Matchmaking Application

Choose your option

Paid Client

Potential Match

First name*

Last name*

Email*

Phone*

Birthday*

Month

Day

Year

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?*

What are your hobbies?*

How would you describe your activity level and lifestyle?*

Very active — I regularly enjoy physical activities and an active lifestyle

Moderately active — I stay active and enjoy a balance of movement and downtime

Socially active — I enjoy events, gatherings, and staying engaged with others

Relaxed — I prefer a slower pace and quieter activities

A mix — it really depends on the week or season

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

What age range are you most comfortable dating?*

20's

30's

40's

50's

60's

70's

80's

How Long Have you Been Single?*

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

What are the five most important qualities you’re looking for in a relationship? Please select up to five.

Emotionally Available

Honesty & integrity

Kindness & compassion

Communication skills

Shared values

Sense of humor

Reliability & consistency

Physical chemistry

Curiosity & openness

Mutual respect

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

What are you looking for?

Travel Partner

Committed Relationship

Marriage

Meaningful Relationship

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

Maybe

Which best describes your relationship with pets?*

Have pets

Love pets

Like pets

Open to pets

Prefer no pets

Allergic

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

Yes

What best describes you when it comes to drinking?

I don’t drink

Social drinker

Moderate drinker

Regular drinker

Prefer not to say

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 terms and conditions and privacy practice.

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