JAIDA™ VIP Elite Membership Form
This application form is confidential and will not be post on JAIDA dating app but only visible to our matchmakers. After receiving this completed application form; a JAIDA™ representative will contact you to start the process. You will receive an email welcome within 48 hours and a phone call will be schedule.
Email address *
First Name: *
Last Name: *
Email address: *
Phone Number:
City: *
States: *
Gender: *
Birthdate *
Smoker? *
How often do you work out per week? *
How many children do you have? *
Do you want children? *
What religion do you practice? *
What languages do you speak? *
Do you have pets? *
Do you like pets? *
How is your health from 1 to 10? *
Do you like to travel ? *
Do you have hobbies? *
What hobbies do you have? *
Are you? *
What is the greatest accomplishment of your life? *
What do you do for work? *
When was your last relationship and how long did it last? *
What are you looking for in a relationship? *
What do you think is the most important value in a relationship *
Do you want to marry or have you ever been married? *
What do you look for in a husband/wife? *
What do you do for fun? *
What are you most proud about? *
Is religion important to you? *
Do you follow politics? *
Do you believe in love at first sight? *
What is your favorite month of the year and why? *
Which is your favorite book/movie? *
Which is your favorite music and your favorite singer/band? *
How do you spend your spare time? *
Where do you see yourself in five years time? *
Is sexual compatibility important to you? *
Are you a morning person or a night person? *
If you could live anywhere in the world, where would it be? *
Who is you favorite actor/actress/celebrity and why? *
What is your favorite sporting activity? *
Which is your favorite genre of movies - comedy/thriller/action? *
How tall are you? *
How much do you weight? *
What is your favorite food? *
Please give us a rough estimate of your yearly income. *
How did you hear about us? *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of JAIDA APP, INC. Report Abuse