This helps our matchmaking team understand who you are and how we can best support you. Required fields are marked with *. Your answers save as you type — if you step away or come back from checkout, they'll still be here.
This is the person signing up for matchmaking.
My gender is *
I am interested in *
I want to meet people in these age ranges (check all that apply) *
What are you hoping to find? *
What is your diagnosis? (select all that apply)
My current living situation is *
How do you spend your day? *
How do you talk with people? *
How do you feel about talking to others? *
How comfortable are you meeting new people? *
Who manages your schedule? *
How do you usually get around? *
How do you respond when plans change unexpectedly? *
Is it easy for you to understand other people? *
How comfortable are you talking about your boundaries? *
Would you feel comfortable going on a date or meeting a friend by yourself? *
How much help do you need scheduling dates or get-togethers with friends? *
If someone isn't interested in dating, what would you do? *
Have you received education about online safety? *
What helps you calm down during stress? (select all that apply)
Do you have a preference for your coach? *
A dedicated contact person we can reach (separate from the caregiver block below).
Is there a caregiver or support person you would like us to include? *
This section captures how your program will pay for services. It's separate from the "public funding invoice" checkbox at the bottom of the page, which controls whether we skip Stripe today.
Will you be submitting an invoice or receipt to your self-directed funding organization (such as CDCS or SDP)?
Payment is processed securely by Stripe on the next step. By continuing you agree to our terms and privacy policy.
