A distant love questionnaire is very helpful in understanding the psychological states of two lovers when they are in distance relationship. This type of questionnaire helps the individuals to know how strong their love is.

Sample Distant Love Questionnaire:

Name: ___________

Age: ____________

Contact Number: ___________

Your partner’s Name: _______

Age: ___________

How is your current relationship going on?

  • Brilliant
  • Very Good
  • Good
  • Average

According to you, what is the best age to date someone?

  • 14-18
  • 19-25
  • 25- 30
  • 30- 35

How did you fell in love?


What is true love?

Do you think that you can maintain distant love relationship?

  • Yes
  • No
  • Not sure

If you are in a distant love relationship, where will you meet your partner?

  • In the park
  • In the restaurant
  • At his/ her place
  • Others, ______

When are you planning to get married?

  • Within  few months
  • Next year
  • Within  few years
  • Not sure

Do you think that you are satisfied in your distant love relationship?

  • Yes
  • Somewhat
  • No
  • Not sure

Do you think presenting a gift on each date is the best idea in distant love relationship?

  • Yes
  • No
  • Not sure

If your parents disapprove your distant love relationship, what will be the next step:

  • Marriage without their permission
  • Will not date him / her
  • Will not marry him/ her
  • Do not know

Do you think your partner will cheat you in near future in distant love relationship?

  • No
  • Never
  • Maybe, yes
  • Yes
  • Not sure

Write a few lines to describe the personality of your partner: