For the purpose of finding compatibility with potential matches.
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Question 1 of 21
Full Name (First, Last)
Question 2 of 21
Gender
Male
Female
Question 3 of 21
Email address:
Question 4 of 21
Phone Number:
Question 5 of 21
City/State:
Question 6 of 21
Age
Question 7 of 21
Height:
Question 8 of 21
Link(s) to your social media:
Question 9 of 21
What do you do for work?
Question 10 of 21
Tell us 3 fun facts about you.
Question 11 of 21
Describe your type:
Question 12 of 21
What do you look for in a spouse?
Question 13 of 21
Do you have any children? (If yes, how many and what ages?)
Question 14 of 21
Would you date someone with kids?
Yes
No
Question 15 of 21
Have you been previously married?
Question 16 of 21
What are your deal breakers?
Question 17 of 21
What is your age preference in a partner? Please state if you prefer older, younger, same age, or a certain age range.
Question 18 of 21
Are you willing to travel for the show or would you rather stay local?
Open to travel
Prefer to stay local
Question 19 of 21
Have you ever been convicted of a crime?
Question 20 of 21
Are you open to a long distance relationship?
Question 21 of 21
Upload a recent photo of yourself.