Matchmaking Survey Name * First Name Last Name Email * Phone (###) ### #### Age * Birthday * What best describes your gender identity * Man Woman Queer/non-binary What gender identity(ies) are you most comfortable dating? * Man Woman Queer/non-binary/fluid Sexual orientation * Straight Gay Lesbian Bisexual Pansexual Queer What sexual orientations are you comfortable dating * Straight Gay Lesbian Bisexual Pansexual Queer How do you identify * White Black Latino/a Asian Native American Multiracial What racial/ethnic identities are you most comfortable dating? * White Black Latino/a Asian Native American Multiracial What age range are you comfortable dating * How would you describe your political orientation? * Liberal Very liberal/leftist/progressive Moderate Conservative Check the political orientations you're comfortable dating * Liberal Very liberal/leftist/progressive Moderate Conservative How would you describe your spiritual/religious identity? * Christian Jewish Muslim Hindu Buddhist Atheist Agnostic What spiritual/religious identities are you most comfortable dating? * Christian Jewish Muslim Hindu Buddhist Atheist Agnostic Why do you want to try matchmaking? * What is your education level? * Community college/Associates degree Trade school graduate 4-year college degree Masters degree Doctorate Do you want kids? * Yes for sure Yes, but only after I find the right person No Not sure yet Are you open to dating someone who has kids? * Yes No Depends on the age of the children Are you open to dating long distance? * Yes No Possibly, depending on the strength of the connection and how extensive the distance How open are you to dating outside your type? * Yes very open! No thank you I may consider it If you have a type, please describe Do you want to get married? * Yes of course! No I'm seeking a long-term commitment, but not necessarily marriage Check the box (or boxes) that best describes what motivates you * Relational: I am driven to pursue and maintain close relationships with family and friends Creative: I am drive to create new and original works in the fields or art, science, design, or technology Prosocial: I am driven to make an impact in my community by helping others Financial: I am driven to earn more money, a promotion, and build a reputation in my industry What five words best describe you? * What do you do for work? * What does your typical weekend look like? * Summarize the most important qualities you're looking for in a partner * Why do you want to try matchmaking? * Please share your Instagram handle * Please share your LinkedIn profile * Thank you! If your responses match with a compatible profile in my database, I will contact you for an interview!
