Pre-Date Self-Check
This form is a digital copy of the pre-date reflection page out of Larissa Hill's Little Black Book: The Game-Changing Workbook For Dating Success. The benefit of this survey is in the thoughtfulness to complete it. You will feel more grounded, calm, intentional, and CONFIDENT afterwards but you must pause, take deep breaths and tune your mind into each question as you complete it. 

If you love this form, please visit this post (or any of my posts, actually) and post about it. If you don't love it, please write me and tell me how I can make it better! With you in dating & relationships, Larissa Hill (@_larissa.hill_, larissa@larissahill.com)
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Email *
Your Name *
Date *
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Name of Your Date *
This date is #_____ with this person.  *
What is the level of energy you are feeling right now? *
Select any/all of the emotions you're feeling right now. *
Required
What level of stress are you managing right now? *
Fill in the blank: I am feeling _________ about meeting this person. *
Space to free-write about how you're feeling.
Setting an Intention: What intention(s) would you like to choose for your time on this date? *
Required
What values are you looking for in the other person? *
Required
What are some potential topics/questions to talk about?
What are some boundaries you want to hold while on the date? 
Pick a mantra for this event: (from https://www.happierhuman.com/daily-mantras/)
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Your Pre-Date Checklist *
Required
Do you have any other thoughts you want to get out?
Take a deep breath...remember that showing up authentically is the sexiest thing you can do. Be interested in their story, celebrate the ways you align, and appreciate the connection without attachment to seeing them again. You got this! 
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