PRIORITY INTAKE FORM

inluv intake form

Introducing inluv: a luxury matchmaking service that is tailored for Jewish singles based mainly in Chicago as well as around the world. This is our FREE database entry meaning we may have potential matches for you but matches are not guaranteed! We work alongside you to create a profile that captures your unique personality, interests, and preferences. We believe that finding your forever love should be a meaningful journey and our team is dedicated to making that happen for you!
About Me
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
E-Mail*
example@example.com
Gender*
Your Age*
Birthday*

MonthDayYear
My Preferred Pronouns are:

He/himShe/herThey/themOther
I am interested in*

MenWomenNon-binaryTransOther
What is your height (in feet, ex. 5"10)*
Where do you live? (current location/s)*
Where is your hometown? (originally from)*
What is your occupation? *
What is your position title?
What is your highest degree or highest level of education you have completed?*
Institutions Attended:
What is your yearly income?*
What is your net worth?*
Do you have any allergies (animal, food, environmental)?
What are 2-4 words that people closest to you would use when describing you?

PassionateAmbitiousOrganizedPeople personExtrovertIntrovertReservedActivistIntimidating or seriousVisionary and idealistComfortable being alone
Continued: What are 2-4 words that people closest to you would use when describing you

Charismatic and outspokenRational and logicalSpontaneous and enthusiasticPriorotizes other's happiness and needs over themselfPrefer not to talk about themselvesLoves the spotlightEmpatheticIntuitiveStrive towards creating own ideasTraditionalNatural leader or likes to take chargeEnjoys challengesDifficult to connect with people at first
Are you applying to join as a VIP inluv Member or to be part of our database?

I want to be a VIP inluv MemberI’m joining the database
About My Judaism
Are you Jewish? (incl. both parents, half, converted)*

YesNo
Did you convert to Judaism or are you in the process of converting to Judaism?*

I converted to Judaism.I am in the process of converting to Judaism.No I did not convert or am converting to Judaism.
Jewish Cultural Roots:*

AshkenaziSephardiMizrachiN/AOther
Races/ethnicities/nationalities that best describe me:*

AsianBlack or African AmericanAsian/Pacific IslanderHispanicWhite/CaucasianEuropeanIsraeliMiddle EasternEthiopianCanadianIndianRussianItalianAustralianSouth AfricanLatin AmericanNorth AfricanSub-Saharan AfricanTurkishIranian/PersianYemeniIraqiOther
How would you describe your religious background GROWING UP?:*

Just JewishReformCulturally JewishConvertConservativeReconstructionistConservadoxOrthodoxModern OrthodoxUltra OrthodoxOther
How would you describe your religious background NOW?:*

Just JewishReformCulturally JewishConvertConservativeReconstructionistConservadoxOrthodoxModern OrthodoxUltra OrthodoxOther
What languages do you speak?*
Is your mother or parent #1 Jewish?*

YesNoI do not know
Is your father or parent #2 Jewish?*

YesNoI do not know
Do you keep kosher? (in and outside of the home)*

Yes, completelyNo, not at allI’m kosher flexible
Do you keep Shabbat?*

Yes, completelyNo, not at allI’m Shabbat flexible
We know that asking questions regarding your Judaism is a loaded question. Please feel free to expand on this section down below.
Family and Lifestyle
Have you ever been married?*

YesNo
Have you ever been divorced or are in the process of getting divorced?*

I am divorced.I am in the process of getting divorced.No I am not divorced or in the process of getting divorced.
Are you a widow or widower?*

Yes, I am a widow or widowerNo, I am not a widow or widower
Do you have children?*

YesNo
Do you want children?*

YesNoMaybe
Are you open to relocating?*

YesNoMaybe
Feel free to share if you would like to expand more on this section if you think it is important for us to know:) this is completely optional.
Do you have any pets?*

YesNo
Tell us how many and what kind of pets you have that currently live with you!
Please choose all that apply to describe your political beliefs:*

DemocratRepublicanLiberalConservativeIndependentOther
Do you exercise?*

YesNoOftenOccassionally
Alcohol Consumption*

YesOccasionallyI don't drink
Nicotine/Smoking/Vaping Consumption*

YesOccasionallyI don't use Nicotine
Do you engage in cannabis use?*

YesOccasionallyNo
What are some of your favorite activities/interests that you enjoy? (2-3 sentences)*
Include other comments regarding your lifestyle, alcohol, and recreational drug consumption that you feel is important for us to know:
Your Matches
I want to be matched with people of the following religious backgrounds:*

Just JewishReformCulturally JewishConvertConservativeReconstructionistConservadoxOrthodoxModern OrthodoxUltra OrthodoxOther
Are you open to being matched with someone who has children?*

YesNoMaybe
Do different political views matter to you when it comes to a future partner?*

YesNoMaybe
How important are health, fitness, and mindfulness as values for your potential partner?*

Very importantSomewhat importantNeutralNot important at all
Are you open to being matched someone who engages in drinking alcohol?*

YesNoNeutral
Are you open to being matched someone who engages with Nicotine/Smoking/Vaping?*

YesNoNeutral
Are you open to being matched someone who engages in cannabis use?*

YesNoNeutral
What is your preferred age range?
What qualities, values, or characteristics are you looking for in a lifelong partner? (Choose 5-10)*

Good communicatorFunny and CharmingAttractiveTakes the lead oftenTakes feedback wellReliableGivingCulturally AlikePhysical TouchActs of ServiceGift GivingQuality TimeWords of AffirmationAmbitiousCareer-OrientedArtistic / CreativeMusicalFamily-orientedAthleticReligiousPhysically ActivePatientSensitive
Which of these genuinely excites you to talk about?*

BooksMoviesTVArtPolitics / Current EventsSportsCookingVideo GamesTravelHealth & FitnessWellness and MindfulnessMusic/ConcertsPets and Animals
What are your dealbreakers (ie. do not want children, specific Jewish backgrounds, pets, lifestyle, politics, etc)*
Please be specific. While it is important to have dealbreakers and standards, we also ask you to be open-minded! This will give you the opportunity to have more potential matches!
How did you hear about inluv?

InstagramFacebookOnline SearchChiTribeA friendTalia, MatchmakerOther
If you would like to add any other information that was not listed here or information that may be useful for the matchmaking process, please include down below.
Please upload your best headshots for our references. Please include at least 2-3. *

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Terms and Conditions: Consent

I, [Name], hereby confirm that the information provided in this form is true and accurate to the best of my knowledge. I willingly give inluv full consent to utilize my photos and personal information exclusively for the purpose of matchmaking services. I understand that inluv will handle my data with care, ensuring its confidentiality and security. By signing below, I acknowledge and agree to the terms and conditions outlined in this consent statement.
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First NameLast Name
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inluv intake form

About Me

About My Judaism

Family and Lifestyle

Your Matches

Terms and Conditions: Consent