Dating Survey for People with Disabilities Question Title * 1. When it comes to dating and relationships, what’s your single biggest challenge or frustration right now? Be specific as possible. Question Title * 2. What are your fears and concerns about dating? Check all that apply. I'll be rejected. I don't have enough confidence. I don't believe I'm attractive enough. I'm concerned about someone accepting my disability. Other (please specify) Question Title * 3. Have you tried or are you interested in online dating sites? Yes No Not sure Question Title * 4. If you answered "yes" to #3, can you briefly tell me about your experience with online dating? Question Title * 5. What would help you feel more confident in dating and relationships? Question Title * 6. Would you be interested in investing in an online course, which you could do on your own time, to help you build confidence to successfully date? Yes If no, please indicate why below. Other (please specify) Question Title * 7. My age range is: <18 18 - 29 30 - 44 45 - 59 60+ Question Title * 8. Contact Information - if you would be interested in resources from RadiantAbilities.com to in happier and more successful dating and relationships. (optional) Name Email Address Submit answers. Thanks so much for your time.