Womans Membership Questionnaire
Please complete this confidential questionnaire to help us find your ideal match. Your responses will guide our matchmaking process.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Country of Residence
*
Please Select
United States
United Kingdom
Canada
Australia
Other
City of Residence
*
What is your marital status?
*
Single
Divorced
Widowed
Other
Do you have children?
*
Yes
No
Do you want children?
*
Yes
No
What is your highest level of education?
*
Please Select
High School
Bachelor's Degree
Master's Degree
Doctorate
Other
What is your primary occupation or business sector?
*
How would you describe your annual income range?
*
Please Select
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
$5,000,000+
Which of the following best describes your lifestyle?
*
Active and Adventurous
Social and Outgoing
Private and Reserved
Balanced
How do you prefer to spend your leisure time? (Select all that apply)
*
Traveling
Fine Dining
Sports/Fitness
Arts/Culture
Outdoor Activities
Reading
Other
Do you smoke?
*
Yes
No
Occasionally
Do you drink alcohol?
*
Yes
No
Occasionally
Which languages do you speak? (Select all that apply)
*
English
Spanish
French
German
Mandarin
Other
What are your top three hobbies or interests?
*
What qualities do you value most in a partner? (Select up to 3)
*
Intelligence
Physical Attractiveness
Kindness
Ambition
Sense of Humor
Shared Values
Other
What is your preferred age range for a partner?
*
Please Select
21-30
31-40
41-50
51+
What is your preferred relationship type?
*
Long-term/Marriage
Short-term/Companionship
Open to possibilities
What are your thoughts on having children in the future?
*
Definitely want children
Open to having children
Do not want children
Not sure
How important is physical appearance to you in choosing a partner?
*
Not important
1
2
3
4
Extremely important
5
1 is Not important, 5 is Extremely important
How important are shared values and beliefs in a relationship?
*
Not important
1
2
3
4
Extremely important
5
1 is Not important, 5 is Extremely important
How do you feel about your partner having a career?
*
Strongly prefer partner to have a career
Open to either
Prefer partner to focus on family/home
What are your expectations regarding financial contribution from a partner?
*
Prefer to be sole provider
Expect partner to contribute equally
Open to discussion
What are your deal-breakers in a relationship?
*
Is there anything else you would like us to know to help us find your ideal match?
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Upload Photo 1
Upload Photo 2
Upload Photo 3
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