Relationship Readiness Assessment

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Check each item in the ten areas below that seem 100% true to you. If you are at 90% to 80%, leave the box blank. Try to be objective and honest because this powerful assessment will reveal what skills you need to develop in order to find lasting love.

Make sure you count up how many checkmarks you have in each section. Make a note for your own records.

Email *

Profession *

Name *

Section #1: My Vision, Values, and Life Purpose

I am living my life fully and in alignment with my vision, values and life purpose

I am clear about my values and live by them

I have written goals and an action plan to help me achieve my Vision

I have clearly defined my life purpose and put it into action daily

I have a vivid “Vision” of what I want for my life and my relationship

I know where and how I want to live

Section #2: My Requirements

I know what I will not tolerate in a relationship and don’t tolerate them

I have a written list of requirements and will not enter a relationship if even one is missing

I am clear about what interests/activities I must share with a partner

I know that only I can be responsible for my own life and happiness

I know what I can’t live without in a relationship and don’t settle for less

I know what values I must share with a partner

I am clear about what personality traits and qualities I most value in a partner

Section #3: My Needs

I am clear about what I need for a relationship to function for me on a daily basis

I have inner strength which helps me be self-reliant and pro-active about my needs

I have a support system to supplement meeting my social and emotional needs

I ask for what I need and want, and take responsibility for the outcome

I am clear about what I need emotionally to feel loved in a relationship

I am clear about my boundaries and how to enforce them to get my needs met

I do not expect a relationship to meet all my needs and make me happy

Section #4: My Relationship History and Patterns

I am aware of the traits of my parents that drive my partner choices

I understand which positive and negative relationship patterns I risk repeating

I am aware of habits, patterns, and values I have inherited from my family

I understand what did and didn’t work for me in previous relationships

I understand my past relationship attitudes, choices, and actions/behaviors

I am aware of specific traits of my parents in myself

I understand my past patterns of choosing partners

Section #5: My Emotional Issues

I am aware of, and own, my emotional issues when they arise in a relationship

I have forgiven my parents for my past and present unmet needs

My past relationship experiences do not impact my present relationships

I trust that everyone does the best they can at all times

I have sought forgiveness from people who I may have hurt

I have forgiven people who have hurt me

I am able to forgive myself for my past mistakes

I have let go of relationships which are damaging to me

Section #6: My Communication

I do not get defensive and “take personally” the things that people say about me

I own my judgments and accept differences with others

I make requests rather than complain

I clearly communicate what I want and need; I don’t make people guess

I am careful about what I promise and keep my word

I deal positively with misunderstandings and disagreements when they occur

I do not gossip or talk about others

I regularly practice active listening, give validation, and express appreciation

Section #7: My Community

I am aware of how I come across and affect others

I spend my social time with healthy, happy, able people

I have positive relationships with my parents, siblings, children, and ex

I take extraordinary care of the people I have chosen to love

I have a close circle of friends and we gather regularly

I am a member of two or more communities (hobby, spiritual, professional, etc)

I am surrounded by caring people

I add value to everyone in my community

Section #8: My Lifestyle

I am ready and available for commitment

I am happy and successful being single

I am satisfied with my work/career

I have no financial or legal problems

I am healthy in mind, body, and spirit

I am living the life that I want as a single person

I support my present lifestyle and am preparing for my future security

Section #9: My Dating Patterns

I have clearly defined guidelines for sexual involvement that I adhere to

I take initiative and responsibility for choosing who I want in my life and don’t wait to be chosen

I do not expect a relationship to “rescue” me from emotional or financial problems

I am authentic and do not try to make myself more appealing to attract a partner

I balance my heart with my head and make careful relationship choices

I do not interpret infatuation, attraction, attachment, and/or good sex, as ”Love”

I am able to communicate my issues and needs to dating partners

Section #10: My Relationship Plan

I scout, sort, and screen potential partners effectively

I am clear whether I am seeking a just fun relationship or am ready to seek a long-term commitment

I understand and use the “Law Of Attraction” (like attracts like)

I use my community support system to scout for me

I am actively involved in activities and groups of people highly aligned with me

I am balancing my partner search with investing in myself and living my vision

I effectively disengage from prospective partners who are not a fit for me

What are your strongest areas of the ten sections? *

What areas do you need to work on of the ten sections? *

What skills do you need to develop? *

Would you like a personal Assessment Review Session with Amie? *

Yes

What is the best phone number to reach you?

A copy of your responses will be emailed to the address you provided.

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