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Intake form
Help us serve you better, Tell us about yourself
Name
*
Email address
*
Phone (optional)
Gender
*
Select
Male
Female
Date of birth
Current City, State & Country
Country of Origin (Your or Your Family’s Background)
*
How would you like your profile to be shown?
*
Public Profile – My name and photo may be shown to other serious applicants.
Incognito Profile – My name and photo are blurred and only shared after mutual interest.
Private Only – My profile is never shown publicly and is reviewed only by the matchmaker.
Ethnic or Cultural Background
*
Please select at least one option.
White
Black
Hispanic
Asian
Lebanese
Syrian
Palestinian
Egyptian
Iraqi
Jordanian
Yemeni
Pakistan
Bangladesh
Iran
Chaldean
Assyrian
Other Middle Eastern
Prefer not to say
Other
Religion (optional)
Select
Islam sunni
Islam Shia
Christianity
Catholic
Protestants
Orthodox
Judaism
Hinduism
Buddhism
Prefer not to say
Marital status
Select
Single
Divorced
Widowed
Separated
Do you have children?
Select
Yes
No
Expecting
Profession
Education
Select
High School
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
Lifestyle
Please select at least one option.
Health-conscious
Active lifestyle
Homebody
Social
Career-focused
Family-oriented
What are you looking for in a match?
Please select at least one option.
Preferred age
Same ethnicity
Same religion
Openness to children
Shared values
Location preference
What are some red flags you want to avoid?
Please select at least one option.
Substance abuse
Lack of ambition
Dishonesty
Different values
Poor communication
Additional questions or comments
What is your preferred age range?
Select
18-25
26-30
31-35
36-40
41-45
46-50
51+
What is your preferred height range?
Select
Under 5'0"
5'0" - 5'4"
5'5" - 5'9"
5'10" - 6'0"
Over 6'0"
What languages do you speak?
Please select at least one option.
English
Arabic
French
Spanish
Other
Do you smoke?
Select
Yes
No
Occasionally
Do you drink alcohol?
Select
Yes
No
Occasionally
Preferred method of contact
Select
Email
Phone
Text
How did you hear about us?
Select
Social Media
Friend/Family
Online Search
Event
Preferred match location
Select
Same metro area
Same state
Anywhere in the U.S.
Open to international
Are you open to long-distance relationships?
Select
Yes
No
What is your preferred religious background in a partner?
Please select at least one option.
Muslim
Christian
Jewish
Other
No Preference
What is your preferred income range?
Select
Less than $50,000
$50,000 - $100,000
$100,000 - $150,000
$150,000 and above
Match Preferences (must-haves)
Dealbreakers
📸 Photo submission required after applying, After submitting this intake form you will be asked to email us three (3) recent, clear photos of yourself so our matchmaking team can make thoughtful and accurate match recommendations. • One clear headshot • One full-body photo • One natural / casual photo Photos are kept private and are never shared publicly.
Submit – Request a Match
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