Dating Coaching

Dating Coaching Questionaire

Please try to provide as much information as possible about your unique history and challenges. My time is finite and valuable, if I can't really help you I'll decline the consultation, but I will respond and direct you to appropriate resources.

Your personal details are absolutely confidential and will be kept private.

What are your dating and love life goals?

A more active dating life - more abundance with women

I'm a pickup artist - I want to take my "game" to next level

I want a "harem" of casual sex partners

Getting a nice girlfriend

Finding a wife-material woman and getting married

How have you tried to meet women?

At bars or nightclubs

Daygame

Online dating

Meeting women through friends, family, or coworkers

What do you think is holding you back in your dating and love life? *

Your experience

Have you...? *

Cold approached a woman

Ever been on a date

Been "friend-zoned"

Kissed a woman

Had a girlfriend

Received a blowjob

Had sex

Lived with a woman

Gotten married/engaged

Your personal growth

What personal development stuff have you tried?

Meditation

Read self help books

Talk therapy

Journaling

No fap

Exercise or weight lifting

Entrepreneurship

Public speaking classes

Lifecoaching programs

What Biohacking stuff have you tried?

Nootropics/Smart Drugs

Anti-aging supplements

Meditation

Brain training

Sleep hacking

Keto diet

Intermittent fasting

Sex hacking

Red light therapy

How much Seduction or Pickup Artist material have you consumed?

None

I've consumed some Youtube videos or listened to podcasts about it

I've consumed A LOT of Youtube videos or listened to podcasts about it

I've read books about it

I've taken courses

I've gotten coaching

About you

Describe your looks and general health *

Attach your best photo of yourself

×

Drag and drop files here or Browse

Describe your level of social anxiety

Non-existent. I'm a consummate social butterfly and talk to everybody, even when sober.

Amongst my friends I have no social anxiety but if I'm meeting new people or interacting with someone I find attractive it's an issue that holds me back from meeting the people I'd like to.

I've yet to overcome approach anxiety; I know that cold approaching consistently could seriously improve my dating life or career but I don't do it.

It's situational. If I need to speak in a meeting with a group of people or in public I may get nervous or even freeze up.

I have functional social anxiety. I'm nervous pretty much all the time around people but I manage to get by.

Chronic and crippling! Leaving the house or even going to a store is challenging for me.

How would you describe your verbal ability?

Excellent. I'm very confident speaking because of my excellent command of my vocabulary and ability to communicate persuasively.

I have no problem in my first language but I'm limited because of my mediocre skills in my second language.

There's room for improvement. I could make more money, have a better social life or improve my relationships if my communication skills were better.

Frustratingly, I find that the word or phrase which is just right is on the tip of my tongue, frequently

How would you describe your mood in general?

I prioritize happiness and am in a good mood almost all the time. Life is just peachy.

I'm able to maintain a good mood because of my "medicine" - Comfort food, booze, marijuana, antidepressants, etc

I maintain a good mood because of my good habits; meditation, exercise, sleep, diet, etc

When I go on vacation or take time off I'm able to relax and enjoy life. Otherwise I'm pretty stressed.

I'm mildly irritated almost all the time.

A little bit of self loathing goes a long way! I constantly beat myself up because I know I could do better.

I'm angry with one thing or another almost every waking moment!

Your struggles

What vice(s) do you struggle with?

Unhealthy food or emotional eating

Alcohol

Recreational drug use

Marijuana

Porn

Smoking cigarettes

Video games

Wasting money - I'm a spendaholic

Impulsive and excessive use of the Internet and/or my smartphone - I just waste hours and hours clicking, swiping, scrolling, checking notifications, reading articles, watching videos.

I've read Jonathan's book, "Don't Stick Your Dick in a Blender" or the downloadable sample chapters

Yes

No

I'll add it to my reading list

I promise to NOT be flakey - I will respond in a timely manner to Jonathan's thoughtful response to this form

I'd like to join the Limitless Mindset newsletter

We will NEVER share your email address or information

I agree with the dating coaching/consulting terms and conditions

Name

Contact Us

Email

Info@LimitlessMindset.com

Phone

+1 720 924 1872

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