Relationship Status (Single, Newly Single, Divorced, Separated, etc.) *
Your answer
Why did your last relationship end? *
Your answer
What are you looking for in your next partner? *
Your answer
Who makes up your inner circle (friends, family, coworkers) who live within 15 miles of you? *
Your answer
How have you gone about finding love? Online dating, blind dates, meeting in person, etc. *
Your answer
How often do you go on dates? Approximately... *
What are your favorite hobbies? *
Your answer
What is the biggest turn on in a potential mate? *
Your answer
What is the biggest turn off? *
Your answer
What are you looking for in your next relationship? *
Have you applied to, or appeared on, any TV shows? *
Your answer
In addition to filling out this form, email your name and photo to casting4495@gmail.com - you will NOT be considered unless you submit photo and name to this email. Thank you! *