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Daily Routine Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

What time do you wake up in the morning?

Please select the closest option to your wakeup time.
2

Rate the quality of interaction with your lover today.

Rate the quality on a scale of 1 to 10, where 1 is the lowest and 10 is the highest.
3

What is your favorite activity to do with your lover?

Please describe your favorite activity.
4

How do you communicate most frequently with your lover?

Select the primary mode of communication.
5

Rate the level of understanding between you and your lover.

Rate the understanding on a scale of 1 to 10, where 1 is the lowest and 10 is the highest.
6

What is the most common topic of conversation with your lover?

Please describe the topic you often discuss.
7

Do you and your lover have any shared hobbies or interests?

Select yes if you share hobbies or interests, otherwise select no.
8

Rate the level of excitement you feel when meeting your lover.

Rate the excitement on a scale of 1 to 10, where 1 is the lowest and 10 is the highest.
9

How often do you express appreciation to your lover?

Select the frequency of expressing appreciation.
10

Share a memorable moment you had with your lover recently.

Please share a detailed memorable moment.
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