SECTION 1: BASIC INFO ^*

First Name ^*

Last Name ^*

Email ^*

Phone Number ^*

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Age (Short answer, Required) ^*

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City/Country (Short answer, Required) ^*

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Gender (Multiple choice, Required) ^*

Male

Female

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Current Marital Status (Multiple choice, Required) ^*

Never married

Divorced

Widowed

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Do you have children? (Multiple choice, Required) ^*

No

Yes (please specify how many in next question)

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If yes, how many children? (Short answer, Optional)

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How would you describe your practice of Islam? (Multiple choice, Required) ^*

Practicing (5 daily prayers, follow Islamic guidelines)

Moderate (pray regularly, working on consistency)

Cultural (identify as Muslim, still learning)

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Prayer consistency (Multiple choice, Required) ^*

5 times daily

Trying my best

Irregular

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For women: Do you wear hijab? (Multiple choice, Optional)

Yes

No

Somtimes

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For men: How do you approach Islamic boundaries with opposite gender? (Multiple choice, Optional) ^*

Strict (lower gaze, no free mixing)

Moderate (Islamic guidelines with some flexibility)

Still learning

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SECTION 3: PRIORITIES & PREFERENCES ^*

Top 3 qualities you value in a spouse (Paragraph, Required)

/

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What are your dealbreakers in a spouse? (List 3 things you absolutely cannot accept) ^*

/

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Timeline for marriage (Multiple choice, Required) ^*

Within 3 months

Within 6 months

Within 1 year

Just exploring

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Would you relocate for marriage? (Multiple choice, Required) ^*

Yes

No

Maybe

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Living situation preference after marriage (Multiple choice, Required) ^*

Separate household

With Family

Flexible/discuss with spouse

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Open to divorced/widowed candidates? (Multiple choice, Required) ^*

Yes

No

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Which do you prefer? Open to candidates with children? (Multiple choice, Required) ^*

Yes

No

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SECTION 4: VERIFICATION & APPROACH ^*

Can you involve a wali/guardian in the process?

Yes, I have a wali ready

Not yet, but I can arrange

Complicated situation (will explain later)

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Would you be comfortable with supervised communication (wali/chaperone in chat)? ^*

Yes, absolutely

Need to learn more

No

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SECTION 5: FEEDBACK ^*

What's your biggest frustration with current matrimonial apps? (Paragraph, Required)

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Would you pay for a platform that reduces fitnah and increases seriousness? ^*

Yes

No

Maybe

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If yes, what would you consider a fair monthly price? ^*

Be honest. Allah is watching, and we're here to help the Ummah.

$5-10/month

$10-20/month

$20-30/month

$30+/month

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How did you hear about ShariaMatch? (Short answer, Required) ^*

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Are you interested in a 20 minute interview to share your experience and shape the product? ^*

Yes, book my interview now.

Maybe later

No thanks

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Book 1:1 Interview Session With Moiz.

Scheduled 👍

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Jazakallah khair! 💜

We'll review your application and reach out within 48 hours. If you selected YES for an interview, we'll send you a booking link via email. ShariaMatch™ Team

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ShariaMatch™ Early Access Application

Jazakallah khair! 💜