Name
*
First Name
Last Name
Email
*
What's your zip code?
*
Gender Identity
*
Man
Woman
Trans Woman
Trans Man
Other
I am looking for:
*
A man
A woman
A man or a woman
A trans man
A trans woman
Other
Highest level of education:
*
Less than high school
High school diploma/GED
Associates Degree
I am currently in college
Bachelor's Degree
I am currently in graduate school.
Graduate Degree
Other
Occupation
*
Height
*
<4.8
4'8
4'9
4'10
4'11
5' 1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
7
7'1
7'2
7'3
7'5
>7.5
Body Type
*
Slim
Average
Athletic
Curvy
Overweight
Other
I'd rather not say
Tell us about yourself:
*
If your loved ones were to describe you in five words, what would they be?
*
What do you like to do in your free time?
*
What has been the biggest challenge or hurdle you’ve experienced when it comes to dating or forming lasting connections?
*
What's your current income?
*
I am unemployed.
I am a student.
Less than $50,000
$50,000 - $100,000
$100,000 - $200,000
$200,000 - $300,000
$300,000 - $400,000
$400,000 - $500,000
$500,000 - $1,000,000
Greater than $1,000,000
I would rather not say.
What's your marital status?
*
Single (Never married)
Divorced
Widowed
Legally Seperated
Do you have children?
*
Yes
No
Do you want to have children someday?
*
Yes
No
It doesn't matter
Not sure yet
Do you have any pets?
*
I have pets.
I don't have pets.
Do you have any history of criminal convictions?
*
Yes
No
Do you have any ethnicity preferences or beliefs that are important for us to consider when matching you?
*
Do you have any religious preferences or beliefs that are important for us to consider when matching you?
*
Body type preference in a partner
*
Minimum height preference in a partner:
*
I don't have a preference.
<4.8
4'8
4'9
4'10
4'11
5' 1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
7
7'1
7'2
7'3
7'5
>7.5
Maximum height preference in a partner:
*
I don't have a preference.
<4.8
4'8
4'9
4'10
4'11
5' 1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
7
7'1
7'2
7'3
7'5
>7.5
Select all levels of education (if any) that you would date.
*
What are you looking for in a partner?
*
If you had to describe your ideal partner in five words, what would they be?
*
What's your preference for the marital status of your partner? (Select all that apply)
*
Would you date someone with children?
*
Yes
No
Does it matter to you if your partner wants (or doesn't want) to have children someday?
*
I would only date someone who would want to have children someday.
I would only date someone who would not want to have children.
I don't have a preference.
Other
Would you date someone with pets?
*
Yes
No
Most pets are okay except:
My partner needs to have a minimum income of:
*
Their income does not matter to me.
Less than $50,000
$50,000
$100,000
$200,000
$300,000
$400,000
$500,000
$600,000
$700,000
$800,000
$900,000
$1,000,000
Greater than $1,000,000
Would you be willing to date a student without an income?
*
Yes
No
Would you be willing to date someone who is currently unemployed?
*
Yes
No
What's your first date preference?
*
I would like to go on a blind date.
I would like to exchange numbers and plan the date on our own.
Either option is fine.
If you would like to go on a blind date, what are your date preferences? (Select all that apply).
*
What is the maximum amount of money you would be willing to spend on a first date?
*
Is there anything else you’d like us to understand about who you are, your values, or what you’re looking for in a partner?
*
If you do not have anything else to add, please write N/A
