Application for DateWise 2025

Thank you for your interest in joining our exclusive 12-week dating experience.

This group is designed for individuals who are committed to self-growth, ready to step into deeper emotional maturity, and open to developing meaningful connections.

To ensure the integrity and cohesion of the group, please complete the following application. Your answers will remain confidential.

Name*

First Name

Last Name

Email*

Age*

Pronouns*

Relationship Status*

Are you currently dating?

If so, what have been the main challenges or patterns you've noticed?

Are you available to attend weekly 90 minute sessions for the full 12 weeks?

Yes

No

Not sure

Are you open to practicing the weekly exercises, including going on real-life dates (at least one per week)

Yes

No

Maybe

Are you willing to commit to attending all sessions, including arriving on time and participating respectfully?

Yes

No

Do you have any current mental health concerns?

Application for DateWise 2025

Thank you for your interest in joining our exclusive 12-week dating experience.

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