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)

Is there a caregiver or support person you would like us to include? *

Photo upload is captured on the form but is not yet wired into the GHL sync. Our matchmaking team will follow up if we need one.