Confidential Questionnaire

INFORMATION ABOUT YOURSELF:

All information provided is confidential and will be used strictly for the purpose of determining mutual compatibility with Valenti Matchmaking. There is no obligation required upon submitting this form. The information you share will help us to get to know you and enable us to provide specific feedback as well as answer any questions you have about the Matchmaking process. You are not automatically subscribed to our mailing list unless you specifically select the option to Sign Up below.

Yes! I would like to receive updates and information from Valenti Matchmaking. I understand that I may unsubscribe anytime I choose.

First Name *

Last Name *

Email *

Phone *

Preferred Method of Contact *

Marital Status *

Date of Birth *

DD/MM/YYYY

Occupation *

Height, Weight

Annual Income *

Primary Address

City, State, Zip

Country *

How Did You Hear About Valenti International Matchmaking?

How Ready Are You to Begin the Matchmaking Process?

Notes

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INFORMATION ABOUT THE COMPANION YOU SEEK:

The Valenti Matchmaking process is a highly refined, personalized process. The following information regarding the person you would like to meet is for discussion purposes and will help us understand your goals and assist us in providing better feedback.

Age Range

Annual Income

Approximate Height/Weight

I am a

Male
Female

Seeking a

Male
Female

Is there anything else you would like us to know or specific questions you would like to focus on so that we may provide you with the best feedback?

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