Home | About Us | Testimonials | News | FAQ | Online Questionnaire |Contact Us | Matchmaking Process | Profile of a Matchmaker | Getting Started Your Contact Information First Name: Last Name: City: State: Select State AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY International Country: Best Contact Phone: E-mail: Best Contact Method: Home Phone Cellular Phone Work Phone Fax Email     Indicate your readiness to get started: Please contact me as soon as possible I would like to schedule a complimentary appointment. Other.   If other, please specify.   Rate your readiness to begin 1 (lowest) to 10 (highest): Have you experienced other services? Yes No If yes, please explain:     Tell Us About Yourself Birth Year: Birth Year 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Gender: Male Female Height: Feet 4 5 6 7 Inches 0 1 2 3 4 5 6 7 8 9 10 11 Weight: lbs.     Your Professional Information Profession: Describe What You Do: Are you self employed: Yes No If No, Employed By: Describe Your Education:     Your Financial Information Do you own or rent your home: Own Rent How Long: Years Income: Select Income Range 75,000 - 100,000 100,000 - 150,000 150,000 - 200,000 200,000 - 300,000 300,000 - 400,000 400,000 - 500,000 500,000 - 750,000 750,000 - 1 Million 1 Million + Currency Used: Select Currency US Dollars Euros British Pounds     +How much of a financial investment are you prepared to make to find your love partner? Select Financial Investment 5,000 - 10,000 10,000 - 25,000 25,000 - 50,000 50,000 - 75,000 75,000 - 100,000 100,000 - 150,000 150,000 - 200,000 200,000+     Currency of your financial investments: Select Currency US Dollars Euros British Pounds     Your Personal Information Hair Color: Eye Color: Marital Status: Never Married Divorced Widowed Do you have children: Yes No Ages of children: Have you considered children in the future: Yes No Are you emotionally available for a relationship or marriage 1 (lowest) to 10 (highest): Please elaborate on your emotional readiness: Do you travel internationally: Yes No If yes, how frequently: To what destinations: About Yourself (check all that apply) I am new to the area I have convinced myself that I need to focus on the romantic aspect of my life. If given an opportunity to meet amazing, interesting attractive people, I would. I am dating someone not compatible I believe in marriage I am quiet I am very outgoing I am sensitive and perceptive I am passive It takes a while to get to know me I am an open book I have life long friends Family is important to me I am a generous person I focus on a world view I focus on specifics I consider myself ever evolving I enjoy quiet evenings at home I have a group of close friends I enjoy trying new things     What community, political or charitable, activist groups do you participate in: What languages do you speak: Select one English only English & others No English Please list any other languages you speak: Ethnic Background: I am (check all that apply): Affectionate Observant Decisive Fun Creative Discerning Worldly Giving Devoted Demanding Caring Ambitious Stubborn Adventuresome Trustworthy Humorous Romantic Powerful Insightful Kind Organized Authentic Intelligent Private Thoughtful Calm Witty Enthusiastic Sexy Introverted Reliable         Favorite Book Favorite Movie: I would rather be: Please Select One Acquiring Wealth Traveling In Love Your athletic activities: (check all that apply) Aerobics Snow Skiing Boating Water Sports Swimming Bowling Hiking Tennis Walking Golf Cycling Horseback Riding Water Skiing Other (explain)     Are you a sports enthusiast: Yes No Please explain: My life will be complete when I... Do you attend church or synagogue: Yes No What role does your faith play in your life: Describe what TV programs you watch: Do you typically have pets: Yes No Do you currently have any medical limitations Yes No Do you drink alcohol: Yes No Are you a recovering alcoholic: Yes No Do you smoke: Yes No Comment on smoking: How would you like your world to be in three years? What most worries, irritates or annoys you most?     Your Ideal Companion Level of attractiveness: 1 (lowest) to 10 (highest): Height: Feet 4 5 6 7 Inches 0 1 2 3 4 5 6 7 8 9 10 11 Weight: Please select Slim Average Full Figure No Preference Their Occupation: Please select Professional Entrepreneur Managerial Business Self-employed Technical Creative Educator Their Education: Please select BA / 4 Years College Masters Degree PhD or MD Graduate Degree Their Children: Please select No children Grown children Desires children Has children Not important Comments on children: Their preferred annual income: Please select $100,000 - $300,000 $300,000 - $500,000 $1,000,000+ Not important Income level comments: Their cultural interest: Please select Entertain Guest Travel Family Arts Music Current events Intellectual Film Architecture Theatre Opera Gardens & Floral Interior Design Archeology Cooking Other cultural interest Their musical preferences: Please select Classical Jazz Country music Opera Easy Listening Popular Folk/Ethnic Rock Describe the 3 most important qualities in your potential mate:

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