Way To The Heart

Please verify that you are human* This field is required.

Are you Single?* This field is required.

YESNO

Name* This field is required.

First Name

Last Name

Age* This field is required.

Gender at Birth* This field is required.

Male

Female

City and State You Reside In* This field is required.Ex. Columbia, SC

Ethnicity* This field is required.

Black or African American

Hispanic or Latino

White

Native American or Alaskan Native

E-mail* This field is required.

example@example.com

Do you have any dietary preferences or restrictions?* This field is required.Check all that apply

No restrictions

I eat everything

Vegetarian

Vegan

Pescatarian

Gluten-free

Dairy-free

Kosher

Halal

What proteins do you eat?* This field is required.Check all that apply.

Chicken

Beef

Pork

Fish

Shellfish

Lamb

Tofu

Plant based Proteins

Other

Are there any foods you absolutely won’t eat?* This field is required.

How would you describe your cooking skills?* This field is required.

I can barely boil water.

I can follow a recipe but don’t get fancy.

I can cook well and improvise.

I’m basically a chef—I love experimenting and creating dishes.

I'm actually forreal a chef

What’s your go-to dish when trying to impress someone?* This field is required.

Have you ever been in a serious relationship? If so, how long was your longest relationship?* This field is required.

What's your biggest lesson from your previous relationships and how will you use it in your next relationship?* This field is required.

What would your last partner say about you?* This field is required.

Why do you believe you are ready for love now?* This field is required.

Are you looking for something long term?* This field is required.

YESNO

How would you describe yourself in three words?* This field is required.

What’s your love language?* This field is required.Check all that apply.

Words of Affirmation

Acts of Service

Receiving Gifts

Quality Time

Physical Touch

Describe your ideal partner. * This field is required.

What are you most attracted to first?* This field is required.

Physical Appearance

Personality

How do you define love in your own words?* This field is required.

Which one of these describes you?* This field is required.

Cooking is how I show love

I appreciate it when someone cooks for me

Both

How do you see cooking?* This field is required.

Opportunity for togetherness.

Opportunity for peace and solitude.

Cooking is just for survival.

What’s your conflict resolution style?* This field is required.

Avoiding

Accommodating

Competing

Compromising

Collaborating

Which is more important?* This field is required.

Compatiblity

Chemistry

I'm open to dating someone ____ years older than me. * This field is required.Most amount of years that your partner could than you.

I'm open to dating someone ____ years younger than me. * This field is required.Youngest age that your partner could be.

Do you have children? If so how many?* This field is required.

Are you willing to date someone with children?* This field is required.

YESNO

What are your non-negotiables in a relationship?

Are there any habits your previous partners couldn't tolerate from you?

Are you open to love coming in a way you didn’t expect?* This field is required.

YESNO

What’s something you’ve healed from that makes you more emotionally available now?* This field is required.

What’s one habit or mindset you’re working on to become a better partner?* This field is required.

Have you done any personal growth work (therapy, coaching, journaling, etc.) to prepare for love?* This field is required.

Are you ready to be seen, chosen, and cherished? If so, say it loud.* This field is required.

YESNO

Upload A Photo* This field is required.Upload a full body photo facing the camera.

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