Matchmaking Intake Form

1

What is Your Full Name?* This field is required.Please include first, middle, and last name

First Name

Middle Name

Last Name

2

What is your e-mail?* This field is required.This is where you shall receive your match

example@example.com

3

What is your Phone NumberInclude the first digit (+x) if you have a phone number from a country aside from the US

Please enter a valid phone number.

4

What is your gender?* This field is required.woman, man, nonbinary, whatever, just wash your hands when you leave the restroom

5

What are your gender preferences?* This field is required.if you like men that look like women or androgynous ppl with mullets, just say that

women

men

non-binary

genderqueer

no preference :)

Other

6

What city are you located in, majority of the time?* This field is required.

e.g. New York City, Miami, Los Angeles, Washington D.C., etc.

7

How important is location for you when finding a match?* This field is required.

They need to be innnn ittttt (short distance, 1-2 hrs away)

Medium distance is fine (3-5 hrs away)

I would do long-distance if it meant finding my soulmate

8

What is your religion/spirituality and how strongly do you feel about it?* This field is required.

9

Political affiliations?* This field is required.liberal, leftist, conservative, communist, anarchist, etc...

10

There are no good answers - only honest ones :)

11

What is your line of work?

12

Please describe your lifestyle. How do you typically spend weekends?

13

What are you passionate about? What do you do for fun?* This field is required.

14

How prone are you to trying new things?* This field is required.On a scale from 0-10

15

We all know what we want, but do we always want what we need? Keep this in mind for the following questions.

16

What are your relationship goals?* This field is required.

17

What is your type? Or what do you typically go for when pursuing a relationship?* This field is required.This can be physical, emotional, political, whatever

18

What are your dealbreakers or non-negotiables?* This field is required.

19

What does your day-to-day life look like?* This field is required.

20

What currently helps you feel secure? What helps you regain balance after a stressful event?

21

When do you feel most connected to others?* This field is required.

22

How do you usually respond when you realize you’ve hurt someone?

23

Are you navigating any major changes or uncertainties right now?

24

Are there any unresolved connections that could interfere with intentional dating?* This field is required.Assuming you are seeking an intentional connection

YESNO

25

What makes you feel desired in a relationship? What helps you feel safe and relaxed enough to be fully present with a partner?

26

How important is sexual compatibility in your relationship?* This field is required.

27

Do you tend to initiate intimacy, prefer a partner to initiate, or enjoy a balance?

28

In an ideal relationship, how often would physical intimacy feel fulfilling to you?* This field is required.occasionally, regularly, frequently, etc..

29

Please attach at least 2 good photos of yourself* This field is required.one should at least be a straight headshot with good lighting, and one full body photo. Please add more if you wish. no more than two other people should be in the foreground (I get confused)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

30

Any pertinent astrology placements?* This field is required.Your sun, moon, rising, mars, and venus can sometimes come into play in understanding why you are, how you communicate, and how you love. I can use this to help make better matches.

31

How many degrees of separation are you?* This field is required.

If you were referred, who referred you?

32

Would you like to refer anyone to the Circle?Anyone you think is great and deserves a great match

Name

Please enter their email

Or please enter their phone number

33

Any feedback