Match Assessment1

Join in a new, creative way to experience dating while honing the necessary skills it takes to make true love last. Matches are NOT guaranteed and please know this is a process that can take a lot of time, no different from if you were doing this on your own. See this as an additional set of eyes looking out for you periodically and once a match is found, helping to facilitate between you two.

IDEAL CANDIDATES

- Singles seeking SERIOUS long-term commitment/marriage (you're sure and ready to do the work on yourself as an individual & with your prospective partner!) Currently, I'm seeking to work with heterosexual singles.

- Willing to travel at their own expense

- Open to fun & creative experiences

- Accepts responsibility for their decisions. Apply with the understanding that you are still solely liable for your dating decisions and choices! It is always your responsibility to ensure your safety as you normally would if you did not have a personal matchmaker. As a matchmaker I make recommendations based on your criteria and my unique processes. Ultimately, you decide!

- Can make the time investment and commit to this process. If you're a workaholic you will need to come with your priorities in order, meaning you will make prioritizing this dating process and once you have your spouse, quality time a priority over your job! No one wants to be a 2nd option to anything in your life, so please don't waste anyone's time.

- Willing to be true to yourself & candid on camera if asked

- Consistent with communications

All information submitted is confidential and any information shared will be used in the capacity of rendering services and providing you ideal matches. Please understand this is a process that involves both of us learning your preferences, which may change as you start to date matches. Please also understand that every client is subject to a background check to ensure everyone's safety. It is a standard part of my HIS Matchmaking process to pre-screen and qualify each match I work with.

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Name *

First

Last

City & State *

Email *

Phone Number *

Zip Code *

Age *

Your Height *

Your Current weight *

Are you bi-sexual (date men and women)? *

Age Range You're Willing To Date (XX-XX) *

Yearly Salary Range *

Current Marital Status/Situation (If You Are Married or Living With Someone You Sleep With I'm Unable to Help You via This Offer): *

Did you graduate High School? *

What are your ideas/expectations of what a happy healthy marriage looks like? *

Provide Any Degrees You've Received After High School. *

Why Do You Want To Be In A Relationship/Get Married? *

Do you have time to commit to a relationship now? Does your current work/lifestyle allow for it? *

What Are the HARD Questions You'd Like To Have Answered Upfront Before Meeting Someone I'd Recommend? * *

Name of men/women you find attractive? Celebrities *

What Are Your Marriage & Relationship Goals? *

List Any Pets You Currently Have *

Provide Your Job Title & How Would You Describe What You Do To Someone? *

Do You Want Any More Kids? If So, How Many? *

Do You Own A Car? *

Do You Use Drugs? *

How Did You Learn About this opportunity? *

List Your Social Media Handles (Facebook, IG, LinkedIn, etc): *

What are your Deal Breakers? What will you not tolerate? Also, are you messy or organized? *

What do you really want out of your next relationship? What would you say is the biggest challenge in relationships? *

How did you first learn about sex? What are your beliefs surrounding sex? Are you comfortable discussing in a relationship? Are you willing to learn and teach others in this area? How important is sex? What degree are you willing to try new things? *

Have you been sexually active within the last year? When was your last STD test date? (Your information won't be shared, just ensuring matches are safe in this area & that matches are matched as best as possible. You are encouraged to share this information with your match when it's appropriate timing, we can discuss more on a call, as applicable) *

What are your views on money, sex, raising children with a partner not their biological parent, social life? What are your core values/beliefs? *

What patterns have you noticed in your romantic relationships? *

On a scale of 1-10 how comfortable are you with the word conflict? How Do You Handle Conflict typically? Share one particular bad argument and how you may not have handled it the best. Do you tend to avoid conflict or want to address it right then? *

Do you have a criminal record (misdemeanor and/or felonies)? If so please provide details. Every client is encouraged to do their homework to ensure safety as you normally would/should without the assistance of a matchmaker. You are ultimately still responsible for using common sense and ensuring your safety!) *

Are You Open To Long Distance Dating/Relationships? *

How many hours apart are you willing to travel/date long distance? *

How Long Have You Been Single? * *

Biggest Challenges you have faced or currently face in dating? *

Longest Relationship? Why do you feel it ended? & Why You Believe You Are Single Now? *

Are You Religious? If So, What Is Your Religion & Share Why It's Important To You. *

How have you been meeting new people/dates? *

Describe Your Ideal Spouse PHYSICALLY (i.e. slim/extra weight, light skin, dark skin, bald, facial hair/beard, height requirements). *

How soon are you available to start meeting new matches? *

List Your Goals for the Next 5-10 Years *

List Your Hobbies *

What was your childhood life like at home growing up? Big on family? Good and bad childhood experiences? *

How do you handle stress/anger (How do you react/behave)? *

Share A Little About Your Family (#of siblings, brothers/sisters, what would you say on a first date about your family?) *

Are you more of an indoorsy or outdoorsy person? Tv or get out the house? *

Do You Have Kids (if so tell me how many & their ages)? *

What childhood trauma/inner issues have you dealt with or still struggling with? *

How Many Drinks a Week (including beer/any alcohol) Is OKAY to have (for either of you)? *

Any medical/health matters you'd like to share you'd need your partner to be understanding of? Are there any medical concerns/matters you would not be willing to "marry" into? *

Do You Smoke? *

Would You Date A Smoker? *

What's Your Zodiac Sign? *

Would you say you are race conscious/aware? Do you take interest in being aware of issues in the Black community? *

Last 3 books or podcasts read/listened to? *

Who/What are your biggest influences? *

On a scale of 1-100 what's your current love account meter for being in a relationship and learning to love another person? What's your tolerance level for growing and learning with someone new? *

Do you struggle with vulnerability? Intimacy? *

Are you big on gender roles? *

Big on alone time? Or prefer doing most things together? *

Consent & Agreement *

I attest the information I've provided on this form is accurate and true. I also provide my full consent for any form of media I provide (written, image, voice or otherwise) to be used by Mel and affiliates for promotional purposes.

I agree to receiving marketing and promotional materials *

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