Questionnaire

CONNECT

This form is to be completed by anyone wishing to be included in the Elite CONNECT Matchmaking Network.
All fantastic candidates welcome and encouraged to apply.

Thank you!

Please Indicate Your Interest

Please Indicate your interest in CONNECT

1. Matchmaking Package 2. VIP Consultation Session 3. Relationship-Preparation Coaching Package 4. Join Database for FREE

Contact Information

First Name*

Middle Name

Last Name*

Email*

Phone*

Location*

Driver License*

Basic Information

Gender*

Sexual Orientation*

Date of Birth*

Relationship Status*

Ethnicity*

Faith/Religion*

Highest Education Level Completed*

Occupation*

Income*

Do you have children?*

Do you want children/more children?*

Height (ft & in)*

Body Type*

Hair Color*

Eye Color*

Languages spoken*

What is your political affiliation?*

Do you smoke?*

Do you drink alcohol?*

Do you have pets?*

Do you have any pet allergies?*

About Me

Activities/Hobbies I enjoy*

What kind of romantic partner are you looking for?*

What are the top 5 most important qualities of your ideal mate?*

What are your top 5 biggest turn-offs in a partner?*

What can be the hardest thing about being in a relationship with you?*

What's the best thing about being in a relationship with you?*

What makes you ready for a committed relationship now?*

Is there anything else you would like to share about yourself?*

Match Preferences

Preferred Gender*

Preferred Sexual Orientation*

Preferred Age Range*

Preferred Relationship Status*

Preferred Ethnicities*

Preferred Faith/Religion*

Preferred Education Level*

Preferred Income*

Preferred Height (ft & in)*

Preferred Body Type*

Preferred Hair Color*

Preferred Eye Color*

Preferred Political Affiliation*

Would you date someone who smokes?*

Would you date someone who drinks alcohol?*

Activities I want to share with my partner*

Preferred qualities in your ideal partner*

Top celebrity crushes*

Which is your best match?*

Photos

Headshot*

Full Body Picture*

Photo 1*

Photo 2

Photo 3

Terms & Conditions

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