Online Questionnaire

With our discreet online questionnaire, you lay the foundation for a targeted and personal matchmaking process. It serves as preparation for your personal initial consultation. All information will be treated confidentially.

Please note: Completing the questionnaire is free of charge. Only the initial personal consultation costs €150, including VAT.

1Personal Information

2Life Situation & Lifestyle

3Desired Partner

4Self-Description & Contact Information

Name

First

Last

partner? Birth On

Date of Birth

Gender

Height in cm

Nationality

Language(s)

Adress

Address Line 1

City

State / Province / Region

Postal Code

Country