Dream Date Candidate Intake Form

Thank you for your interest in being considered as a potential match through our private matchmaking service. Please complete this form as thoroughly and honestly as possible. All information will be shared with potential matches and must be accurate.

Personal details

Full Legal Name (First & Last): *

Preferred Name (if different):

City & State of Residence:

Date of Birth *

User information

Phone number *

Email address: *

Body type *

Height (What is your height range?) : *

What is your exact height? *

Hair Color (What is your current hair color?) *

Eye color *

Ethnicity/Nationality Background (Which best describes your background?) *

Religion/Spiritual Beliefs (Which best describes your beliefs?) *

Political Views ( Which best describes your political views? ) *

Occupation / Industry ( What industry do you primarily work in? ) *

Work Status ( Which best describes your current work situation? ) *

Education Level ( What is the highest level of education you have completed? ) *

Do You Have Children? ( Do you currently have children? ) *

Future Children ( Would you like children in the future? ) *

Marital History ( What is your marital history? ) *

Alcohol Use ( How often do you drink alcohol? ) *

Do you currently or in the past smoke or do drugs? *

Fitness Level ( How would you describe your fitness habits? ) *

What are you ideally looking for in a partner? (values, personality, lifestyle) *

Lifestyle Type ( Which lifestyle best describes you? ) *

⁠Preferred Age Range for a Partner ( What age range are you most comfortable dating? ) *

Do you have preferences for height, body type, religion, or political beliefs in a partner? *

Dealbreakers (anything that is an absolute “no” for you) *

Love Languages (Top 1–2) *

How soon are you ready to be in a committed relationship *

How would you describe your personality in 3 words? *

Travel Preferences ( What types of vacations do you enjoy most? ) *

Hobbies & Interests ( Which best describes your typical interests? ) *

What races are you comfortable dating? *

Typical weekend activities:

Relationship Intentions ( What type of relationship are you seeking? )

Views on physical intimacy

Wellness Routine ( How do you typically maintain your mental and physical well-being? ) *

Relocation Openness ( Would you consider relocating for the right partner? )

Any Additional info you would like us to know about you? *

Main image

Main reference photo *

JPG, PNG, GIF or WebP. Recommended size under 2MB.

Other images

Please upload at least two additional photos for reference.

You can select multiple images. JPG, PNG, GIF or WebP.

Dream Date Candidate Intake Form

Personal details

User information

Main image

Other images

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