Desi connect client form
Desi Connect
Internal information
First Name *
Last Name *
Email *
Phone *
Location
Country
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Cambodia
Cameroon
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Congo
Congo, The Democratic Republic of the
Costa Rica
Côte D'ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
Ecuador
Egypt
Equatorial Guinea
Estonia
Ethiopia
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Guinea
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea, Republic of
Kosovo
Kuwait
Laos
Latvia
Lebanon
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malaysia
Maldives
Mali
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nepal
Netherlands
New Zealand
Niger
Nigeria
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tanzania, United Republic of
Thailand
Togo
Tunisia
Turkey
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Venezuela, Bolivarian Republic of
Vietnam
Zambia
Zimbabwe
Sexual Orientation
----
Straight
Gay
Lesbian
Bisexual
Other
Basic Information
Gender
----
Female
Male
Non-binary
Prefer not to tsay
Do you prefer a quiet night in or going out/an activity?
What are your hobbies and interests? - text
Birthday (Age)
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Occupation
Height (ft & in)
3 '
4 '
5 '
6 '
7 '
0 "
1 "
2 "
3 "
4 "
5 "
6 "
7 "
8 "
9 "
10 "
11 "
Nationality
----
Gujerati
Punjabi
South Indian
Tamil
Other
Bengali
English
Faith/Religion
----
Buddhist
Christian
Hindu
Jain
Muslim
Non-religious
Sikh
Spiritual
Christianity
First language
Dietary requirements
Vegetarian
Non-Vegetarian
Vegan
Pescatarian
Gluten free
Halal
Kosher
Other
Cultural or religious background
Relationship Status
----
Never Married
Divorced
Separated
Widowed
Do you have any children
----
Yes
No
Are you open to dating someone with pets?
----
Yes
No
Undecided
Open to idea in the future
Would you be open to be matched with a client who has children
Yes
No
Undecided/open
No
Highest Education Level Completed
----
GCSE (or equivalent)
A-levels (or equivalent)
Vocational qualifications (Nvq’s/Btec) etc.
Higher education diploma/Foundational degree
Bachelors Degree BA/BSc etc.
Masters degree MA/MSc etc.
Doctorate (PhD)
None
Do you want children/more children?
----
Yes
No
Undecided/Open
Do you smoke?
----
Yes, socially
Yes, regularly
No
Do you drink alcohol?
----
Yes, socially
Yes, regularly
No
Your Lifestyle
If Other under Qualification please explain *
What is your typical daily routine?
Are you more introverted or extroverted?
----
Introverted
Extroverted
Ambiverted
Match Preferences
Preferred Gender
Female
Male
Non-binary
Prefer not to tsay
Preferred Age Range
to
Preferred Relationship Status
Never Married
Divorced
Separated
Widowed
Preferred Ethnicities
Gujerati
Punjabi
South Indian
Tamil
Other
Bengali
English
Preferred Faith/Religion
Buddhist
Christian
Hindu
Jain
Muslim
Non-religious
Sikh
Spiritual
Christianity
Preferred Education Level
GCSE (or equivalent)
A-levels (or equivalent)
Vocational qualifications (Nvq’s/Btec) etc.
Higher education diploma/Foundational degree
Bachelors Degree BA/BSc etc.
Masters degree MA/MSc etc.
Doctorate (PhD)
None
Preferred Height (ft & in)
----
3' 0"
3' 1"
3' 2"
3' 3"
3' 4"
3' 5"
3' 6"
3' 7"
3' 8"
3' 9"
3' 10"
3' 11"
4' 0"
4' 1"
4' 2"
4' 3"
4' 4"
4' 5"
4' 6"
4' 7"
4' 8"
4' 9"
4' 10"
4' 11"
5' 0"
5' 1"
5' 2"
5' 3"
5' 4"
5' 5"
5' 6"
5' 7"
5' 8"
5' 9"
5' 10"
5' 11"
6' 0"
6' 1"
6' 2"
6' 3"
6' 4"
6' 5"
6' 6"
6' 7"
6' 8"
6' 9"
6' 10"
6' 11"
7' 0"
7' 1"
7' 2"
7' 3"
7' 4"
7' 5"
7' 6"
7' 7"
7' 8"
7' 9"
7' 10"
7' 11"
to
----
3' 0"
3' 1"
3' 2"
3' 3"
3' 4"
3' 5"
3' 6"
3' 7"
3' 8"
3' 9"
3' 10"
3' 11"
4' 0"
4' 1"
4' 2"
4' 3"
4' 4"
4' 5"
4' 6"
4' 7"
4' 8"
4' 9"
4' 10"
4' 11"
5' 0"
5' 1"
5' 2"
5' 3"
5' 4"
5' 5"
5' 6"
5' 7"
5' 8"
5' 9"
5' 10"
5' 11"
6' 0"
6' 1"
6' 2"
6' 3"
6' 4"
6' 5"
6' 6"
6' 7"
6' 8"
6' 9"
6' 10"
6' 11"
7' 0"
7' 1"
7' 2"
7' 3"
7' 4"
7' 5"
7' 6"
7' 7"
7' 8"
7' 9"
7' 10"
7' 11"
Would you date someone who smokes?
Yes, socially
Yes, regularly
No
Would you date someone who drinks alcohol?
Yes, socially
Yes, regularly
No
Describe your ideal partner
Do you prefer a quiet night in or going out/an activity?
Definitely a quiet night in
Usually a quiet night in
I enjoy both equally
Usually going out/an activity
Definitely going out/an activity
What are your hobbies and interests?
Reading
Watching movies/TV shows
Hiking/Walking
Cooking/Baking
Gardening
Exercising/Fitness
Traveling
Playing video games
Spending time with family/friends
Listening to music
Playing a musical instrument
Painting/Drawing
Photography
Learning new skills/languages
Gaming (board games, card games)
How do you handle conflict in relationships?
----
I address conflict directly and assertively
I address conflict directly but gently
I tend to avoid conflict initially, but address it later
I prefer to avoid conflict altogether
I seek mediation or outside help with conflict resolution
What’s your greatest strength?
Empathy
Kindness
Sense of humor
Optimism
Loyalty
Honesty
Open-mindedness
Adventurous spirit
Curiosity
Positive outlook
Good listener
Appreciation for the little things
Genuine interest in others
Ability to make people feel comfortable
Down-to-earth nature
What’s your love language?
Words of Affirmation
Acts of Service
Receiving Gifts
Quality Time
Physical Touch
Preferred Location
----
Yes
No
Maybe
It depends
Open to it
Would you consider someone of a different religion to you?
----
Yes
No
Maybe
It depends
Open to it
Open to it depending on the person
It's not a dealbreaker
It's something I'd consider
Religion is important to me, so it depends
I'm open to discussing it
I prefer someone of the same religion
I prefer someone with similar beliefs
Would you want to be matched with someone who already has children?
Yes
No
What’s your Non- Negotiables in a relationship?
Respect
Honesty
Trust
Loyalty
Open communication
Kindness
Empathy
Respect for boundaries
Similar values
Shared interests
Compatible lifestyles
Good sense of humor
Emotional maturity
Intellectual connection
Ambition/Drive
Family values
Financial responsibility
Mutual respect (combining similar concepts)
Yes
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