Reality Dating Show Application Form

Full Name *

Email Address *

Phone *

City *

ZIP / Postal Code

Country *

Date of Birth *

Month

Day

Year

Gender *

Pronouns *

Physical Details

Height *

Weight *

Eye Colour *

Hair Colour *

Body Type *

Tattoos or Piercings (Please describe): *

Do you have any unique physical features or qualities?

Social Media & Online Presence

Instagram

TikTok

YouTube

Facebook

Personal Blog/Website

Career & Education

Educational Background *0 / 1000

Employment *0 / 900

Dating Preferences

What gender(s) are you interested in dating? *

LadiesGents

What age range are you comfortable dating? *

Describe your ideal date. *0 / 800

Do you have any deal-breakers or specific preferences when it comes to dating? *0 / 900

Personality & Interests

Describe your personality in three words. *0 / 200

How would your friends and family describe you? *0 / 1000

What are your hobbies and interests? *0 / 1000

What qualities do you value most in a partner? *0 / 1000

Are you an introvert or extrovert? *

Describe your ideal romantic relationship in a few sentences. *0 / 1000

Reality TV & Dating Show Experience

Have you ever been on a reality TV show before? *

Have you ever appeared on a dating show before? *

Why do you want to be a contestant on this dating show? *

Relationship History

Have you been in any serious long-term relationships? *

What has been your most significant relationship experience to date? *

Have you ever been married or engaged? *

What have you learned from past relationships that you would apply to this show? *

Describe your ideal partner *0 / 1000

Additional Information

Are you open to physical challenges or adventures as part of the show? *

Which of the following best describes you when it comes to Love? *

Fall in love easilyWear my heart on my sleeveEmotionally closed offDon’t fall in love easilyNever been in love beforeI’ve been in love more than onceI’ve been in love once onlySelect all that apply.

Which of the following best describes you when it comes to socialising? *

I tend to be shy around new peopleI love meeting new peopleI am the life of the partyI don’t have many friendsMy friends list is quite longI prefer to spend time with friends or familyI prefer my own company rather than spending time with othersI love a good heated debateI tend to get involved in argumentsBeing right is important to meI have a strong sense of justiceI prefer not to get involved in dramaSelect all that apply.

Which of the following best describes you? *

I am always control of my emotions.I am quite emotional, my emotions control me.I cry often.I never cry at all.I am fieryI have a short fuse and hot temperI am calm and not easily provoked.I am sensitive to the emotions of others.I am generally upbeat and happyI tend to be more depressed or negativeI am an optimist/positive most of the time.I am a pessimist/negative most of the time.I am non-confrontational, if something is wrong I let it slide.I confront issues head on as and when I need to.I am opinionated and don’t hold back my feelings or words.I go with the flow and let others lead.I have a strong personality.I have a submissive personality.I am the leader of my group & enjoy being in charge.I prefer to follow & let others lead.I enjoy attentionI dislike the spotlightI am a morning personI am not a morning personI am a night owl / go to bed really lateI love an early nightSelect all that apply.

Select the options that best describes you when it comes to food/drink. *

I am a foodieI am not a foodieI like spicy foodsI am not into spicy foodsI like food with big bold flavours & seasoningI prefer subtle flavours with not much seasoningI love fast foodI’m not into fast foodI enjoy fine diningI do not enjoy fine dining, I prefer more casual places to eatI love cooking and do so regularlyI can’t cook and won’t cookI’m a great cookI enjoy a wide variety of foodsI tend to eat the same things all the timeI eat out almost everydayI eat out every weekendI never eat outI order food in oftenI rarely order food inMy fridge is often packed with fresh foodMy fridge is packed with microwave mealsI drink alcohol dailyI drink alcohol weeklyI don’t drink alcohol at allI am a veganI am a vegetarianI eat a standard diet that includes meat, fish, dairy etc.I love baking cakes and other treatsI do not and cannot bakeI love sweet treats, chocolate and dessertsI prefer savoury foodsI don’t like sweet foodsI love seafoodI’m not into seafoodI’m open to exploring new cuisinesI’m a fussy eater / not open to trying new foodsI’m into eating healthyI prefer junk foodI love fizzy drinks such as pop, soda, cola & othersI love juices, smoothies & protein shakesI have to start the day with CoffeeI love herbal teasI tend to drink mainly purified/filtered waterI prefer red wine to whiteI prefer white wine to redI love rosè wineI love beerI love cocktailsI love mocktails

Is there anything that you would not do on the show? *

Religion & Spirituality *

I am deeply religiousI am somewhat religiousI am an atheistI am a Christian or one of its denominationsI am a CatholicI am a MuslimI am a BuddhistI practise JudaismI am not religious but believe there is a God/Goddess or Gods/GoddessesI am Spiritual with liberal beliefs that are evolvingI am a WiccanI am a PaganI follow traditional African ShamanismI have other religious or spiritual beliefs not listedI follow Native American ShamanismIt’s important that my partner has the same religious or spiritual beliefs as meI don’t mind what my future partners religion or spiritual beliefs areI prayer dailyI meditate oftenI practise Witchcraft or other magikI practise other spiritual/religious disciplinesSelect what applies to you

Favourite Film/TV categories *

Action/AdventureRomanceComedyHorrorPsychologicalThrillerMartial ArtsAnimation / AnimeBlack & whiteDocumentariesEducationalAnimals & WildlifeFood, Baking & CookingReality TVGame & Competition showsDramaCrime & LawCyber / Punk / GothicFantasySupernaturalReligiousScientific / DiscoveryHistorySelect all that apply

Please upload a recent photo of yourself *

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Your other interests

Which of the following services interest you? *

MeditationBusiness CoachingFinding your life purposeLife CoachingRetreatsYogaProperty InvestingStarting a business onlineCooking & recipesNightlife, bars & clubsLive music eventsModern SpiritualityReligionPast Life Regression HypnotherapyHypnotherapyBuilding confidenceStopping smoking / drinkingFitnessHealthy LifestyleFashionClothesShoesJewelleryCarsLuxury LifestyleTravellingProfessional NetworkingCareer progressionSelect at least 1

Consent to terms *

Yes, I agree with the privacy policy and terms and conditions.

Please Note

To complete your submission, we need to collect a $2 fee. This fee helps us prevent fake submissions by bots, and demonstrates that you are serious about finding love through this process. This small fee also helps cover admin costs involved with processing your details. We will be running the process multiple times and selecting candidates directly from these submissions. So, if you don’t get selected the first time, there is always the next time.

Payments are one off and processed securely via Stripe.com. None of your card details are stored by us or Stripe.

Our aim is to get our show published on Netflix, Amazon Prime and Sky TV. Be part of our evolution by submitting your form now.

Credit / Debit Card *

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Reality Dating Show Application Form

Copyright Alchemy of Love 2023 All rights reserved.

Copyright Alchemy of Love 2023
All rights reserved.