Move on Test 
If You had a Heartbreak earlier or your stuck in your Past  then try this.  if score is Below 30 then seek Professional help >  Click here or WhatsApp +919319333202
Sign in to Google to save your progress. Learn more
Your Name *
Your Contact Number with country code ? *
Country code (type +91 for india)
5 points
1) What work do you do ? *
5 points

2) How long was the relationship

*

3) Do you follow him / her on social media?

*
5 points

4) Do you think about him or her ?

*
5 points

5) Do you imagine yourself with him/her. Again ?

*
5 points

6) After breakup when did you see them last


*
5 points

7) Do you still talk to him/ her ?


*
5 points

8) Do you ask others about them ?


*
5 points

9) Have you started a new relationship ?

*
5 points

10) Do you remember him when you listen to a romantic song ?


*
5 points

11) Do you cry when you remember him / her ?

*
5 points
12) Before you fall asleep at night, are they on your mind? *
5 points

13) If your ex was right in front of you, wanting to get back together with you, what would you do?

*
5 points
14) Have you tried Professional help to Fix this ? *
5 points
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of I Impact India. Report Abuse