High Society Women's Intake Form

High Society Women's Intake Form

Please complete this comprehensive questionnaire to help us learn more about you and your preferences.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth and Age*

MonthDayYear
Date
Age*
Zodiac Sign*
Height*
Body Type*
Eye Color*
Hair Color*
City of Residence*
Country of Residence*
Highest Level of Education Completed*
Current Occupation*
Industry of Work*
SingleDivorcedWidowed
YesNo
YesNo
Languages Spoken*
How would you describe your personality?*
TravelingFine DiningArt & CultureReadingSports/FitnessMusicFashionOther
What are your favorite travel destinations?*
How often do you attend social events?*
InternationalMediterraneanAsianFrenchItalianVegan/VegetarianOther
YesNo
If yes, please specify your diet or lifestyle.*
How important is fitness in your life?*

1

2

3

4

5

1 is Not important, 5 is Very important
Yoga/PilatesGym/WeightsRunning/WalkingSwimmingSports (Tennis, Golf, etc.)Other
How do you prefer to spend your weekends?*
LoyaltyHonestySense of HumorAmbitionKindnessOther
What are your core values?*
YesNoOccasionally
YesNoOccasionally
YesNo
If yes, please list the clubs or organizations.*
What is your political preference? (Ex, Republican, Democrat, etc.)*
PaintingSculptureTheaterOperaBalletMusic ConcertsOther
What are your favorite fashion brands or designers?*
What is your preferred style of clothing?*
What is your favorite way to relax?*
What are your aspirations or goals for the next five years?*
What type of partner are you looking for?*
AmbitionKindnessSense of HumorIntelligencePhysical AttractionShared InterestsOther
How important is financial stability in a relationship?*

1

2

3

4

5

1 is Not important, 5 is Very important
YesNoMaybe
In PersonPhone CallsText MessagesVideo Calls
Is there anything else you would like us to know about you?*
Upload 3 Photos Of Yourself
Upload Photo 1
Upload Photo 2
Upload Photo 3
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