Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Faith *

check all that apply

I am a follower of Jesus

I am not a follower of Jesus

I do not know how I feel about Jesus

I believe the Bible is beneficial and/or essential to my personal growth

I do not believe the Bible is beneficial or essential to my personal growth

This is not important to me when it comes to dating

Growth *

check all that apply

I believe I'm ready for marriage

I do not believe I am ready for marriage right now

I believe I would be ready for marriage with the right person

I would be open to pre-marital counseling with a licensed marriage therapist

I would be open to pre-marital counseling with a church counselor or pastor

I would be open to reading books that could benefit me individually and in a relationship

I would be open to attending a conference that could benefit me individually and in a relationship

I would be open to listening to podcasts that could benefit me individually and in a relationship

Intention *

check all that apply

I want to get married as soon as possible

I am interested in getting married when I meet the right person

I want to date someone for a few years / pursue a long term relationship before making decisions about marriage

I want to date someone for a short period of time and make a decision about marriage

I do not know how I feel about marriage

I would feel comfortable talking 1:1 with a single, attractive human about marriage

I want to meet new people

I want to date to figure out what I want

I am not interested in marriage

I just want to get laid

Monetary Commitment *

hypothetically: you would be joining a matching database that does not promise a match, but works to set you up on a date(s) with a compatible human with similar values and goals. the timeline to wait for a match could range anywhere from 9-12 months. check all that apply

I would not pay for someone to match me with a potential date

I might pay for someone to match me with a potential date

I would pay less than $25/month for someone to match me with a potential date

I would pay more than $25/month for someone to match me with a potential date

I would pay more than $150/month for someone to match me with a potential date

I would sell my kidney, sign me up

Disclaimer *

By checking this box, you understand you are not signing up for a dating service. This is intended to gauge interest in the event that a matchmaking service may be provided in the future. In the event that it is, you will be contacted at the email address above.

Check

I am at least 18 years of age *

Yes

I would be open to a background check. *

Your personal information, and history, would not be used as a tool for judgment but rather the validity and safety of everyone in the database.

Yes

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