Elite Executive Matchmaking
Full Name
Date of Birth
Gender Identity
Preferred Pronouns
Address
City/State/Zip
Phone Number
Email Address
Occupation
Industry/Field of Work
Job Title
Income Range (Optional)
Work Schedule
Full-timePart-timeFreelanceRetiredOther
Do you work remotely?
In-officeHybrid
What Kind of Partner are you looking for: Please write in as much detail as possible
What are your top Values?
Preferred Religion ?Preferred NationalityPreferred CulturePreferred Age Range?Would your partner having kids matter to you? Or please add more details if not.What kind of traits would you like your partner to have?What kind of traits would you like your partner NOT to have?
Sexual Orientation
What genders are you attracted to?
Do you have any specific preferences or considerations regarding attraction?
Highest Level of Education
Degrees Earned
Courses Completed
Workshops Attended
Conferences Attended
Self-Development Programs/Courses Taken
Do you have any business history? (Entrepreneurship, investments, etc.)
YesNo
What skill sets do you have? Eg. Tech, coding, people skills
What unique quirks or traits do you have? Remembering names, giggles a lot.
Do you identify as neurodivergent?
YesNoPrefer not to say
Do you have any chronic illnesses or medical conditions we should be aware of?
Have you experienced any major injuries that impact your lifestyle?
Have you ever suffered from any mental health issues (e.g., depression, anxiety, etc.)?
How many past relationships have you had in the past?
What was the longest relationship you've been in?
Have you been in love before?
What do you consider love to be?
What do you consider a healthy relationship?
How do you NOT want to live? (e.g., apartment, disagreements, silent treatment)
How DO you want to live? (e.g., on a farm, travelling, deep convos)
Have you been married before?
Do you have children?
Are your children comfortable with you dating?
YesNoUnsure
Do you want more children in the future?
YesNoMaybe
Do you get along with your family?
YesNoSometimes
Are your parents in your life?
If yes, do you get along with them?
Do you have siblings?
How important is physical intimacy in a relationship?
How do you define intimacy?
What are your views on PDA (Public Displays of Affection)?
What are your expectations regarding sexual compatibility?
Do you have any preferences or boundaries regarding sex that a partner should be aware of?
Are there any cultural or religious beliefs that influence your views on sex and intimacy?
How often do you ideally like to be intimate with your partner?
Have you ever explored alternative relationship structures (e.g., open relationships, polyamory)?
What are your top 3 values in a partner?
What are your deal-breakers in a relationship?
What are your hobbies and interests?
Do you have any religious or cultural preferences in a partner?
YesNo Preference
Smoking:
YesNoOccasionally
Drinking:
Exercise:
RegularlyOccasionallyRarely
Dietary Preferences
Preferred Age Range
Preferred Height Range
Preferred Ethnicity/Nationality (if any)
Must live within
Same citySame state/provinceOpen to long-distance
Do you prefer a partner with similar interests?
YesNoOpen
Are you open to being matched with someone who has different political or social views?
YesNoMaybe (depends on the extent of differences)
What is your love language? (Check all that apply)
Words of AffirmationActs of ServiceReceiving GiftsQuality TimePhysical Touch
What is your communication style in relationships?
Do you get upset or angry easily? If so – how do you express it?
Are you susceptible to being ‘turned off’ from the smallest of things?
Do you need alone time often or prefer to be around your partner often?
Are you Emotional?
What is your attachment style
Secure Attachment – Comfortable with intimacy and independence, able to build healthy, stable relationships.Anxious Attachment – Seeks constant reassurance and fears abandonment, often feeling insecure in relationships.Avoidant Attachment – Values independence over closeness, may struggle with emotional intimacy.Disorganized Attachment – A mix of anxious and avoidant traits, often resulting from past trauma or unpredictable caregiving.
Is there anything else you’d like us to know to help us find your ideal match?
Photo Submission: Please provide 2-3 recent photos of yourself (one headshot and one full-body image).
By signing below, you confirm that all information provided is accurate to the best of your knowledge. You also agree to our terms and conditions, including the confidentiality of the matchmaking process.
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