Questionnaire to join DateShape

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Welcome to DateShape.

I’m Jennifer Champion, a matchmaker with over 20 years of experience and the founder of DateShape. I work nationally with Three Day Rule as a Texas Matchmaker. I host singles events and offer membership in Houston.

The DateShape Method focuses on Chemistry, Character and Connection to help intentional singles gain clarity by Date Three.

If you’re dating to go on your last first date, please complete the questionnaire below. Select Candidate to be considered for a future match, or indicate your interest in Three Day Rule matchmaking or DateShape membership in Houston.

Email *

Full Name & Phone Number

Gender *

Male

Female

Which DateShape services best fit what you’re looking for?

What is your Instagram or Facebook handle?

*

Which range best reflects your current annual income?

Under $75,000

$75,000 – $150,000

$150,000 – $250,000

$250,000 – $500,000

$500,000+

Clear selection

My height: *

My profession is: *

Describe your lifestyle & fitness routine. *

I work out in a gym, weight training & classes.

Pilates, yoga and group fitness classes.

Walk, run, hike, anything outdoors & cardio.

Pickleball, tennis, basketball, any group sports.

I am always on the go and manage my nutrition.

Other:

Required

My location: *

Houston

Austin

Dallas

Other, but in Texas

I am willing to date in the following location(s): *

Austin

Houston

Dallas

Other, but in Texas

Required

Preferred age range of my potential partner:
*

Which description best reflects your personality and social energy?

Introverted — I’m more reserved and value depth, quiet time, and one-on-one connection.

Extroverted — I’m social, energized by people, and enjoy conversation and activity.

Ambivert — I’m a balance of both introverted and extroverted, depending on the situation.

Social but need downtime — I enjoy being social but require space and quiet to recharge.

Easygoing socially — I like being around people and going out, but I don’t need to dominate the conversation.

My age: *

My ethnicity: *

White/Caucasian

Black/African American

Asian/Pacific Islander

Latino/Hispanic

Native American

Middle Eastern / North African (MENA)

Other (please specify)

Required

Dating someone of my ethnicity is: *

Very important to me

Not important at all

Which ethnicities are you open to dating? Select all that apply. *

Black/African American

White/Caucasian

Hispanic/Latino

Asian

South Asian/Indian

Middle Eastern/North African

Native American

Pacific Islander

Multiracial

My own ethnicity only

Open to all ethnicities

Other:

Required

My education (degree and name of school or university attended): *

I grew up in: *

My practicing or cultural religion: *

Christianity

Judaism

Buddhist / Hindu

Agnostic / Non religious

Catholic

Islam

Atheist

Other:

My partner's religious beliefs should mirror mine: *

Very important to me

Not Important at all

My political affiliation: *

Liberal

Moderate

Conservative

Libertarian

Independent

Apolitical / Prefer not to engage

Other:

Required

My partner agreeing with my politics is: *

Very important to me

Not important at all

Family values (please select all that apply):

*

I have children from a previous relationship

I would like biological children with my partner

I would adopt with my partner

I do not want children

I do not want more children

Undecided

Required

If you had to choose one primary way you feel most loved, which is it?

Acts of Service

Physical Touch

Quality Time

Words of Affirmation

Gifts

What are your top 2–3 must-have qualities (and/or physical traits) in a partner?
Following the DateShape Method, selecting just a few must-haves—whether values, lifestyle traits, or physical preferences—brings clarity and helps you stay focused on what truly matters. *

Thank you for your interest in DateShape. I will be in touch soon.

Jennifer Champion
Founder & Matchmaker, DateShape

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