Client Data Form – Love Wins

Today's Date *//

Tell Us About Yourself

Gender *

First Name *

Last Name *

Email *

Phone *

Date of Birth *//

Zodiac Sign *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Where is your hometown (town/city, country)? *

Where is the place you were born and raised in?

Nationality *

About You *

Tell us a little more about yourself

Faith/Religion *

Marital Status *

Education Level *

High School/Institution/College/University/Graduate School *

Major/specialize in *

What did you study?

Occupation *

Your profession/job

Annual Income *

Willing to relocate? *

Your height (in cm) *

Your body type *

How many siblings do you have? *

Birth Order *

Do you have children? *

If yes, please indicate the age(s) of your child(ren), if applicable

Your child(ren)'s age(s)

Do you want children/more children? *

Do you drink? *

Do you smoke? *

Do you exercise? *

Are you an introvert or extrovert? *

What are you interests/hobbies? *

Share your passion with us

Have you been using dating app(s) to find matches? *

If yes, please indicate the dating app(s) you have been using and how's has the experience been for you?

Share with us a little about your dating app/online dating experience

Headshot *

Click or drag a file to this area to upload.

Full Body Shot *

Click or drag a file to this area to upload.

Tell Us About Your Preferred Match

Preferred Age Range (youngest acceptable) *

Preferred Age Range (oldest acceptable) *

Preferred Martial Status *

Are you open to someone with children? *

If they have kids, how many? *

Would you date someone who smokes? *

Would you date someone who drinks? *

Are you open to someone long distance? *

Preferred Body Type *

Preferred height range (in cm) *

Preferred Faith/Religion *

What's your matchmaking goal? *

What is the ONE greatest attraction in a match? *

What attracts you the most in a match?

What is the ONE non-negotiable when it comes to a match? *

What is unacceptable for you in a match?

Please describe your ideal match *

Tell us more about your preferred match (location, race, lifestyle, personality, value, passion, etc)