The Relationship Basic 3 Survey

Mind ~ Body ~ Spirit

Intellectual, Physical, Emotional...the basic connections in an intimate relationship. Please help me to explore what is most important to us in our closest relationships.

I am writing a book that represents the voices of women and men wanting to share their relationship experiences. The idea is to gain a greater understanding of what we desire in our relationships and to spark discussions that help us better know ourselves and each other in the elusive quest for Great Love.

Share your opinions and experiences! To participate, just click on 'Submit Mailform' below to answer the questions on the response form. All answers will remain confidential.

I appreciate your response!


If you would like to include more in-depth information, feel free to contact me at the email address below:
basic3@att.net


If you prefer, you can complete the form offline by copying into your text editor and send to:
Basic 3 Response Form, PO Box 3292, Northlake, IL 60164

Submit a Mailform