Congratulations! You're on your way to your date.


But, first, we're going to need some background information. Please review the form and become familiar with it. When you're ready, begin entering all the information that's going to help us find that perfect date.

Contact Info


Age range of date I would like to meet is from:




How did you hear about us?

About Me



5 activities/interests/hobbies I do or are passionate about:

3 activities/interests/hobbies I would like to try:

I would like to:


A Little More Please . . .

How are you doing? We're almost done! 

Now, we have some open-ended questions for you. The more we know, the better we can do, and the more fun you can have!


Please answer all the following questions (in 500 characters or less).

Nice job! You made it. Look it over one more time and then SUBMIT it. If you don't see a message after that you probably have an entry that needs fixing (it'll have a red box around it).

What Makes Me Happy?

My Favorite Things Are ...

Top 3-5 Characteristics I Admire in a Partner ...

What Qualities Do You NOT Want in a Partner?

What Do You Do Professionally and What Do You Love About It?

What are Some of Your Favorite Places You've Traveled to? What did You do There? (please be descriptive)

Who is the Most Famous Person You've Met or Would Like to Meet?

For Fun, I Like to ...

How Would Your Best Friend Describe You? (Stay away from general words like "nice", "funny", etc. Be descriptive!) 

What Would You Like to Change About the World?

What's the First Thing You Notice About a Person?

What are Some of Your Favorite Books and Movies?

What Else Do You Want to Tell Us (in 1000 characters)?

Have You Ever Tried Online Dating? If Yes, Which Sites Have You Used?

Tell us all the things that make you odd (odd is good!)