I have developed a user bulk upload module. There are 2 situations, when I do a bulk upload of 20 000 records when database has zero records. Its taking about 5 hours. But w
You appear to have the possibility (probability?) of 3 queries for every single record. Those 3 queries are going to require 3 trips to the database (and if you are using yii storing the records in yii objects then that might slow things down even more).
Can you add a unique key on first name / last name / DOB and one on email address?
If so the you can just do INSERT....ON DUPLICATE KEY UPDATE. This would reduce it to a single query for each record, greatly speeding things up.
But the big advantage of this syntax is that you can insert / update many records at once (I normally stick to about 250), so even less trips to the database.
You can knock up a class that you just pass records to and which does the insert when the number of records hits your choice. Also add in a call to insert the records in the destructor to insert any final records.
Another option is to read everything in to a temp table and then use that as a source to join to your user table to do the updates / insert to. This would require a bit of effort with the indexes, but a bulk load to a temp table is quick, and a updates from that with useful indexes would be fast. Using it as a source for the inserts should also be fast (if you exclude the records already updated).
The other issue appears to be your following query, but not sure where you execute this. It appears to only need to be executed once, in which case it might not matter too much. You haven't given the structure of the CustomType table, but it is joined to Customfield and the field customTypeId has no index. Hence that join will be slow. Similarly on the CustomValue and CustomFieldSubArea joins which join based on customFieldId, and neither have an index on this field (hopefully a unique index, as if those fields are not unique you will get a LOT of records returned - 1 row for every possibly combination)
SELECT cf.*, ctyp.typeName, cfv.id as customId, cfv.customFieldId,
cfv.relatedId, cfv.fieldValue, cfv.createdAt
FROM `CustomField` `cf`
INNER JOIN CustomType ctyp on ctyp.id = cf.customTypeId
LEFT OUTER JOIN CustomValue cfv on cf.id = cfv.customFieldId
and relatedId = 0
LEFT JOIN CustomFieldSubArea cfsa on cfsa.customFieldId = cf.id
WHERE ((relatedTable = 'people' and enabled = '1')
AND (onCreate = '1'))
AND (cfsa.subarea='peoplebulkinsert')
ORDER BY cf.sortOrder, cf.label