PhotoUpload First Name* Last Name* E-mail* Phone* Required phone number format: (###) ###-#### Password* Minimum length of 8 characters. The password must have a minimum strength of WeakStrength indicator Repeat Password* City* State* Select StateAKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUMUTVAVIVTWAWIWVWY Country* Select a CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe I am a* SelectManWoman I'm interested in meeting..* SelectMenWomen Date of Birth* How did you hear about us? On a scale of 1 to 10, how ready are you for a serious relationship About Me (Provide a short bio about you)* Friends would describe me as* Activities I enjoy* Where did you grow up?* Ethnicity* Select EthnicityWhite/CaucasianAsianMiddle EasternPacific IslanderBlack/African-AmericanHispanic/LatinoSouth AsianNative-AmericanMulti-EthnicOther What religion do you practice?* Select ReligionAgnosticAtheistBuddhistChristian - CatholicChristian - Eastern OrthodoxChristian - Greek OrthodoxChristian - ProtestantChristian - OtherHinduSikhJainJewishMuslimMormon (LDS)Spiritual - Not religiousOther How important is religion in your life?* SelectVery ImportantSomewhat ImportantA Little ImportantNot Important at All Height* Select Height4’ 0”4’ 1”4’ 2”4’ 3”4’ 4”4’ 5”4’ 6”4’ 7”4’ 8”4’ 9”4’ 10”4’ 11”5’ 0”5’ 1”5’ 2”5’ 3”5’ 4”5’ 5”5’ 6”5’ 7”5’ 8”5’ 9”5’ 10”5’ 11”6’ 0”6’ 1”6’ 2”6’ 3”6’ 4”6’ 5”6’ 6”6’ 7”6’ 8”6’ 9”6’ 10”6’ 11”7’ 0”7’ 1”7’ 2”7’ 3”7’ 4”7’ 5”7’ 6”7’ 7”7’ 8”7’ 9”7’ 10”7’ 11” Body Type* Select Body TypeSlenderAverageAthleticA little extraCurvyVoluptuous Graduated From* Select EducationHigh SchoolSome CollegeTwo-year CollegeUniversityMasters ProgramLaw SchoolMedical SchoolPh. D. Program Undergraduate School Major In Graduate School Major In Occupation* Annual Income* Select IncomeLess than $75k$75k to $100k$100k to $150k$150k to $200k$200k to $250k$250k to $500k$500k to $1M$1M to $3MMore than $3M Marital Status* Select Marital StatusDivorcedSeparatedWidowedNever Married Do you have children?* SelectYesNo If you have children, do they live with you?* SelectYes - living at home full-timeYes - living at home part-timeNo Do you want to have children?* SelectYesMaybe - depends on circumstancesNoAlready had them Are you a pet owner? If so, what do you have?* How do you align politically?* SelectI lean to the leftI lean to the rightI’m in the middle How important is political compatibility to you?* SelectExtremely ImportantA Little ImportantNot Important at All Drinking Habits* SelectSociallyNeverOften Dietary Preferences SelectI’m a veganI’m a vegetarianI’m pescatarianI eat most meatsNo restrictions Do you smoke?* SelectYesNoSociallyTrying to quit Exercise Habits SelectI exercise regularlyI don’t exercise regularly but have an active jobI exercise sometimesI exercise rarelyI never exercise Tell us about your last relationship How are you currently dating and meeting new people? Tell us about your family What is your relationship like with your family? Are you close? Match Age Range - From* Select From18192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081+ Match Age Rage - To* Select To18192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081+ What ethnicities are you open to dating?White/CaucasianAsianMiddle EasternPacific IslanderBlack/African-AmericanHispanic/LatinoSouth AsianNative-AmericanMulti-EthnicOther What religious backgrounds are you open to dating?AgnosticAtheistBuddhistChristian - CatholicChristian - Eastern OrthodoxChristian - Greek OrthodoxChristian - ProtestantChristian - OtherHinduSikhJainJewishMuslimMormon (LDS)Spiritual - Not religiousOther Describe what you are looking for in a potential match* What are you physically attracted to?* Match Education LevelHigh SchoolSome CollegeTwo-year CollegeUniversityMasters ProgramLaw SchoolMedical SchoolPh. D. Program Preferred political affiliation of my matchLeft LeaningRight LeaningCentrist Would you date someone with children?* SelectYesNoMaybe Are you Willing to Travel? How Far?* Match Dealbreakers* Is there anything that we've not asked you think we should know?