What is your name?
*
First Name
Last Name
What is your email?
*
example@example.com
What is your phone number?
*
What is your age?
*
Where do you live? (City, State, and Country)
*
(Eg. Austin, Texas, USA or Paris, France)
Are you open to meeting someone who lives in a different city or country? Note: Travel may be mutual. Relocation isn’t expected.
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Please Select
Yes — I’m open to travel and connection beyond my city
No — I’m only seeking matches in my local area
Why are you exploring premium matchmaking now—and what do you hope it solves that other approaches haven’t? (2–3 sentences are perfect)
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How emotionally available do you feel you are for a committed relationship?
*
Please Select
10 - I'm fully ready
7-9 - Mostly ready, but working through a few things
4-6 - Unsure if I’m really ready
1-3 - Probably not ready right now
Are you prepared — financially, emotionally, and logistically — to invest in finding the right partner through a premium matchmaking experience?
*
Please Select
Yes, I'm ready - financially, emotionally, and logistically
Possibly - if it feels aligned
No - not in a place to invest
Which of the following best describes your current monthly income from all sources?
*
Please Select
Under $20k/month
$20k-$50k/month
$51k-$100k/month
Over $100k month
Submit
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