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First Name:
Last Name:
E-mail:
I am a:
Male
Female
Birthday
Month
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Day
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Year
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Check all that apply:
I have used online dating services before
I have used organized dating before (speed dating, etc)
I have gone on blind dates before
Other dating services:
QUESTIONNAIRE
1. The dictionary defines "dating" as "social or romantic appointments or engagements". If you could write your own definition what would it say?
2. Your ideal date would be:
Dinner and a movie
Drinks at a bar
A home cooked meal
A concert or show
Other:
3. If and when you watch television, what is your favorite show/channel?
4. When and if you listen to music, what kind of music do you turn on?
Pop/Techno
Classic Rock
Alternative
Hard Rock/Heavy Metal
Country
Other:
5. Which do you prefer?
Sunrise
Sunset
6. If you could be any animal what would it be?
Tiger
Snake
Peacock
Dolphin
Wolf
Other:
7. Ideally you would prefer to live...
In an apartment in a city with off street parking
In a complex in a suburb with a backyard
In a house in the country with plenty of space between neighbors
8. Traveling is...
A necessity
A luxury
A bother
9. If you could meet any famous person, fictional or real, living or dead, who would it be and what would be the first question you would ask them?
10. If you were given the chance to live anywhere in the world for the next 10 years would you move, where would you move and why?
11. If you could have a super power what would it be and why?
12. Are you a morning, afternoon, or evening person?
Morning
Afternoon
Evening
13. Your favorite sport to watch is:
Basketball
Football
Soccer
Golf
Other:
Me? Watch Sports? You must be joking!
14. If your friends or family were to describe you, what do you think they would say?
Terms/Conditions
I have read and agree to the
terms and conditions.
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