Muslim Association of Puget Sound and Pious Hearts Virtual Singles Event

Disability Type(s):

Physical or mobility disability

(uses a wheelchair, walker, cane, limited mobility, chronic pain affecting movement)

Hearing disability

(hard of hearing, Deaf, uses hearing aids)

Vision disability

(low vision, blind, uses screen readers or visual aids)

Speech or communication impairment

(stutter, apraxia, non-verbal, uses AAC or other communication supports)

Autism spectrum / neurodivergent condition

(autism, sensory processing differences)

Chronic illness or medical condition

(diabetes, epilepsy, cancer, autoimmune conditions)

Prefer not to disclose

Other

Height Feet:

Height Inches:

City, State, Zip Code:

Background:

Language(s):

Career Field:

Select the field that best describes your primary career.

Do you have children?

Yes No

Would you consider someone previously married?

Yes No

Would you consider someone divorced with kids?

Yes No

Would you marry someone from a different race than yours?

Yes No

Which age ranges are you open to?

Select all age ranges that apply

18-25

25-30

30-35

35-40

40-45

45-50

50-55

55-60

60+

Are you a convert/revert to Islam?

Yes No

How would you describe your Islamic practice in daily life?

Do you follow a particular sect of Islam?

Other sect (please specify):

Fasting During Ramadan:

Halal & Zabiha Preference:

Other halal preference (please specify):

Typical Weekend Activities:

(Select up to 6)

Other weekend activity:

Interests & Hobbies:

(Select up to 6)

Other interest / hobby:

Are you open to a partner who has health or disability needs?

(Select all that apply)

Open to marrying someone with a physical or mobility disability
(uses a wheelchair, walker, cane, limited mobility, chronic pain)

Open to marrying someone with a hearing disability
(hard of hearing, Deaf, uses hearing aids)

Open to marrying someone with a vision disability
(low vision, blindness, uses screen readers or visual aids)

Open to marrying someone with a speech or communication impairment
(stutter, apraxia, non-verbal, uses assistive communication)

Open to marrying someone on the autism spectrum or with a neurodivergent condition

Open to marrying someone with a chronic illness or medical condition
(diabetes, epilepsy, autoimmune conditions)

Prefer not to disclose

Other

Other partner disability openness:

Name 3 things you like to do in your free time:

Whom I'm Seeking to Marry:

Have you ever attended a Pious Hearts event?

Yes No

Did any person or organization refer you to Pious Hearts?

How did you hear about us?

Payment

**Donot worry we will only charge you if you qualify to attend our event. All tickets are non-refundable

Our team will review all registered singles and choose only the most suitable singles to attend the event. Only when our team invites you to be a guest at our event, will your credit/debit card on file be charged. You will not be charged anything if you are not picked; don’t worry we will have plenty of other events that you may be invited to attend. This pre-event filtering process is a benefit for our guests so we can have more compatible singles who share the same interest like you and to have a good balance of men and women at our event to give everyone a fair chance to interact and InshaAllah find a match.