Please fill in your personal information so that we can help you find your soul mate.
In this first section you are going to
describe yourself
. These answers will help us match you with someone who is compatible with your personality and your interests.
First Name:
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Last Name:
Email address:
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Username:
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Please enter between 4 and 15 characters
Password:
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Please enter between 4 and 15 characters
Confirm Password:
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Street Address:
City:
State/Province:
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Country:
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Zip/Postal Code:
Phone:
Fax:
Age:
Your Gender:
Please Choose...
Male
Female
*required
Height:
Please Choose...
4' 6" - (137cm)
4' 7" - (140cm)
4' 8" - (142cm)
4' 9" - (145cm)
4'10" - (147cm)
4'11" - (150cm)
5' 0" - (152cm)
5' 1" - (155cm)
5' 2" - (157cm)
5' 3" - (160cm)
5' 4" - (163cm)
5' 5" - (165cm)
5' 6" - (168cm)
5' 7" - (170cm)
5' 8" - (173cm)
5' 9" - (175cm)
5'10" - (178cm)
5'11" - (180cm)
6'00" - (183cm)
6' 1" - (185cm)
6' 2" - (188cm)
6' 3" - (191cm)
6' 4" - (193cm)
6' 5" - (196cm)
6' 6" - (198cm)
6' 7" - (201cm)
6' 8" - (203cm)
6' 9" - (206cm)
6'10" - (208cm)
Body Type:
Please Choose...
Slim
Fit
Muscular
Average
Few extra pounds
Queen or king sized
Prefer not to say
Eye Color:
Please Choose...
Blue
Brown
Green
Hazel
Other
Religious Background:
Please Choose...
Prefer Not To Say
Orthodox(Baal Teshuva)
Conservative
Conservadox
Hassidic
Modern Orthodox
Orthodox
Reconstructionist
Reform
Secular
Traditional
Another Stream
Unaffliated
Ethnicity:
Please Choose...
Ashkenazi
Mixed Ethnic
Sephardic
Other Ethnicity
I Go to Synagogue:
Please Choose...
Every shabbat
On high holidays
Never
Sometimes
On some shabbat
I Keep Kosher:
Please Choose...
At home only
To some degree
At home outside
Not at all
Education:
Please Choose...
High school
Some college
Associate Degree
Bachelor's
Master's
Doctorate
Job Title:
Smoking Habits:
Please Choose...
Do not smoke
Occasionally
Regularly
Trying to quit
Prefer not to say
Drinking Habits:
Please Choose...
Non-drinker
Socially
Often
Prefer not to say
Would your friends consider you an outgoing person?
Yes
No
Would your friends consider you a spontaneous person?
Yes
No
Do you consider yourself athletic?
Yes
No
Do you like sporting events?
Yes
No
Do you like to go to clubs and dancing?
Yes
No
Do you like to go to the movies?
Yes
No
Do you enjoy a quiet evening at home?
Yes
No
Do you enjoy outdoor activities?
Yes
No
Tell us about you. Your likes and dislikes, your hobbies and activities.
"More people may be finding their mates online these days, but most remain skeptical about technology-assisted romance."
Online Dating Magazine
February 7, 2005
Platinum's unique counselor-client relationship ensures that a human is providing your introductions, not a computer!
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