Client Questionnaire
To be completed at the time of the client interview
Date
*
-
Month
-
Day
Year
Matchmaker
Client Name
*
First Name
Last Name
Referred by
First Name
Last Name
Age
*
Gender
*
Male
Female
Marital Status
*
Married
Divorced
Single
Widowed
Is seeking
*
Male
Female
Is seeking age range of
*
What are some important qualities you seek in a mate?
*
Include age, personality traits, children, religion, income, and hobbies
Tell us something about you?
*
Personality traits, children, religion, income, and hobbies
Tell us about your last marriage/ relationship?
*
# of times married, length of last relationship, why did it end, still communicating
What are some of your challenging personality traits?
*
Traits your mate may think is difficult to handle
What are some things you would alter regarding your current situation?
*
Including children, job, education, car, family, residence, relationships
What are some things you are willing to compromise for the right person?
*
Height, education, appearance, income, children, religion
What are some of your hard stops?
*
Things you will not tolerate
Current photo
*
Submit
Should be Empty: