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PART ONE

NOTE:
I personally review all applications and matches, using my intuition as well, and work with clients to help them meet their needs.
 Lanie

At the end of the application you will have the option to choose one of the following plans:
  • The Basic Hearts Plan: $195 Per Year (That's equal to just $16 a month)
  • The Most Popular Meet the Matchmaker Plan: $278 Per Year (That's equal to just $23 a month)
  • Enhanced Hearts Plan: $495 Per Year (That's equal to just $41 a month)

    • Clients have asked for and are grateful for our one year program. It gives folks time to meet people and go slowly without pressure, as is healthy, and to get to meet lots of new matches as they come onboard for them. They report feeling more relaxed about the dating process, with time to learn and grow.
    After you become a member, so you can express yourself more fully, you will have the choice to answer several in-depth questions about yourself in order to help your matches get to know you better.

    Your profile will be seen only by the people you are matched with by the matchmaker. And if you have chosen to meet the matchmaker, the most popular plan, you will receive matches only after you have met with the matchmaker. That way you are sure to receive matches that are right for you.

    This part of the application tells us about you and your interests.
  • Any portion of the application you omit means you have no preference.
  • Please provide your full name for our records. If you wish to be identified by another name, enter it in parenthesis after your real name. For example if your real name is John Smith and you want to be identified as Jack, enter John Smith (Jack).


    • "Don't worry too much about the form. Don't take too long with it. I will go over it all with you when we meet and we will make lots of changes and all the necessary additions and clarifications to your profile so it really reflects you."     Lanie
    Full Name
    Address
     
    City
    State
    Postal Code
    Email
    It is crucial that your email address is correct
    Phone


    Contact: Choose one of the following ways for people to contact you.

    call onlyemail only call or write write c/o service

    Gender: Male Female

    Lifestyle: Heterosexual Gay Bi-sexual

    Race: White Black Hispanic Asian

    My Age:  Education:

    Beliefs:

    Christian (Catholic) Christian (other than Catholic) Jewish

    Metaphysical (Spiritual/other) Christian/Metaphysical

    Jewish/Metaphysical Hindu Islamic Non-Believer


    Practicing:

    yes  no

    Upbringing: Politics:

    Height:

    under 5.0 5.0-5.4 5.5-5.9 5.10-6.2 over 6.2

    Weight:  Body size:  Body Type:

    Health: excellent very good good fair


    Miscellaneous health: not applicable hiv herpes std

    Hair:  


    Distinctions:

    beard mustache bald  thinning tattoo(s) long hair

    Status:

    single (never married)  divorced widowed separated(living apart)

    Children: none   1    2    3    4    more than 4

    grown, at home (over 18)   on their own   with ex   joint

    Employment Status:  

    Income:

    Occupation:

    entrepreneur  professional  student  skilled  military


    Characteristics(left panel) & Interests (right panel): how would other people describe you. select five from each panel that best represent you.
    To make multiple selections, hold down the control (mac users use the apple key) key while selecting.

      

    Have Pets: cat(s)  dog(s)  horse(s)

    Drugs: cigs:  alcohol:

    Disabilities:

    legs arms sight  hearing  none cognitive para quad