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Get to know your

BIRTH DATE MATCHES

Clients and non-clients alike are welcome to use our

questionnaire to get better acquainted with their new love interests.

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If you are a client, by now you have received your recommended Birth Date Matches. You've probably also begun connecting with singles born on these dates.

Prior to beginning a relationship with someone born on one of these dates, consider using our Compatibility Questionnaire to learn more about each other.

A number of the questions probe deeply into people's personalities. So proceed at a pace that is comfortable for the two of you and only discuss as many of them as you like.

Relationships & Children

What is your relationship status?

Single / never been married.

Divorced once but now single.

Two or more divorces but now single.

Attached but looking for a better match.

Married / Separated / Widowed / Other

If you are divorced, how much time do

you spend communicating with or

involved with your ex(es).

How long was your longest

romantic relationship?

How about your second and third

longest relationships?

Do you have children and if so,

how old are they?

If you do have children,

are they all with the same partner?

In addition to any children you might

already have, how many more would

you like to have?

Health - Nutrition - Other

How tall are you and how much

do you weigh?

What is your body type?

skinny - lean with muscle -

fat with muscle - slightly overweight

overweight - obese

How is your physical / mental health?

Have you ever been diagnosed

with a mental illness?

Do you have tattoos and/

or piercings?

Do you follow a special diet? If

so, how important is it that your

partner follow the same diet?

Do you take any prescription drugs?

If so, what do you take them for?

How physically active are you?

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lndulgences

Which of these have you used in

the past 12 months?

Cannabis Cocaine Opiates Amphetamines

Methamphetamine Ecstasy Psychedelics

Tranquilizers Solvents None Other

If you are a smoker or vaper, what do you

smoke or vape and how often?

If you drink alcohol, how many drinks

per day on average?

In the past 12 months, how many times

have you gambled? If you have, how

much have you won and how much

have you lost?

Outside of work hours, how many hours

per day do you spend gaming?

Outside of work hours, how many hours

per day do you spend on social media?

Do you have any other

favorite indulgences?

Behind Closed Doors

How would you describe yourself?

Heterosexual & Monogamous

Heterosexual & Polyamorous

Bisexual & Monogamous

Bisexual & Polyamorous

Gay & Monogamous

Gay & Polyamorous

Asexual but I will accommodate my partner

Asexual & Celibate Celibate Other

How open minded are your sexually?

I'm sexually conservative

Middle of the Road

Very open to new & exciting ideas!

On average, when you are in a committed

relationship, what is your preferred

number of intimate encounters

per month with your partner?

While in a committed, monogamous

relationship, have you ever cheated?

To what extent do you agree with

the following statement?

"If I am in a monogamous relationship, I will

end my relationship with my partner BEFORE

I become emotionally and/or romantically

involved with another person."

In the future, if you lost interest in having a

physical relationship with your partner,

which of these would apply?

If they cheat and I find out, our relationship is over.

If they are out of town, they can do as they please.

They can get themselves a love doll.

If they cheat on me, I'll probably forgive them.

They can "sleep" with someone else but they

need to tell me about it first.

They can "sleep" with someone else but they

should keep it to themselves. The less I know

about it, the better.

Education

What are your academic achievements?

Some high school / GED / High school diploma

Tech school / Trade school / Associates degree

Bachelor of Arts Bachelor of Science

Honors degree Master's degree

PhD MD Other

The School of Hard Knocks

Employment

If you work for a living, what do you do?

If you work, considering all aspects, how

happy are you in your chosen field?

I love my work

I like my work

Above average

Average

Below average

Not very happy

Unhappy

Suppose that you are currently employed

and one day you win $20 million.

Would you keep working in your field?

Would you retire?

Would you pursue other interests?

Personal Finance

Do you earn more than you spend or

do you spend more than you earn? In

all honesty, how much stress do your

spending habits cause you?

None A little A lot

How important is it to you to project a

successful image to others or for you to

live at a certain level that results in you

regularly spending more than you earn?

In other words, are you broke or in

debt because you feel like you

deserve the "good life"?

If you are separated or divorced,

do you pay alimony and / or

child support?

What is your credit score?

How much college or university

debt do you have, if any?

What is your total annual income

from all sources?

What is your net worth?

Add together the value of your assets

and subtract the value of your liabilities.

What is the difference? Find out how

you compare here:

https://www.nerdwallet.com/article/finance/average-net-worth-by-age

Politics - Religion - Media

What best describes your political affiliation?

Far Left / Left / Center / Right / Far Right

Apolitical

How important is it that your partner

shares your political affiliation?

Un- Somewhat Very

Important Important Important

If you pay attention to media,

what are your favorite outlets?

Mainstream Media

Alternative Media

Other

How religious are you?

