Email * First Name * Last Name * Gender * --Select-- Man Woman Non-binary Photo Allowed file-types are gif, jpg, jpeg, pjpeg, png, jfif The maximum file size limit is 20 MB Date of Birth Mobile Phone # About Me (Who I am) City Occupation Zip/Postal Code County How did you hear about us? --Select-- Google Friend/Colleague LinkedIn Instagram DatehimATX/Facebook EVENT referral Extra Photo #1 Extra Photo #2 Undergraduate School Education Level --Select-- High School Some College Associates Degree Bachelor's Degree Graduate Degree PhD & Above Masters Degree Professional Qualification Diploma Advanced Diploma Polytechnic Junior College & Below A Levels & Below Major In Graduate School Graduate School Degree Received Do you have children? --Select-- Yes - living at home full-time Yes - living at home part-time Yes - they are adults No Yes Add Children Age Industry Ethnicity --Select-- Caucasian African-American Hispanic/Latino Asian Middle Eastern Asian Indian Native American Multi-Ethnic Other Black Chinese Pacific Islander Malay Eurasian East Indian African Religion --Select-- All Agnostic Atheist Buddhist Christian (Catholic) Christian (Protestant) Christian (Other) Hindu Muslim Jewish Pagan & Earth-Based Scientology Taoist Unitarian Universalist Spiritual, not religious Other Free Thinker LDS Sikh Allergic To Hobbies Enter any dietary restrictions you have Favorite Food --Select-- All Kinds Asian Buffet Chinese Desserts Dim Sum English European Fast Food French Fusion Gourmet Food Healthy Eating Home-Cooked Food Indian Indonesian Italian Japanese Korean Local Cuisines Malay Meat Lover Mediterranean Mexican Food Muslim Cusine Non-Spicy Food Others Pastry Peranankan Seafood South American Spanish Spicy Cuisines Steaks (western) Thai Turkish Vegetarian Vietnamese Western Politically you are? --Select-- Conservative Liberal Moderate Other Eye Color --Select-- Brown Blue Green Hazel Black Grey Body Type --Select-- Slender Athletic Average A few extra pounds Large Petite Fit Curvy Height --Select-- Less than 5'ft (Less then 152cm) 5'ft (152-154cm) 5'1"ft (155-156cm) 5'2"ft (157-159cm) 5'3"ft (160-162cm) 5'4"ft (163-164cm) 5'5"ft (165-167cm) 5'6"ft (168-169cm) 5'7"ft (170-172cm) 5'8"ft (173-174cm) 5'9"ft (175-177cm) 5'10"ft (178-179cm) 5'11"ft (180-182cm) 6'ft (183-184cm) 6'1"ft (185-187cm) 6'2"ft (188-190cm) 6'3"ft (191-192cm) 6'4"ft (193-195cm) 6'5"ft (196-197cm) 6'6"ft (198-200cm) 6'7"ft (201-202cm) 6'8"ft (203-205cm) 6'9"ft (206-207cm) 6'10"ft (208-210cm) 6'11"ft (211-212cm) 7'ft (213cm) More than 7'ft (More then 213cm) Weight --Select-- Less than 90lb (Less than 41kg) 90-96lb (41-43kg) 97-102lb (44-46kg) 103-109lb (47-49kg) 110-115lb (50-52kg) 116-122lb (53-55kg) 123-129lb (56-58kg) 130-135lb (59-61kg) 136-142lb (62-64kg) 143-148lb (65-67kg) 149-155lb (68-70kg) 156-162lb (71-73kg) 163-168lb (74-76kg) 169-175lb (77-79kg) 176-181lb (80-82kg) 182-188lb (83-85kg) 189-195lb (86-88kg) 196-201lb (89-91kg) 202-208lb (92-94kg) 209-215lb (95-97kg) 216-221lb (98-100kg) 222-228lb (101-103kg) 229-234lb (104-106kg) 235-241lb (107-109kg) 242-248lb (110-112kg) 249-254lb (113-115kg) 255-261lb (116-118kg) More than 262lb (More than 119kg) Annual Income --Select-- Less than $50,000 $50,001 to $75,000 $75,001 to $100,000 $100,001 to $150,000 $150,001 to $200,000 $200,001 to $250,000 $100,001 to $250,000 $250,001 to $500,000 $500,001 to $1M $1M to $3M More than $3M More than $5M More than $10M More than $15M More than $20M Smoking Habits --Select-- No Light / Social Yes Drinking Habits --Select-- No Light / Social Yes Exercise Habits --Select-- Never or very infrequent Once every 3 months Once a month A few times a month A few times a week Every day Languages Spoken (fluent) Name three of your favorite travel destinations Name three destinations you'd like to travel to What city and state did you grow up in?This field cannot be empty Is family important to you? How often do you speak with them? What is your ethnic origin? What generation? Do you want to have children? --Select-- Yes, I definitely want to have Maybe, I am not sure I definitely DO NOT want to have kids Relationship Expectations Marital Status --Select-- Divorced