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Date Night Discovery Form

Plan a mind-blowing date night adventure tailored to your love story!

    Contact Information

    Communication Preferences

    Preferred Contact Method

    Phone callEmailText message

    Motivation

    Why did you contact The Romantic Wingman? What do you hope a private concierge service can assist you with?

    Planning creative date nightsDesigning unforgettable celebrations (birthdays, anniversaries)Crafting proposals or milestone eventsSaving time and reducing stressOther (please specify)

    Relationship Context

    Do you celebrate anniversaries?

    YesNo

    Are you planning to propose? If so, when?

    Emotional Connection

    Have you or your partner taken the Love Language test?

    YesNoI don't know what love languages are

    Words of AffirmationActs of ServiceReceiving GiftsQuality TimePhysical TouchI'm not sureWe haven't taken the test

    The Romantic Wingman Episodes

    Have you watched any of The Romantic Wingman episodes?

    YesNo

    Which ones? (Select all that apply)

    Episode 1Episode 2Episode 3Episode 4Episode 5

    Date Night Habits

    How often do you go on date nights?

    WeeklyEvery two weeksMonthlyRarely

    Are they usually formal (planned) or informal (spur-of-the-moment)?

    Do you tend to go to the same restaurants or try new ones?

    Do they have dietary restrictions or preferences? (Select all that apply)

    NoneVegetarianVeganGluten-freeDairy-freeNut allergyOther (please specify)

    Date Night Style Preferences (Select all that apply)

    Romantic & intimateAdventure & outdoorsCulinary & food-focusedCreative & hands-onRelaxing & slow-pacedLuxury & premiumPlayful & funLearning & experiencesEntertainment & shows

    Lifestyle & Limitations

    Are there activities you absolutely dislike or avoid? (Select all that apply)

    HeightsWater activitiesExtreme sportsCrowded placesLong drivesOther (please specify)

    Do you prefer indoor or outdoor experiences?

    IndoorOutdoorBoth

    Barriers

    What usually stops you from planning or going out for date nights or celebrations? (Select all that apply)

    Lack of timeBudget constraintsWork scheduleChildcare/family responsibilitiesDon't know what to planOther (please specify)

    Partner Profile

    Partner's Energy Level

    LowMediumHigh

    Social Comfort

    Small groupsLarge groupsEither

    Surprise Comfort

    Love surprisesSome surprisesPrefer to know

    Travel Radius

    In-city1-2 hoursWeekend getaway

    Milestones

    Gift-Giving

    Do you usually give a gift for birthdays, anniversaries, or special occasions?

    YesNo

    Do you need help picking out gifts for special occasions?

    Yes, I'd like suggestionsNo, I usually know what to get

    What type of gifts does your partner appreciate most?

    Experiences (trips, events, activities)Keepsakes (jewelry, photo books, personalized items)Practical items (things they use daily)Other (please specify)

    Have you ever surprised your partner with a getaway?

    YesNo

    Would you like help planning one in the future?

    YesNo

    Aspirations

    Do you need help with planning or execution?

    Yes, need helpNo, just ideasMaybe

    Comfort & Concerns

    What would make you feel more confident about working with a private concierge service?

    Clear pricing and packagesExamples of past celebrationsUnderstanding how the process worksTestimonials or reviewsPrivacyOther

    Where did you find us?

    FacebookInstagramLinkedInWebsiteOther

    Final Question


    Privacy & Next Steps: This information will never be sold or shared — it is collected solely to help us provide the best possible service for you. Thank you for taking the time to fill out these important details. Once you hit submit, we’ll carefully review your responses and follow up with an initial plan tailored to you.

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    Calgary Office

    Alberta, Canada

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    Join hundreds of satisfied clients who trust us with their projects. Let's discuss how we can help you achieve your goals.

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    Thank You!

    Your Date Night Discovery Form has been submitted successfully! We'll contact you soon to plan your epic date adventure.