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SoulMelt Registration
How would you like to join SoulMelt?
*
Please select the option that best describes your interest
Join Our Private Singles Network (Free)
I'd
like to be considered for potential introductions. Matches are subject to compatibility and availability and are not guaranteed
Explore Our Personalized Matchmaking Service (Paid)
I'm interested in learning about SoulMelt's personalized matchmaking packages
First Name
*
Last Name
*
Occupation (Please briefly describe your work)
*
Gender
*
A
Female
B
Male
Height
(Optional)
*
Phone number
*
Email
*
Current City/Country
*
Place of Birth
*
Date of Birth
(Used to calculate your age and birth chart)
*
Time of Birth (Used for exact birth chart & compatibility analysis)
Untitled checkboxes field
I don't know my exact birth time
What is your religion or spiritual affiliation?
*
Current Annual Income
A
Under CAD 50,000
B
CAD 50,000-99,999
C
CAD 100,000-149,000
D
CAD 150,000-199,999
E
CAD 200,000-299,999
F
CAD 300,000+
Looking for
*
A
Female
B
Male
Relationship Status
*
A
Single
B
Divorced
C
Widowed
D
Separated
E
Single Parent
Relationship Goals
*
A
Serious Relationship / Long-term
B
Marriage-minded
C
Casual Dating / Exploring
D
Life Partner / Companion
Do you have children?
*
A
No
B
Yes
What are your preferences regarding having children in the future?
*
A
Definitely want children
B
Open to having children
C
Unsure
D
Do not want children
What are you looking for in a partner?
*
Please briefly describe the qualities that are most important to you in a potential partner
Do you smoke cigarettes, vape, or use cannabis?
*
A
Cigarettes
B
Vaping
C
Cannabis
D
None of the above
Interests & Hobbies
*
A
Cooking & Baking
B
Sports & Fitness
C
Travelling
D
Music & Arts
E
Other (Please specify)
MBTI Type
How did you hear about SoulMelt?
*
A
Friend or Family / Referral
B
Instagram
C
Facebook
D
Event
E
Google
F
Other
Who referred you to SoulMelt? (Optional)
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