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Becky: At The Well Application

This questionnaire is used for onboarding our prospective clients for Becky: At The Well. We encourage 100% honesty and transparency. All of the information provided is kept private and confidential. Thank you!

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Question 1 of 12

Do you have a profile on Becky?

A

Yes

B

No

Question 2 of 12

Have you ever been married?

A

Yes

B

No

Question 3 of 12

If you answered yes, tell us about your previous marriage. The more information the better.

Question 4 of 12

Tell us more about your preference: Age Range, Height, Career Expectations, Physical Structure, Location, etc. 

Question 5 of 12

Have you gone through any form of mentorship and preparation to prepare you for marriage?

A

Yes

B

No

Question 6 of 12

Tell us more about your preparation journey for marriage?

Question 7 of 12

Briefly describe what you do for living?

Question 8 of 12

Enter Your Name: First and Last Name as seen on your profile on Becky. Otherwise, enter n/a.

Question 9 of 12

Do you have any kids?

A

Yes

B

No

Question 10 of 12

Do you want any kids?

A

Yes

B

No

Question 11 of 12

How did you hear about Becky: At The Well?

A

YouTube

B

Instagram

C

Facebook

D

TikTok

E

Word of Mouth

Question 12 of 12

Blank Slate (Use this space to capture any other relevant information about yourself and/or your preference.)

Confirm and Submit