Please provide your first name - what should we call you?
Please provide your age.
Providing your gender helps us tailor our guide for your situation.
Providing your ex-partner's gender helps us tailor our guide for your situation.
Was your relationship long distance? I.e. were you travelling 1+ hours to see each other?
Was there a lot of fights, more than 3 per week, in the relationship?
Did one of you cheat on the other person?
How were the two of you acting towards each other near the breakup?
How have you been acting towards your ex since the breakup?

(Required fields are marked with a red asterisk (*), all information is private and will never be shared)