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After meeting your match, please leave us your feedback. This provides your matchmaker with insight into your perception and more importantly, others' perception of you. When all of these things are combined, it is a formula for success – yours and eLove's. Please fill out this form completely as it enables us to fine tune your matching and better serve you. We appreciate your cooperation.
Please fill out this form completely to enable us to fine tune your matching. We appreciate your cooperation so that we can better serve you.
YOUR INFO:
Your First Name
Your Last Name
Email
Phone
(
)
State
Please select...
CA
CT
IL
IN
KY
MA
MD
MI
NE
NJ
NV
OH
PA
RI
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VA
WI
Gender
I am a Male
I am a Female
Member #
REFERRAL INFO:
Their First Name
Was contact made?
Yes
No
Did you meet?
Yes
No
If not, why?
Feedback on referral?
Would you date this person again?
Yes
No
Are you ready for another referral?
Yes
No
Do you want to change your status to Hold?
Yes
No
Additional Comments