Future Husband Application Form
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Current Photo
Browse Files
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Choose a file
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Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Do you have any kids?
Yes
No
If yes, how many?
Do you want kids/more kids?
Yes
No
Have you ever been married?
*
No
Yes - 5-10 years
Yes - 0-5 years
Yes - 10+ years
Physical Health 🏋️♀️
How often do you drink? Be honest.
A beer once a day
Socially
Very rarely
Closet or known drunk
Do you Smoke Cigarettes?
Yes
No
How often do you workout?
Everyday
A few times per week
On occasion
Never
What is your favorite food and favorite desert?
*
How would you describe your overall approach to maintaining physical health?
*
Mental Health 🤦♂️
How do you resolve conflicts in a relationship?
*
How do you express your needs and expectations?
*
How do you typically cope with stress or difficult situations?
*
How do you support your mental well-being on a daily basis?
*
What does commitment mean to you in the context of a romantic relationship?
*
What are your thoughts on personal growth and continuous self-improvement?
*
Financial Health 💰
Job Info
*
LinkedIn
Job Title
Credit Score
How much debt do you have?
*
$0-$10k
$10k-$25k
$25k+
Who pays for dates?
*
Man
Woman
Split
What are your financial goals?
*
Joint bank account or separate?
*
Joint - We are a team :)
Separate - We split it all and pay for what we want on our own
Relationship Info 💏
Have you ever cheated?
Never
Only once
Occasionally
I prefer open relationships
What is your love language?
*
What gestures or actions make you feel the most loved?
*
How do you typically express love and affection to your partner, friends or family members?
*
What does commitment mean to you, and how do you express it in a relationship?
*
What is your communication/texting style with your partner?
*
What is your religion?
*
Additional Information
References
Women who can vouch for you
First Reference
*
Name
Email
Phone Number
How do you know this person?
Second Reference
*
Name
Email
Phone Number
How do you know this person?
Please give 3 dates and times you are available for a quick phone call:
*
Submit
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