SECTION K
> What qualities do look for in a mate?
> What are your strengths?
> What are your weaknesses?
> What is some of your own “baggage”?
> What are your deal breakers in a mate?
> Describe a perfect first date:
> Further details on any question(s) or those we didn't ask:
> What qualities are not appealing in a mate?
> What are your most admirable qualities?
SECTION I
> Organics
> Recycling
> Vaccines
How do you feel about:
> Global Warming
> Welfare
> Abortion
> If you're a crafter/artist, what do you like to do?
- PROFILE FORM -
* WYDS = Would You Date Somebody * Restrictions (in regards to dating)
Textbox: All textboxes scroll so enter as much info as needed.
If you're uncomforable with or choose not to answer some of the questions or requested information, just leave those parts blank. There will still be enough to establish compatability.
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ALWAYS SAVE THE PROFILE FORM BEFORE SUBMITTING IT!!! Just point to "File" at the top of the browser, then click "Save Page As" and choose where you want to save it (preferably on your desktop). Please note that this works on Firefox, however, it may be different on other browsers. I recommend testing it before you begin. You can also save it if you need more time to complete the form.
> Have you ever been abducted?
> Are you a morning or night person?
SECTION F
> Physical attributes you find attractive in a mate:
> Who do you live with?
> Country, State, City:
> Are you willing to relocate?
> Are you open to a long distance relationship?
> Zodiac Sign:
> Distance/location Restrictions:
- YENTA'S TERMS AND CONDITIONS -
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Rent-A-Yenta is not responsible or liable for any issues or consequences due to conversing, dating, engaging, interactions or involvement with matches provided by the service.
Rent-A-Yenta does not screen, do background checks or request medical records. Use of the service, sharing contact information, any arrangements, and all interaction and involvement is done at your own risk.
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Rent-A-Yenta has the right to refuse my application, and to drop me from the service with no refunds if I do not provide honest information on the Profile Form, or if for any reason my conduct is deemed vulgar or inappropriate.
Referrals are made based solely on the information provided in the Profile Forms. Rent-A-Yenta makes no promises or guarantees regarding referrals, nor is a match or long term relationship guaranteed in any way.
Rent-A-Yenta will not share, reveal or distribute any of the information on my Profile Form without my consent. However, once that information has been shared Rent-a Yenta is no longer responsible for it’s privacy.
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The photo I provide is current and I still look the same as I do in that photo.
By submitting the Profile Form below I commit to entering honest and accurate information, and understand that if I don’t, I diminish my chances of finding a true match. I am emotionally stable, do not engage in illicit behavior, immoral activities (including watching child pornography), am not violent or mentally/verbally/physically abusive, and do not have AIDS or other life-threatening transmittable diseases. I agree to accept all of Rent-A-Yenta’s "Terms And Conditions", including:
> Referred By:
> Link to a RECENT photo posted online (preferably on Facebook):
> Email:
> Facebook/Social Media Pg:
SECTION A
* Information in Section I is NOT shared with referrals.
> Home Phone:
> Name (Last):
> Have you ever been in an abusive relationship?
> If you have served time in prison, please elaborate?
> WYD somebody who's been in jail or prison?
> What type of relationship do you want?
> Are you prone to extreme jealousy?
> Your mate should be open to threesomes with:
> Are you comfortable with adult pornography?
> Are you typically more:
> Skills:
> Do you believe in Soul Mates/Twin Flames?
> Do you believe in Extraterrestrials?
> If you're interested in truth seeking, please elaborate:
> Trans:
> Do you have a history of cheating?
> Preferred:
Rent-A-Yenta respects all sexual orientations, gender identities, and lifestyles, be it heterosexual or LGBTQ+. So that we can provide a service that is open and welcoming to everybody, we ask that you be open on how you identify. To avoid using terminology or labels that could offend somebody, we've asked that you either choose from the options provided below, or define in your own words (other) how you identify with your gender and sexuality so we can make the best match.
> Cell Phone:
SECTION D
SECTION B
> # of children you have?
> # you want?
> Age:
> Ethnicity:
> WYDS who is raising children?
> Spiritual/religious orientation:
> Marital status:
> Languages:
> Age range for mate:
SECTION E
> Height:
> Describe your physical appearance:
> Weight:
> Physical attributes you find unattractive in a mate:
SECTION C
> WYDS who lives with their parents?
> Education:
> Do you support yourself?
> Jobs/Career:
> Income restrictions:
> Job/career restrictions:
> WYDS with a non-contractual disease?
> WYDS with special needs?
> Allergies:
> Do you have genital herpes?
> Dietary preferences/restrictions:
> Restrictions based on diet:
> Have you ever attempted suicide?
> WYD somebody who's attempted suicide?
> Do you smoke cigarettes?
> How often do you drink beer/wine/alcohol?
> How often do you smoke recreational marijuana?
> How often do you use narcotics?
> If you've ever suffered from addiction, please elaborate?
> Prescription drugs:
> How much is too often for your mate to smoke recreational marijuana?
> How much is too often for your mate to drink beer/wine/alcohol?
> WYDS who smokes cigarettes
> Health Issues:
> How much is too often for your mate to use narcotics?
> WYDS with genital herpes?
> Do you smoke medical marijuana?
> WYDS who smokes medical marijuana?
> Disabilities:
SECTION G
> Sports you like to watch?
> Are you athletic?
> Do you like to travel?
> Favorite cuisine/food:
> What is your ideal climate?
> Political orientation:
> WYDS who keeps guns in their home?
> Where do you want to visit next?
> Do you enjoy cooking:
> Enjoy being outdoors?
> Are you more:
> Other:
> Ethnicity restrictions:
> Spiritual/religious restrictions:
> Regarding pets:
> Political restrictions:
> Zodiac restrictions:
SECTION H
> Talents:
> Hobbies:
> Interests:
> Goals:
> Dreams:
> If you’re metaphysically gifted, please elaborate:
> What interests you most in the fields of metaphysics and/or new age phenomenon?
> If you identify as a Lightworker, Walk-In, Indigo, Starseed, LightWarrior, or other, please elaborate:
SECTION J
> What do you do to raise your vibration and stay balanced?
> If you're aware of your galactic identity and/or multi-dimensionality (including work you do), please elaborate:
> Do you connect with Spirit Guides/Guardians/Elementals/Angels?
> If you've had out-of-body experiences, please elaborate:
> Military:
> Volunteer/Humanitarian Work:
> Student:
> Name (First):
> Sexual/Gender Restrictions:
> WYDS who is Trans?
> Do you exercise?
> What level of physical exertion are you capable of?
> Sports you play?
> Do you like art?
> How much time you spend on the following forms of entertainment (specify daily/weekly/monthly/yearly):
> Favorite genres of music:
> What instruments do you play?:
Social media:
Watching sports:
Watching TV/Movies:
Gaming:
> Entertainment Restrictions:
Gambling:
Other:
- MOOD MUSIC PLAYLIST -
What are your top three:
> Describe your personality:
