Get In Touch Today. All It Takes Is One!

To inquire about your free confidential consultation, please contact Carole Linden at:
carole@jewishconnectionsinc.com or 905-889-3900

Download our printer-friendly or full brochure

Please fill in the following questionnaire, so we can better assess your needs.

After your form has been reviewed, Carole will contact you directly to go over the next steps.
All information will be kept strictly confidential.

  1. Your Name
    (required)
  2. Email
    (required)
  3. Address
    (required)
  4. City
    (required)
  5. Province
    (required)
  6. Postal Code
    (required)
  7. Country
    (required)
  8. Home Phone
  9. Cell Phone
  10. Birth Date
    (required)
  11. Sex
    (required)
  12. Home
    (required)
  13. Roommate
    (required)
  14. Company Name
  15. Title at Work
  16. Work Phone
  17. Work Type
    (required)
  18. What High School Did You Attend?
  19. Name of College/University
  20. Educational Background
  21. Marital Status
    (required)
  22. If Separated, How Long?
  23. If Married, How Long?
  24. If Widowed, How Long?
  25. If Divorced, How Long?
  26. Do You Have Children?
    (required)
  27. If Yes, How Many?
  28. Do You Like Animals?
    (required)
  29. Have You Been In Any Long Term Relationships?
    (required)
  30. If Yes, How Long?
  31. Are You Civil With Your Ex?
  32. What Is Your Synagogue/Location?
  33. What Is Your Parents Marital Status?
    (required)
  34. Order of Birth?
    (required)
  35. Annual Income
  36. Do You Have a Car?
  37. Do You Have a Driver's License?
  38. Do You Belong to any Groups or Organizations?
  39. If Yes, Which Ones?
  40. How Did You Hear About Jewish Connections?
    (required)
  41. Please Attached a Recent Photo
  42. Is There Anything You Would Like to Add?
  43. Please type the characters seen in this image captcha

Call Carole 905-889-3900