Love Angel - Feeback

This form is designed to monitor your response to the members we've introduced you to. The purpose is to judge our success - yours and Together's - not to criticize the individual. Written feedback is a critical part of your membership responsibility. We hope this online form makes it easy.

Please fill out this form completely to enable us to fine tune your matching. We appreciate your cooperation so that we can better serve you.

Your Info:
*Your first name :**
*Your last name :**
*Email :**
*Phone :**
Gender :	Male Female
*State :**
*Member # :**

Referral Info:
*Their first name :**
*Their last name :**
Was contact made? :	Yes No
Did you meet? :	Yes No
If not, why? :
Feedback on referral? :
Would you date this person again? :	Yes No
Are you ready for another referral? :	Yes No
Do you want to change your status to Hold? :	Yes No

Additional Comments:

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