TAKING YOUR FIRST STEP TO FINDING YOUR SOULMATE...

After completing the Preliminary Profile form below (or by phone 888-20-JULIET) you may schedule a complimentary personal interview.  The interview is relaxed, and informal, yet comprehensive (approx. 1-1/2 hours).  We are unique in that we do not use videos or computers, instead we focus on your inner personality, the heart of achieving a successful soulmate union.  Your career, education, family relationships, lifestyle, goals and interests will be discussed.  We then explore your romantic relationship history.   Finally we will discuss and identify the qualities and attributes you seek in a life partner.

  

TELL US ABOUT YOURSELF

AGE:

MY SOCIAL SITUATION IS AS FOLLOWS:
I am new to this area
I do not meet enough quality people
I am too busy to look
I have not dated in

I'VE HEARD ABOUT JULIETTE II
A great deal - How
A little bit
Not until now

I AM:
Not dating anyone I would consider for a long-term relationship
Dating various people
Dating someone who does not want what I want in a relationship

MY PRIMARY SOCIAL GOAL IS:
To date more successfully
To have a steady relationship

MY ANNUAL INCOME IS

HOW DID YOU HEAR ABOUT US
Advocate
By Mail
Curve
FYI
Gay & Lesbian Times
Girlfriends
Internet
LN
MEGA Scene
Out
Promotional Event
A Current Member
Other

MY EDUCATION LEVEL IS:
High School
Jr. College/Trade/Tech
4 Year College/University
Masters Degree
Advanced Degree

ARE YOU MOVING WITHIN THE NEXT 6 MONTHS:
No
Yes - where 

MY TYPICAL WORK WEEK IS:
9 to 5
Afternoon thru Evening
Late-night Shift
My time is my own
I am not working now

OCCUPATION:

  

DESCRIBE THE PERSON
YOU ARE SEEKING

AGE:
From   To
Does not matter

SMOKE:
Yes
No
Does not matter

WHERE THEY LIVE:
LA and vicinity
Long Beach
Orange County
Palm Springs
San Diego
Other

EDUCATION:
Advanced Degree
Masters Degree
4-Year College/University
Jr. College/Trade/Tech
Does not matter

OCCUPATION:
Professional
Managerial
Technical
Skilled/Office
Arts/Entertainment
Does not matter

APPEARANCE:
Very attractive
Attractive
Average
Does not matter

ATHLETIC INTERESTS:
Very Active
Active
Occasionally Active
Does not matter

WEIGHT:
Proportional
In-Shape
Slender
Chubby
Does not matter

CHILDREN:
Has children
Does not have children
Desires children
Does not matter

CULTURAL INTERESTS:
Theater
Dance
Music
Visual Arts
Film
Does not matter
Other 

ADDITIONAL COMMENTS:

  

Name First   Last
Street   Unit
City
State   Zip Code
Home Phone
Bus. Phone Optional
Cell Phone Optional
E-mail
Hair
Eyes
Height
Weight