Parent Inluv Intake Form
Hello Parents! This intake form you are filling is on behalf of YOUR CHILD. Since we need their approval to generate any matches, we will be in touch with them directly. At inluv, we take pride in offering a luxury matchmaking service tailored specifically for Jewish singles in the vibrant city of Chicago. Our mission is to help your child find their perfect match through a personalized and innovative approach, leveraging the power of AI technology. We understand that finding love is a journey that requires a deep understanding of your child's unique personality, interests, and preferences. That's why we work closely with your child, with their full consent, to create a comprehensive profile that truly reflects who they are.With inluv, we believe that finding a lifelong partner should be an enriching and meaningful experience for both your child and your family. Our dedicated team is committed to making this journey a reality, guided by your shared values of wisdom, knowledge, love, and care. To start this exciting journey, we invite you to fill out the following questionnaire. Your input will provide us with valuable insights, enabling us to connect with your child and explore potential matches that align with their aspirations and values.Thank you for considering inluv as your trusted partner in finding everlasting love for your child. We look forward to reviewing your completed questionnaire and getting in touch with your child to begin this transformative matchmaking process.
Your Full Name
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First Name
Last Name
Your Date of Birth (parent DOB)
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Month
-
Day
Year
Date
Your Phone Number
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Please enter a valid phone number.
Your E-Mail
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example@example.com
Child's Full Name
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First Name
Last Name
Child's Gender Identity
Child's Age
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What is your relationship to the person you are referring us to?
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Child's E-Mail
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example@example.com
Child's Phone Number
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Please enter a valid phone number.
Are you signing up for your child to be in our database or to work one-on-one with our matchmaker?
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To be in the database
To work one-on-one with a matchmaker
Family Background
Where are you from originally?
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Where do you currently live?
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What is your relationship status:
Married
Single
Divorced
Widowed
If you answered your relationship status as "Married", how many years have you been married?
If you answered your relationship status as "Single", please feel free to explain.
If you answered your relationship status as "Divorced", when did the divorce occur? If comfortable, please briefly explain the circumstances.
If you answered your relationship status as "Widowed", when did your spouse or partner pass away?
Number of children in the family:
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Are you Jewish? (incl. both parents, half, converted)
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Yes
No
Did you convert to Judaism or are you in the process of converting to Judaism?
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I converted to Judaism.
I am in the process of converting to Judaism.
No I did not convert or am converting to Judaism.
Is your child's other biological parent or their guardian Jewish?
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Yes
No
N/A
Your Jewish Cultural Roots:
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Ashkenazi
Sephardi
Mizrachi
N/A
Other
Races/ethnicities/nationalities that best describe me:
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Asian
Black or African American
Asian/Pacific Islander
Hispanic
White/Caucasian
European
Israeli
Middle Eastern
Ethiopian
Canadian
Indian
Russian
Italian
Australian
South African
Latin American
North African
Sub-Saharan African
Turkish
Iranian/Persian
Yemeni
Iraqi
Other
How would you describe the religious background you raised your child(s) GROWING UP?:
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Just Jewish
Reform
Culturally Jewish
Convert
Conservative
Reconstructionist
Conservadox
Orthodox
Modern Orthodox
Ultra Orthodox
Other
How would you describe your religious background NOW?:
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Just Jewish
Reform
Culturally Jewish
Convert
Conservative
Reconstructionist
Conservadox
Orthodox
Modern Orthodox
Ultra Orthodox
Other
What languages do you speak?
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Did you raise your child(s) with keeping kosher? (in and outside of the home)
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Yes, completely
No, not at all
Kosher flexible
Did you raise your child(s) with keeping Shabbat?
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Yes, completely
No, not at all
Shabbat flexible
We know that asking questions regarding Judaism is a loaded question. Please feel free to expand on this section down below.
Below are questions regarding your child:
My child identifies as
Straight
Queer
Bi-Sexual
Lesbian
Gay
Other
My child also identifies as
Cis
Trans
Gender Queer
Non-Binary
Gender Fluid
Other
Describe your child's personality in a few words:
What is your child's occupation?
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What is your child's position title?
Does your child have any professional accomplishments or career goals you'd like for us to know? Please provide details.
What is your child's highest degree or highest level of education you have completed?
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Please Select
Some High School
High School / GED
Associates Degree
Bachelors Degree
Masters Degree
PhD / Other Doctorate
Has your child ever been married?
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Yes
No
Has your child ever been divorced or are in the process of getting divorced?
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They are divorced.
They are in the process of getting divorced.
No they are not divorced or in the process of getting divorced.
Is your child a widow or widower?
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Yes, they are a widow or widower
No, they are not a widow or widower
Does your child have children?
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Yes
No
Lifestyle and Cultural Preferences
How would you describe your child's values and beliefs?
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Are there any cultural or religious practices important to your family and your child's observance of Judaism? Please specify if so
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Does your child follow any specific dietary preferences or restrictions related to Judaism? If yes, please provide details.
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Is your child involved in any Jewish community or social organizations? If yes, please provide details.What are 2-4 words that you would use to describe your child?
What are your child's hobbies and interests?
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Does your child have any pets?
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Yes
No
Tell us how many pets and what kind of pets currently live with them.
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.
Relationship and Marriage Expectations
Are there any specific preferences or considerations you have regarding to the potential partners's Jewish background and level of religious observances? Please specify.
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Are there any specific values or expectations your child has for their future partner?
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What are your child's views on long term-term relationships and marriage with or without the context of Judaism?
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Preferred age range?
What do you know or think are dealbreakers for your child? (ie. do not want children, specific Jewish backgrounds, pets, lifestyle, politics, etc).
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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?
Instagram
Facebook
Online Search
ChiTribe
A friend
Talia, Matchmaker
Rebecca, Matchmaker
Rivka, Matchmaker
Other
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 child's best headshot for our references. If you are having trouble with submitting a photo here, please email talia@inluv.io or text (847) 780 7129 with the photo. We cannot process the form without a photo.
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Please note:
By signing this, you are aware that the information you provide will be treated with the utmost confidentiality and will solely be used for the purpose of matchmaking within our services, with a focus on meeting your child's preferences and compatibility. If your child agrees to move forward with our services, information between the matchmaker and your child is completely confidential unless they provide consent to have family involved.
Name
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First Name
Last Name
Signature
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Match Me
Match Me
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