You can always press Enter⏎ to continue
hearts
Welcome
Hi there, please fill out and submit this form.
31
Questions
START
1
Full Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email Address
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Age
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Gender
*
This field is required.
Female
Male
Non-binary
Prefer not to say
Previous
Next
Submit
Press
Enter
6
Location (City/State)
*
This field is required.
Previous
Next
Submit
Press
Enter
7
Preferred gender(s) of match
*
This field is required.
Female
Male
Non-binary
No preference
Other
Previous
Next
Submit
Press
Enter
8
Upload a recent photo of yourself
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
Upload a File
Cancel
of
Previous
Next
Submit
Press
Enter
9
Do you consent to having your photos taken and used for matchmaking purposes?
*
This field is required.
Yes, I consent
No, I do not consent
Previous
Next
Submit
Press
Enter
10
Do you currently have or want children?
Previous
Next
Submit
Press
Enter
11
Are you willing to date someone with children?
YES
NO
Previous
Next
Submit
Press
Enter
12
What do you do for a living or plan on doing after college?
Previous
Next
Submit
Press
Enter
13
What are you looking for with the experience? Be as specific as possible
Previous
Next
Submit
Press
Enter
14
What is the most important quality in a significant other?
Previous
Next
Submit
Press
Enter
15
What are absolute deal breakers when it comes to a relationship
Previous
Next
Submit
Press
Enter
16
What are your hobbies and interests?
Previous
Next
Submit
Press
Enter
17
What genre of music do you prefer?
Previous
Next
Submit
Press
Enter
18
What is a current goal you are working towards? Is it a long term goal or short term goal?
Previous
Next
Submit
Press
Enter
19
Are you willing to get wet or dirty during the session?
YES
NO
Previous
Next
Submit
Press
Enter
20
What age range would you be comfortable being matched with?
Previous
Next
Submit
Press
Enter
21
Do you drink alcohol?
YES
NO
Previous
Next
Submit
Press
Enter
22
Do you smoke, vape, or chew tobacco?
Smoke
Vape
Chew
All of the above
Previous
Next
Submit
Press
Enter
23
Favorite Flower?
Previous
Next
Submit
Press
Enter
24
Favorite food, fast food, and restaurant?
Previous
Next
Submit
Press
Enter
25
Pick which one best describes your personality
Quiet/shy at first
Easygoing
Outgoing/social
Loud & Goofy
Flirty
Adventurous
A little chaotic
Other
Previous
Next
Submit
Press
Enter
26
Perfect First Date
Drinks/Dinner
Movie
Something Outdoors
Something Competitive
Concert/Event
Staying casual and talking
Ice Cream and Bowling
I like adventure and surprises
Previous
Next
Submit
Press
Enter
27
Specific places you like to eat, drink or anything/place that you would like incorporated into the session specifically?
Previous
Next
Submit
Press
Enter
28
Pick which ones describe you best
Homebody
Always doing something or going somewhere
Serious
Goofy
Planner
Spontaneous
Shy
Outgoing
Previous
Next
Submit
Press
Enter
29
One fact that your match should probably know?
Previous
Next
Submit
Press
Enter
30
How much physical contact are you comfortable with in front of the camera?
Any physical contact requires both people's consent, and we will ensure your safety and comfort are prioritized.
Mostly keeping our distance
Holding Hands
Hugging/Cuddling
Flirty/Close
Just Going with the vibe
Zero Boundaries
Previous
Next
Submit
Press
Enter
31
If we think we find someone that could be a great match, are you willing to commit to the $200 session fee and show up with an open mind.
YES
NO
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
31
See All
Go Back
Submit