Matched by Rochelle Renee

Match by Rochelle Renee is a trusted and highly personalized matchmaking service dedicated to helping individuals find meaningful and lasting connections. Rochelle is committed to bringing love, companionship, and happiness into the lives of her clients.

Get Matched

Intake Form

Please take a moment to fill out the form.

About Me

First Name

Phone

Last Name

Birthday

Email

Address (City, State and Zip Code Only)

Where were you born and raised?

Ethnicity

Height (ft & in)

Religion/Faith

Political Beliefs

Name of College Attended/Attending & Degree

Employer's Name

Occupation/Position

Income Range

Do you want children?

Do you have children (If yes, ages)?

Do you have pets?

Have you ever been in trouble with the law? (This will not prevent you from my services.)

Do you speak any other languages, besides English?

What kind of hobbies & activities do you enjoy?

If you were married or in a long-term relationship, please explain why did it end?

List three (3) adjectives to describe yourself and explain why?

Social Media Handles (Facebook, Instagam, Tiktok, etc)

Potential Partner Request

Ethnicity

Height (ft & in)

Religion/Faith

Political Beliefs

What are you looking for in a partner?

What are your must-have's and non-negotiables?

Upload File

I acknowlege and certify that the above information provides is true and correct. By submiting this intake form, I certify that I am a single male/female/non-binary willing and available to be matched with a potential partner, and enter into a possible relationship if both parties agree. Match by Rochelle Renee is a matchmaking service. Submitting an application, photo(s) or consultation does not guarantee introductions. This website does not constitute an agreement to provide services. Services are provided pursuant to an agreement. We promise never to share or sell your information.

I agree to the terms & conditions

Thanks for submitting!