STAGE 5 DATING QUESTIONNAIRE
Your Path to Love Starts Here! 💖Before we dive into matchmaking or invite you to our exclusive singles events, we need to get to know YOU! This Client Questionnaire is designed to uncover your unique personality, dating preferences, and relationship goals. It may take a little time, but trust me—it’s worth it! By understanding what truly matters to you, I can match you with the right people and guide you toward Stage 5 – True Partnership & Forever Love. ✅ Must be completed before attending any singles events or booking a matchmaking consultation.✅ Be honest & open—this is all about you!
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PERSONAL INFORMATION
Lets start with the Basics! Before diving into the deeper questions, please fill out the following information to help me get to know you better.
PROFILE PHOTO AND INTRODUCTION VIDEO (Optional but Encouraged!)
Please upload a recent, clear photo of yourself. Want to Stand Out? Submit a short INTRODUCTION VIDEO-sharing a short blurb about yourself.
Full Name
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Date of Birth
What Astrology Sign are you?
Age and Preferred Dating Age Range
Email Address
Phone Number
Residential City and Neighbourhood
Gender? (Male/Female/Non-Binary)
What Gender are you interested in Dating? (Men/Woman/Both/Other)
What Type of Relationship are you looking for?
Long-Term Committed Relationship
Marriage Minded
Open to Dating and seeing where it goes
Not Looking for Commitment
Are you open to Dating all Ethnicities?
Are you open to Dating Someone with Children? (Yes/No/Maybe)
Do you want Children in the Future? (Yes/No/Maybe)
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Core Values & Beliefs
What are your Top 3 Values?
What do you consider Success-In Life?
Are you open to Compromise in a relationship?
How do you handle conflict in Personal Relationships?
Deal Breakers? (Religion, Politics, Kids, Lifestyle)
How Important is Personal Growth and Self Improvement to you?
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Relationship History and Status
Current Status? (single, divorced, married, looking for Long-term-commitment)
What are some things you have learned from past relationships that will help you when embarking on a new one?
Have You Been In Love? Describe how that felt for you?
Do you believe in Soulmates or Do you believe Love can be built over time?
Love Language? How do YOU like to receive Love? How do You like to GIVE Love?(Words of Affirmation, Quality Time, Acts of Service, Physical Touch, Gifts)
TAKE QUIZ-https://5lovelanguages.com/quizzes/love-language
What is your Attachment Style? (Secure, Anxious, Avoidant, Fearful-Avoidant)
TAKE QUIZ-https://www.attachedthebook.com/wordpress/compatibility-quiz/
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Finances and Lifestyle Compatibility
How Important is Financial Stability in a Relationship?
Are you more of a Saver or a Spender?
Do you prefer to split Expenses 50/50 or are you okay as long as you receive some Contribution?
Do you need a Partner who is Financially Independent? Or are you open to Supporting or being Supported?
Do you believe in Joint Accounts, Separate Accounts or a Mix of both in a Long-Term Relationship?
How Important is a certain Lifestyle (Luxury v. Simplicity) to you?
What Category Best Describes you?
I earn under $50,000 annually
I earn between $50,000 to $75,000 annually
I earn between $75,000 to $100,000 annually
I earn over $100,000 annually
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Career and Ambition
What do you do for a Living and How do you feel about your career? (How Long have you been in it? Do you have other potential aspirations? Do you have a good work/life balance? etc.
How Important is Career Ambition in a Partner?
Do you prioritize work-life balance or are you career-focused?
Would you relocate for a Job? What about for Love?
If you could do anything in the world (without worrying about money) what would it be?
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Travel and Adventure
How much do you love to Travel? (Homebody, Occasional Traveler, Travel Enthusiast, Nomad)
What's you dream Destination and Why?
Do you prefer Luxury Vacations, off-the-beaten path Adventures, or cultural experiences?
Do you need a partner that shares your travel style or are you open to someone that has different preferences?
How Spontaneous are you when it comes to Trips and Adventures; or even Dating?
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Marriage & Family Goals
Do you see Marriage in your Future? Why or Why Not? Discuss your own Family up-bringing if you want.
How soon do you want to Settle Down? (Move in/Get Married/Have Children)
1-2 years
3-5 years
Open-ended
Not a Priority
Do you want Children? How Many?
How do you envision Parenting? (Traditional Roles/Shared Responsibility or Something else?)
Would you be open to dating someone who already has kids?
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How Important is family Involvement in your future Relationship?
Love and Emotional Connection
What Does a Healthy Relationship Look Like to you?
How do you Express Love in a Relationship?
What Does Emotional Intimacy mean to you?
List some things that you need to receive in a Relationship to feel Loved and Appreciated.
How Important is Physical Intimacy in a Relationship?
What's an Ideal Date Night?
Dinner/Cocktails/Getting Dressed Up
Romantic Night In
Going Dancing/Concert/Comedy Show or Other activity
Exploring City/Walk in the Park/Coffee/ Brunch
Attachment Styles and Emotional Needs
Do you Value a Partner who is highly Independent? Or do you Value Closeness and Constant Connection?
How do you handle Stress and Difficult Emotions in a Relationship?
Do you feel more secure in Relationships where you set Boundaries or do you prefer to be deeply intertwined in each other's worlds?
Have you ever worked on your personal emotional patterns or outbursts or attachment style? Are you at least aware of any patterns you may have?
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What is your biggest fear when it comes to relationships?
Future Goals and Long Term Vision
Where do you see yourself in the next 5-10 Years, Personally and Professionally?
Do you have specific Life Goals you are actively working toward, either currently or in the near future?
What's your ideal vision for a Healthy, Long-Term Relationship?
Would you prefer a Traditional Relationship Dynamic, an Equal Partnership or a Mix of both?
How would you handle a Long-Distance Relationship or Career-Related Separations?
Vulnerabilities' & Growth Areas
What's something you are currently working on improving on yourself?
Have you ever had Therapy or Coaching for Personal Growth?
What's your biggest Challenge in Relationships? (Communication, Compatibility, Boundaries, etc.)
Do you find it easy or difficult to Trust new People? Explain Why
How do you typically handle Rejection or Heartbreak?
Health, Wellness & Lifestyle Choices
How would you describe your overall lifestyle?
Very Active (Exercise 5+ times a week)
Moderately Active (Exercise a few times a week/stay generally active)
Occasionally Active (Light Exercise or movement)
Not very Active (Prefer a more relaxed lifestyle)
What type of exercise or movement do you enjoy? (Gym, Yoga, Running, Hiking, Sports, Dance, Pilates, Cycling, etc.)
Do you follow a specific diet or lifestyle choice?
No Restrictions
Vegetarian
Vegan
Keto/Low Carb
Other
Do you Drink Alcohol, Smoke or do Recreational Drugs? How often? How Important is it that your Partner share the same lifestyle choices? Any Deal Breakers? Would you be open to your Partner introducing you to their Fitness or Wellness Routine?
Bonus Fun Questions
What's something random about you that would surprise people?
If someone twisted your arm to do something out of the Ordinary what would it be?
Go Dancing at a Nightclub
Go to a Concert or Live Music Venue
Go to Opera or Theatre
Go to a Museum or Art Gallery
THANK YOU FOR COMPLETING THE QUESTIONNAIRE
We are so much closer to finding your Perfect Partner!
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