New - Traci Porterfield presents Love by Design

Candidate Questionnaire

Name

First Name

Last Name

Email

example@example.com

Phone Number

Please enter a valid phone number

Birthday

Date

What is the best method to contact you

Where do you live? City & State

Gender*

Male Female

Are you currently single?

Have you been married?

If yes, for how long?

Do you have children?*

If yes, how many and what ages are they?

Do you want children?

Is your decision regarding children firm or flexible for the right partner?

Would you welcome a partner’s children?

When was your last relationship, how long did it last and why did it end?

What age range do you prefer to date?

Minimum

Maximum

What are you looking for in a soulmate?

Is race or religion an important factor in who you will date?

What is your education level?

Do you drink alcohol?

If yes, how much?

Are you 420 friendly?

If yes, how much?

Recreational drugs?

Any additional comments regarding recreational drugs.

What color are your eyes?

How tall are you?

What is your hair color?

What is your approximate weight?

What are your political viewpoints?

What makes you unique?

What are you most proud of in your life?

What is your occupation? Tell me about what you do.

What is your idea of perfect happiness?

What does a typical weekend look like for you (include hobbies)?

Where did you grow up and what did most enjoy about that area?

How would your friends and/or family describe you?

Have you ever worked with a matchmaker/dating agency before?

If yes, please describe your experience.

What has your experience been with online dating?

On a scale of 1 – 10, how ready are you to begin a search for love? (With 1 being not at all, and 10 being ready right NOW!)

Create your own Mini Bio! How would you best describe yourself in 3 sentences? Note: This portion may be shared with potential matches.

How did you hear about LOVE by Design?

Feel free to add your social profiles below if you’d like.

Facebook

Instagram

Please upload your photo or take a selfie (You can send up to 5 pictures)

Drop files here or Click to select file.

This questionnaire is considered complete after sending 3 or more recent (within last 6 months - 1 year) photos, including full body and head shots. If needed they can be emailed to Traci at traci@mylovebydesign.com.

If the Submit button doesn't work, please look above and complete the required fields noted with a red asterisk.

We do not sell or share any information provided.

Thank You
Traci Porterfield