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Intake form
Help us serve you better, Tell us about yourself
Name
*
Email address
*
Phone (optional)
Gender
*
Select
Male
Female
Date of birth
Current City, State & Country
Country of Origin (Your or Your Family’s Background)
*
How would you like your profile to be shown?
*
Select one privacy option
Public searchable profile + photo — I authorize Zawaj Match to display an approved non-sensitive profile and my approved photo publicly. My full name, phone number, email address, exact address, and other identifying details remain hidden.
Anonymous searchable profile — I authorize an approved non-identifying profile to appear in search results without my real photo, full name, contact information, or exact address. Use a neutral silhouette.
Private matchmaking only — Do not display my profile or photo publicly. My information may be reviewed only for private matchmaking.
Ethnic or Cultural Background
*
Please select at least one option.
White
Black
Hispanic
Asian
Lebanese
Syrian
Palestinian
Egyptian
Iraqi
Jordanian
Yemeni
Pakistan
Bangladesh
Iran
Chaldean
Assyrian
Other Middle Eastern
Prefer not to say
Other
Religion (optional)
Select
Islam sunni
Islam Shia
Christianity
Catholic
Protestants
Orthodox
Judaism
Hinduism
Buddhism
Prefer not to say
Marital status
Select
Single
Divorced
Widowed
Separated
Do you have children?
Select
Yes
No
Expecting
Profession
Education
Select
High School
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate
Lifestyle
Please select at least one option.
Health-conscious
Active lifestyle
Homebody
Social
Career-focused
Family-oriented
What are you looking for in a match?
Please select at least one option.
Preferred age
Same ethnicity
Same religion
Openness to children
Shared values
Location preference
What are some red flags you want to avoid?
Please select at least one option.
Substance abuse
Lack of ambition
Dishonesty
Different values
Poor communication
Additional questions or comments
What is your preferred age range?
Select
18-25
26-30
31-35
36-40
41-45
46-50
51+
What is your preferred height range?
Select
Under 5'0"
5'0" - 5'4"
5'5" - 5'9"
5'10" - 6'0"
Over 6'0"
What languages do you speak?
Please select at least one option.
English
Arabic
French
Spanish
Other
Do you smoke?
Select
Yes
No
Occasionally
Do you drink alcohol?
Select
Yes
No
Occasionally
Preferred method of contact
Select
Email
Phone
Text
How did you hear about us?
Select
Social Media
Friend/Family
Online Search
Event
Preferred match location
Select
Same metro area
Same state
Anywhere in the U.S.
Open to international
Are you open to long-distance relationships?
Select
Yes
No
What is your preferred religious background in a partner?
Please select at least one option.
Muslim
Christian
Jewish
Other
No Preference
What is your preferred income range?
Select
Less than $50,000
$50,000 - $100,000
$100,000 - $150,000
$150,000 and above
Match Preferences (must-haves)
Dealbreakers
Photos remain private unless you expressly select Public searchable profile + photo and Zawaj Match approves the photo for public display. If permission is absent or unclear, your real photo will not be displayed.
Introduction request contact permission
*
Please select at least one option.
Zawaj Match may contact me when an approved member requests an introduction.
Contact information sharing acknowledgment
*
Please select at least one option.
I understand that paying or requesting an introduction never reveals contact information. Zawaj Match will ask me separately before sharing my phone number or email with a specific person, and both people must consent.
Physical appearance — Build/body type
Physical appearance — Eye color
Physical appearance — Hair color
Physical appearance — Hair length/style
Physical description (optional)
Physical appearance — Height
Submit – Request a Match
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