You can always press Enter⏎ to continue
PDC Qualification Questionnaire
START
1
Hi, I'm Rachel, your matchmaker here at PDC! How can I help you?
*
This field is required.
I am looking to meet single women
I am looking to meet single men
Previous
Next
Submit
Press
Enter
2
Are you a man or a woman?
*
This field is required.
I am a man
I am a woman
Previous
Next
Submit
Press
Enter
3
Great, now I'd like to learn a bit about you & what you're looking for in your ideal partner. My questions are easy & will only take 2 mins! To start, could you tell me your
first name
?
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Nice to meet you, {greatNow}. May I get your last name?
*
This field is required.
Previous
Next
Submit
Press
Enter
5
How did you find us?
*
This field is required.
Friend referral
Facebook
Event
Linkedin
Google Ad
Instagram
Web Search
Other
Friend referral
Facebook
Event
Linkedin
Google Ad
Instagram
Web Search
Other
Previous
Next
Submit
Press
Enter
6
{greatNow}, Please tell me about your current
relationship status
?
*
This field is required.
Single
Married
Divorced
Seperated
It's Complicated
Previous
Next
Submit
Press
Enter
7
What dating sites are you currently using, if any?
Tinder
Bumble
Hinge
Match
Jdate
Other
Previous
Next
Submit
Press
Enter
8
What City are you looking to meet your matches in?
*
This field is required.
Previous
Next
Submit
Press
Enter
9
{greatNow}, what is your email address?
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
10
What is your telephone number?
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
11
Which of these best describes your
current dating situation?
*
This field is required.
I'm barely meeting anyone these days
I find dating apps to be too time-consuming and/or frustrating
I seem to be dating all the wrong people
I'm curious to explore new options for meeting people
None of the above
Previous
Next
Submit
Press
Enter
12
How old are you, {greatNow} ?
*
This field is required.
Previous
Next
Submit
Press
Enter
13
{greatNow}, Please provide us with a recent photo of yourself
*
This field is required.
Please upload
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
14
What's the general age range of someone you'd be interested in meeting?
*
This field is required.
Select all that apply.
18-21
21-26
27-33
34-38
39-45
46-55
55-60
61+
Previous
Next
Submit
Press
Enter
15
What is your dating Objective?
*
This field is required.
I'm looking for a long-term relationship
Marriage in the near future
Date around for awhile
Hookups
Previous
Next
Submit
Press
Enter
16
Which of the following best describes what inspired you to reach out?
*
This field is required.
My friend recommended PDC Select to me
I find dating apps to be too time consuming and/or frustrating
want to meet higher quality matches than I've been getting on my own
I'm curious to explore new options for meeting people
I'm barely meeting anyone these days
Previous
Next
Submit
Press
Enter
17
I probably don't need to tell you this, but your income level is relevant for dating. Most of our clients prefer to date someone on a similar professional level or higher.
Could you share your current income level with me? Don't worry, this is completely discreet.
*
This field is required.
$0-$40,000
$40,000-$60,000
$60,000-$80,000
$80,000-$100,000
$100,000-$250,000
$250,000+
Previous
Next
Submit
Press
Enter
18
Our programs start at $499 per month. Our programs are 6 months. 87% of our clients find themselves in a serious relationship within 6 months. If you knew we would find your ideal match, would this be an investment you'd be willing to make?
YES
NO
Previous
Next
Submit
Press
Enter
19
{greatNow}, Great news... You've passed the initial qualification step & now it's time for us to speak! Let's get that set up now?
*
This field is required.
Please make your selection and press submit
Sure, let's do this!
No I'm not ready yet
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
19
See All
Go Back
Submit