Love Seeker Questionnaire Hitting ENTER/RETURN will submit the form. Use pointer to advance through questions. Name * First Name Last Name Email * Phone * (###) ### #### What is your current relationship status? * Single In a relationship Married Separated Divorced Widowed What are your relationship goals? (Check all that apply.) * Marriage/Live-In partner Monogamy Casual dating/companionship Ethical non-monogamy/polyamory Long-distance/Occasional Other What is your gender identity? * What are your pronouns? * What is your sexual identity? * What gender/genders are you interested in? * How old are you? * What age range will you date? * What do you do for a living? * What is your annual income range? * 0-$49,999 $50,000-$99,999 $99,999-199,999 $200,000+ What is your education level? * Did not graduate highschool (school of hard knocks) Highschool graduate or equivalent Some college/no degree Associates/vocational training Bachelor's degree Master's degree Doctorate Professional degree Other Are you religious/spiritual? * Yes Somewhat No How important is your partner's religious/religiosity to you? * Very - must be same religion as me Somewhat - I prefer we share the same religion, but not a deal breaker Not important What is your religion (if any)? * Do you have children? * Yes - at home/sole custodian Yes - at home/share custody Yes - adult (still living at home) Yes - adult (out of the home) No Do you want (more) children? * No Yes Not necessarily, but open to it What is acceptible regarding your partner's parenting status? (Check all that apply.) * No children Grown children (out of the home) Children still at home What are your political leanings? * Left Centrist/Independent Right How important is it that your partners share your political leanings? * Extremely important Somewhat important Not important What qualities are most important to you? (Check all that apply.) Kindness Sense of humor Intelligence Physical attractiveness Ambition Honesty Creativity Commitment to family Passion Reliability Other How do you show and like to receive affection (love language)? (Select all that apply.) Words of affirmation Quality time Physical touch Acts of service Gifts Other Are you an introvert or extrovert? * Introvert Extroverted introvert Introverted extrovert Extrovert Would you prefer your partner lean towards introverted or extroverted? * Introverted Extroverted No preference What is your activity/energy level? Low Medium High Other What are some of your hobbies/interests? What are your deal breakers? Briefly describe a good "normal" day with your partner. Briefly describe a fun date with your partner. Briefly describe your ideal vacation with your partner. Most importantly - what do you think you bring to a relationship? * Anything else you think we should know? Please provide 2-3 references (names and emails): * Thank you!