Non Somewhat Very

If you are religious, which

religion do you practice?

Is it important that your partner share

your religious beliefs or non-belief?

No Somewhat Yes

Sports - Activities - Hobbies

Which spectator sports - if any - do

you like watching or listening to?

On average, how many hours per day

are you engaged with spectator sports,

either at live events or on devices?

Which physical activities - if any -

do you enjoy?

Do you have any hobbies and if

so, what are they?

If you listen to music,

what are your favorite genres?

If you reach a point in life where you are

no longer forced to get up at a certain

time, what time would you get out of bed?

If you work, apart from weekends,

how much vacation time do you get

and how do you like to spend that time?

The Law & Your Secrets

How many times have you committed a crime

more serious than a minor traffic infraction?

How many times have you been charged

with a crime more serious than a minor

traffic infraction?

How many times have you been

convicted of a crime more serious

than a minor traffic infraction?

How many times have you

been incarcerated?

How much time have you

spent incarcerated?

Have you ever been involved in

a civil trial? If you were, what

was the outcome?

Have you ever been physically

violent with your partner?

If we end up in a relationship with each

other, what secret(s), if any, would I end up

learning about you that would disappoint me?

Do you have any past relationship(s) that

you still secretly hang on to?

A secret obsession? Someone who

you really wish you were with?

Home

Where did you live between the time

you were born and age 18? In just

one location or in multiple places?

What is the name of the city closest to

your current home and how far

do you live from the CBD?

What is your ideal living environment?

Country living Small town

Small city Large city

Do you own your own home?

If so, what kind?

Condo / Tiny Home / Houseboat / House

Mansion / Trailer / Other

Would you be willing to move away from

where you live to pursue a relationship?

If so, how far would you move?

How clean and tidy should your

partner be?

Below average Average

Above average Very clean & tidy

If you lived alone, how much clutter

would you have in your home?

Lots Average Clutter-free

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Pets

Do you like owning

and caring for pets?

I choose a life without pets.

I can take them or leave them.

I like them if someone else cares for them.

I like pets but they interfere with my lifestyle.

I like pets and I like caring for them.

My pets are a big priority in my life.

I like my pets more than I like most people.

The Inner You

When you were a child, how loving or unloving

was your relationship with each of your parents?

What is your love language?

Copy and paste this link into your

browser and take the quiz:

https://5lovelanguages.com/quizzes/love-language

How empathic are you?

Copy and paste this link into your

browser and take the quiz.

https://greatergood.berkeley.edu/quizzes/take_%E2%80%8Bquiz/empathy

On average, do you like to...

Be in Charge

Supportive Role

Follower

How ambitious are you?

Unambitious

Average

Very Ambitious

If we asked your closest friends and

relatives how confident and positive

you are, how would they respond?

If we asked your closest friends and

relatives how trustworthy and reliable

you are, how would they respond?

Is there any behavior that you refuse

to tolerate in your friends, relatives

and partners? In other words, do

you set boundaries with others?

Or do you let them get away

with treating you unfairly?

If we asked the person who spends the

most time with you how often you have

angry outbursts, how would they respond?

If you don't have angry outbursts, how do

you deal with certain difficult situations?

Internalize Ignore & walk away Other

On average, how sociable are you

outside of work?

Loner Average Very sociable

If we asked those closest to you how

generous you are with your time, money

and possessions, how would they respond?

How often do you put other people's

needs ahead of your own?

Never Sometimes Always

If we asked those closest to you

how agreeable you are, how

would they respond?

How happy, content and

fulfilled are you?

What are two or three things about you

that would make a new partner

feel even closer to you?

How'd it go?

Email us at mark@birthdatematch.com and let us know.

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NEW CLIENT APPLICATION

I Optional

In a word document, fill up to one page with absolutely anything you'd like to say that would give your potential partner more insight into your inner workings. When you're both finished, you might want to share your documents with each other. Here are some topics that might get your creative juices flowing!

1. Your personal philosophy.

2. Lessons you've learned that have impacted your life.

3. A story or stories about parts of your life that left a huge impact on you, either a positive one or a negative one.

4. Your inner most fears, dreams, hopes and ambitions.

5. Things you really detest about humanity and other people and things that you absolutely love about them.

6. How you view relationship commitment. Are you truly looking for a long-term life partner or would you prefer something more casual.

7. How loyal are you? How honest are you? How reliable and disciplined are you?

7. A recounting of your home life as a youngster and how that has influenced you as an adult.

8. What you would love to achieve with your life. Or are you more evolved and find most human pursuits to be low vibration activities?

9. Which people who have lived or who are alive do you emulate? Do you have any heroes?

10. If you had to rate the top five or ten traits in a long-term partner, what would they be? Is faithfulness important? How about a cheerful nature?