating offering are you seeking enrollment in?
In-person in Newburyport, MA
Online using ZOOM Video calls
Either works for me
8.
FOR 5-WEEK PROGRAMS: If you could "hand-pick" when you would want to attend your 2-hour classes for 5-weeks in a row, what days/times of the week would you choose? (I will use this information to inform my scheduling/planning decisions. Please be specific with 3 options for choices.)
9.
What are your preferred email and phone number?
Thank you for completing this contact survey! I will reach out to you once I schedule my next Deliberate Dating Program to inform you of Open Enrollment. It will then be up to you to secure your paid spot in the program before all seats are filled. Coaching space is limited to 6 students in each 5-week program.