Gender:

Height:

Build:

Hair Color:

Health:

Country of birth:

Countries of citizenship:

Countries raised in:

Origin:

Am I willing to travel to meet someone?

Am I willing to relocate upon marriage?

Where I would like to live (in decreasing order of preference):

Languages that I speak (in decreasing order of fluency):

Hobbies / Interests (in decreasing order of importance):

Pets:

Do I drink?

Do I smoke?

Would I go out with someone who smokes significantly?

Religious Affiliation:

Torah observant since:

Torah institutions / programs attended:

Do I have Smicha?

If so, when was it obtained and who / where from?

How important is Judaism in my life?

Am I a member of a synagogue?

How often do I attend synagogue?

Am I Shomer Shabbos?

Do I keep Kosher?

Do I keep Cholov Yisroel?

Do I have a beard? (men)

Was my mother born Jewish?

If not, the details of her / my conversion:

Am I adopted?

Am I a Kohen?

My opinion on: Wife wearing pants:

My opinion on: Wife covering her hair:

My opinion on: Husband having a beard:

My opinion on: TV in the home:

My opinion on: Going to the movies:

Other religious details / issues:

Marital Status:

Since:

If divorced, do I have a Get?

If so, from which Beis Din is the Get?

Do I have children?

Number of boys:

Number of girls:

Years in which the boys were born:

Years in which the girls were born:

Number of children who live with me:

Who has custody of the non-adult children?

Further explanation regarding custody:

Would I like to have children in a future marriage?

Secular education, highest level attained:

Fields studied past high school:

Institutions attended past high school:

Degrees / Diplomas obtained:

Planned future studies:

Current occupation:

In current occupation since:

Current income level:

Brief work history:

Plans for any change of career:

Sense of humor:

How organized?

More about personality / nature:

More about myself:

Goals in life:

Special needs or preferences, if any:

I am looking for someone between:

The kind of person that I am looking for:

The kind of person that I am definitely NOT looking for:

The kind of relationship that I am looking for in a marriage: