CoronaCrush Virtual Speed Dating
📅
The event will take place on Sunday, June 11th, 2023 at 9:00PM Eastern Time.
💳
We require a $18.00 deposit to partake in this event. Your deposit will be returned to you once your participation has been confirmed.
🔒
None of the information you provide will be shared externally.
âš¡
This form takes 3 minutes to complete.
Continue
Press "Enter"
What's your first and last name?
*
Continue
Press "Enter"
What's your email address?
*
Make sure you input your email address correctly!
Continue
Press "Enter"
Please confirm your email address:
*
Continue
Press "Enter"
What's your cell phone number?
*
Continue
Press "Enter"
What's your gender?
*
Male
Female
Continue
Press "Enter"
What gender are you seeking?
*
Male
Female
Continue
Press "Enter"
What's your date of birth?
*
Continue
Press "Enter"
Please confirm your age:
*
Choose
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Continue
Press "Enter"
What's the
youngest
age you'd be willing to date?
*
Choose
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Continue
Press "Enter"
What's the
oldest
age you'd be willing to date?
*
Choose
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Continue
Press "Enter"
Your parents are:
*
Both Jewish
Mom's Jewish, Dad isn't
Dad's Jewish, Mom isn't
Not Jewish
Continue
Press "Enter"
Where do you live?
*
If you live in a country that isn't in the list, please let us know!
Choose
Argentina
Australia
Austria
Belgium
Brazil
Canada
Chile
Colombia
Costa Rica
Croatia
Denmark
Ecuador
Estonia
Finland
France
Germany
Gibraltar
Greece
Guatemala
Hungary
India
Ireland
Israel
Italy
Jamaica
Latvia
Lithuania
Luxembourg
Malaysia
Mexico
Monaco
Netherlands
Panama
Peru
Philippines
Poland
Portugal
Romania
Russia
Singapore
Slovakia
South Africa
Spain
Sweden
Switzerland
Trinidad and Tobago
Turkey
Ukraine
United Kingdom
United States
Uruguay
Venezuela
Continue
Press "Enter"
Which state?
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (U.S.)
Virginia
Washingon D.C.
Washington
West Virginia
Wisconsin
Wyoming
Continue
Press "Enter"
Which city? (select nearest city)
*
If you live near a big city that isn't in the list, please let us know!
Choose
Continue
Press "Enter"
What language(s) do you speak?
*
English
French
Spanish
German
Russian
Italian
Portuguese
Hungarian
Dutch
Hebrew
Arabic
Farsi
Yiddish
Continue
Press "Enter"
Are you open to a long distance relationship?
*
Yes, love knows no distance!
Yes, as long as they live in the same country
Yes, as long as they live in the same region
No, same state only
No, same city only
Continue
Press "Enter"
Do you keep Shabbat?
*
Yes, strictly
Yes, with some exceptions
Yes, traditionally
Yes, in my own way
No, not at all
Continue
Press "Enter"
I'm open to date someone who keeps Shabbat: (select all that apply)
*
Strictly
With some exceptions
Traditionally
In my own way
Not at all
Continue
Press "Enter"
Do you keep Kosher?
*
Yes, strictly
Yes, with some exceptions
Yes, the basics
No, not at all
Continue
Press "Enter"
I'm open to date someone who keeps Kosher: (select all that apply)
*
Strictly
With some exceptions
The basics
Not at all
Continue
Press "Enter"
Do you give CoronaCrush and DateNight AI permission to use the data provided for matchmaking purposes?
*
Yes
Submit
Press "Enter"
By submitting this form you acknowledge that use of this platform is subject to our
Terms of Service
and
Privacy Policy
.
Prev
Next
Progress