Matchmaking Application | Local Singles

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address

Multi-line address

Country/Region

Address

City

Zip / Postal code

Occupation

What are you hoping to find at this stage of your life?

What qualities matter most to you in a partner?

Non-negotiables / deal-breakers

What does a healthy relationship look like to you?

How would friends describe you in a relationship?

What have you learned from past relationships?

How do you communicate when something feels challenging?

How do you spend your free time?

What role does community play in your life?

What made you interested in personalized matchmaking?

What kind of support are you hoping for?

Anything else you’d like me to know?

Relationship status

Single

Divorced

Widowed

Separated

Emotional availability

Emotionally available and ready for a relationship

Mostly available and open to connection

Unsure and still reflecting

Attending Local Singles events?

Yes, regularly

Yes, occasionally

I’ve attended once or twice

Not yet, but I plan to

Open to meeting someone outside usual type?

Yes, absolutely

Possibly, I’m open-minded

Not sure, but curious

No, I prefer a specific type

How Long Have you Been Singles?

How far are you comfortable driving to meet someone?

Local Only

Within 30 minutes

Within 60 minutes

I’m open to traveling farther for the right connection

Are you open to honest feedback and guided introductions?

Yes

Somewhat

Not Sure

Personalized matchmaking is a paid, intentional service. Are you open to investing in this process if accepted?

Yes

Possibly

No

To support genuine connection, introductions may be made without photos. This approach encourages openness beyond first impressions and invites you to trust the matchmaking process. How do you feel about this process?

yes

No

Maybe

I understand that personalized matchmaking is offered on an application basis and acceptance is not guaranteed.

Yes

Up to 4 pictures

Signature

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All information shared through this application is kept strictly confidential. Applications are reviewed personally and are never shared with other members or third parties. Participation in personalized matchmaking is private and discreet.

Submitting an application does not guarantee acceptance into matchmaking services. By proceeding, you acknowledge and agree to the Local Singles matchmaking terms.

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