Children? If Yes, age and gender for each.

Please describe your situation as you see it. For example: Haven't been open to dating for X months/years. Open to dating but no activity. Lots of activity, but no attachments. Tend to get attached to one person. Have short serial relationships. Seeing someone but looking elsewhere too. Don't know where/how to meet potential partners. Looking for something non-traditional. Etc.

Example: Hurt from past relationships. Don't know how to attract men/women. I'm married and separated. Haven't been able to find a partner because...

Please rate your experience of your current situation from 1-10 where 1 is "Hate it" and 10 is "I love this part of my life" and 5 being "It's okay but I want a change."

What do you consider to be the top 5 Qualities you bring to another person?

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What are your top 5 frustrations, problems or concerns about creating the romantic situation/relationship you desire?

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Please describe anything difficult because of how you think you are and/or difficult because of how you perceive they are...

What are the top 5 results you intend to achieve by participating in this Intensive?

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Please name all of Alison's books, audio recordings, online courses, live workshops and advanced programs that you have consumed.

Anything else you'd like Alison to consider when reviewing your application?

Upon acceptance into the Smart Singles Intensive, I authorize the following tuition charge:

Upon submitting this form, you may be prompted to login, create an account, or add a payment method if necessary.

• Pre-authorizing with a specific payment method is a declaration of your commitment to being in the Intensive, if you're accepted.
• *Without a specific payment method, your registration may not be processed in time to receive the discount.
• If you have questions about the Smart Singles Intensive, it's important you resolve them before applying. Contact our Personal Consultants if you need assistance.