Request edit access
Curated Connections Speed Dating Questionnaire

Welcome and thanks for your interest in joining one of our speed dating events! 

This questionnaire will help us get to know you, create thoughtful matches, and make the speed dating experience more fun and personalized. Some of the information you provide may be used in a brief participant bio, but personal contact information will remain private.

Submitting this form does not guarantee a spot at the event. If you are selected to participate, you will receive both a text message and an email with a payment link, event details, and further instructions.

Feel free to contact us at (205) 2232 or curatedconnectionsxo@gmail.com, and we look forward to helping you make connections!

Basic Information
First and Last Name *
Phone *
Email *
Age *
Gender *
Which gender are you interested in meeting? *
Please add your social media handle(s) from Instagram or Facebook
About You
City or area where you live *
Highest education achieved *
What do you do for work? *
Which best describes you?
Clear selection
Describe yourself in 3 words *
Fun fact or 2 about you *
What's your ideal way to spend a Saturday? *
Lifestyle
Do you have children? *
Are you open to dating someone with children? *
Are you open to having more children? *
How important is religion or spirituality to you? *
Not important
Extremely important
How important is it that your partner shares your religion/spirituality? *
Not important
Extremely important
Do you smoke? *
Do you drink alcohol? *
Interests 
Interests (select all that apply) *
Required
What are you looking for (check all that apply)? *
Required
Pick the top 5 qualities you're looking for in a partner
Do you have any dealbreakers?
Have you ever committed a felony (allegedly counts :))?  *
How did you hear about this event?
Clear selection
Comments and/or questions
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms