Request for Consultation

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Please complete the following information to request a free 20-minute consultation with Compass Date.

Email *

What is your first name? *

How long have you been dating online? *

I am not currently dating online.

Less than a year

1-2 years

More than 2 years

I date online sporadically.

Other:

How would you rate your previous online dating experience?

Very disappointing

Very successful

Clear selection

What is the biggest problem you have faced with online dating?

Not enough matches

I get matches, but they are poor quality.

I have too many matches to properly filter through.

I have not dated online, so this is not applicable.

Clear selection

What type of relationship are you ultimately hoping to find?

Marriage

Long-term commitment, but not necessarily marriage

Short-term commitment

Casual dates

Hook-ups

Clear selection

What do you think has kept you from finding the relationships you desire?

Which statement(s) describe your beliefs about online dating? *

There are no good possibilities online.

Everyone dating online is just looking for something shallow.

I do everything right, but have no results.

I think there are great people online, but it takes a little work to find them.

I think I could make some changes to my online dating style and find better results.

I believe I have a lot to offer a romantic partner.

I can't be happy as long as I am alone.

Finding a romantic partner is very important to me.

Required

What is your age group?

Under 18

18-24

25-32

33-39

40-50

50-65

65 and over

Clear selection

If you are a candidate for a consultation with Compass Date, what is your ideal time slot for an appointment? *

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend morning

Weekend afternoon

Weekend evenings

Where are you located? Please indicate City, State, Country and Time Zone *

What is your email address, so we can contact you to schedule the consultation?

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