Separated Widowed Still Married Never Married Single It's Complicated No. of children Any serious medical conditions? --Select-- No Yes Been a patient at mental health facility? --Select-- No Yes Been convicted for crime? --Select-- No Yes Interested in Dating Man Woman Non-binary Open Match Age Range from --Select-- 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Match Age Range to --Select-- 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Match Age Flexibility --Select-- Not Flexible Moderately Flexible Extremely Flexible Match Religion --Select-- All Agnostic Atheist Buddhist Christian (Catholic) Christian (Protestant) Christian (Other) Hindu Muslim Jewish Pagan & Earth-Based Scientology Taoist Unitarian Universalist Spiritual, not religious Other Free Thinker LDS Sikh Match Religion Flexibility --Select-- Not Flexible Moderately Flexible Extremely Flexible Match Ethnicity --Select-- All Caucasian African-American Hispanic/Latino Asian Middle Eastern Asian Indian Native American Multi-Ethnic Other Black Chinese Pacific Islander Malay Eurasian East Indian African Match Ethnicity Flexibility --Select-- Not Flexible Moderately Flexible Extremely Flexible Match Wants to have children? --Select-- Yes, I definitely want to have Maybe, I am not sure I definitely DO NOT want to have kids Match Qualities Match Dealbreakers Distance Willing to Travel What are your personal goals in five to ten years?This field cannot be empty Can you pass a drug test? If not, why?This field cannot be empty What other cities have you lived in as an adult?This field cannot be empty Are you okay with someone who hunts or is a gun owner?This field cannot be empty What ethnicities are you open to dating?This field cannot be empty Do you have any tattoos? If so, where? Are they visible?This field cannot be empty Do you have any piercings? If so, where?This field cannot be empty Do you currently own any pets? If so, please list all pets you own.This field cannot be empty If you are religious, please describe how you practice your faith.This field cannot be empty Please add any comments about political ideologies or preferences in a match.This field cannot be empty Describe your longest relationship Past Relationship Comments If divorced, list any geographic restrictions you have due to divorce Match Education Level --Select-- High School Some College Associates Degree Bachelor's Degree Graduate Degree PhD & Above Masters Degree Professional Qualification Diploma Advanced Diploma Polytechnic Junior College & Below A Levels & Below Match Married Before Flexibility --Select-- Not Flexible Moderately Flexible Extremely Flexible First Preference Second Preference Flexibility Match Religion --Select-- All Agnostic Atheist Buddhist Christian (Catholic) Christian (Protestant) Christian (Other) Hindu Muslim Jewish Pagan & Earth-Based Scientology Taoist Unitarian Universalist Spiritual, not religious Other Free Thinker LDS Sikh --Select-- All Agnostic Atheist Buddhist Christian (Catholic) Christian (Protestant) Christian (Other) Hindu Muslim Jewish Pagan & Earth-Based Scientology Taoist Unitarian Universalist Spiritual, not religious Other Free Thinker LDS Sikh --Select-- Not Flexible Moderately Flexible Extremely Flexible First Preference Second Preference Flexibility Match Ethnicity --Select-- All Caucasian African-American Hispanic/Latino Asian Middle Eastern Asian Indian Native American Multi-Ethnic Other Black Chinese Pacific Islander Malay Eurasian East Indian African --Select-- All Caucasian African-American Hispanic/Latino Asian Middle Eastern Asian Indian Native American Multi-Ethnic Other Black Chinese Pacific Islander Malay Eurasian East Indian African --Select-- Not Flexible Moderately Flexible Extremely Flexible Additional HobbiesThis field cannot be empty Do you like to watch sports? if so what are your favorite teams?This field cannot be empty what makes you a good partner?This field cannot be empty If you have tattoos or piercings, are they visible while wearing business casual attire?This field cannot be empty How long have you been single?If divorced, list how long you have been divorced.This field cannot be empty