Welcome to Our "Little Black Book!"
Please complete this form thoroughly and honestly to enter our database. This is the first place we look when conducting a search for a new matchmaking client! Your information will be kept confidential unless/until you are qualified for a possible introduction. If you have any questions or would like to discuss an aspect of your profile in a phone call, please contact suzanna@thedatemaven.com to schedule a call.
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Your Name (first + last): *
Your email address: *
Your Phone Number: *
Your Age and Birthday: *
What do you want? (Check all that apply) *
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Your occupation
Your Religious Faith, if any: *
Your political affiliation, if any:
If you have any "deal breakers" or non-negotiables, please list them here: (Ex: smoking, out of state, political leanings -- anything that might be an unbridgeable bone of contention)
Do you have children? (Please specify ages)
RELATIONSHIP HISTORY: When did your last long-term relationship end? How did you meet that person?
RELATIONSHIP HISTORY: Are you seeing anyone now? If yes, how serious is it?
ATTRACTION: Describe what you're looking for in a significant other... What attracts and interests you? (physical attributes, personality, character/values, lifestyle, etc.)
ATTRACTION: What age range are you most comfortable dating within? *
ATTRACTION: What ethnic backgrounds do you feel most comfortable with?
What is your ethnicity?
What is your height and body type?
How would you describe your looks and personality? Or, how would the people who are close to you describe these?
LIFESTYLE & VALUES: What role does religious belief or spirituality play in your life, if any?
LIFESTYLE & VALUES: What causes are you drawn to?
LIFESTYLE & VALUES: Do you use alcohol? tobacco products? recreational drugs? (These do not necessarily exclude you from receiving an introduction but answering honestly helps us determine the best fit for you.)
LIFESTYLE & VALUES: What do you do to work out, be active, and stay in shape? Describe your body type:
LIFESTYLE & VALUES: Do you know your primary love language(s)?
LIFESTYLE PREFERENCES: Describe your ideal first date... Adventurous? Chill? Dinner and a conversation? Romantic? Walk and talk? Video date? Hookup?
What are your favorite types of food/drink or restaurants?
What are your favorite sports to play or watch?
What are your favorite types of vacation spots?
Do you have any pets? If so, what kind?
THE FOLLOWING INFORMATION IS STRICTLY CONFIDENTIAL: Do you have any issues related to mental or physical health that you are being treated for that may or may not impact your dating and relationship activities? These would include addictions, diseases, disorders, or other challenges affecting your well-being. (Please note that we do not share this information with prospective matches. However, it is best to disclose these up front to us so that we can help you frame how and when you disclose to the person you're dating.
Do you have now -- or have you ever had -- any restraining orders against you? If yes, please explain the circumstances. *
Have you ever been convicted of a felony? (Please note: We reserve the option of running a criminal background check on candidates.) *
If you are introduced to one of our clients, will you provide feedback about the person you meet?
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If you are introduced to one of our clients, would you like to know your date's feedback about you?
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How did you learn about The Date Maven?
Do you have any questions about matchmaking you would like our team to answer? (Please be advised that we strive to make our process clear and simple; if you have specific questions about dating or relationships that need to be answered in depth, we may invite you to a Dating Audit & Strategy Session (consultation) to address those.
By signing and submitting this document, you affirm that you are a single (unmarried, not engaged) individual and that the information you have provided is true and correct to the best of your knowledge. You also affirm that this does not represent a contract for services with The Date Maven.
LAST STEP! :) Please send 2 photos (1 head shot + 1 full-body shot) identified with your name in the file name to suzanna@thedatemaven.com upon completion of this form.
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