Program intake

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.

Who is this account for?
Your information

This is the person signing up for matchmaking.

Location
Gender & preferences

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? *

Diagnosis

What is your diagnosis? (select all that apply)

Life skills & communication

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? *

Relationships & emotions

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)

Caregiver involvement

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

Let us know
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