| 1 | Your First, Last name : | |
| 2 | Your birthday | |
| 3 | Your ID | |
| 4 | Your Email | |
| | please re-type your e-mail: | |
| 5 | State |
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| 6 | Hair Color: |
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| 7 | Eye Color: |
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| 8 | Body Type: |
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| 9 | Height: | feet
inches |
| 10 | Languages Known: | |
| 11 | Ethnicity (choose all that apply) |
Native American
Middle Eastern
White / Caucasian
East Indian
Asian
Black / African descent
Latino / Hispanic
Islander
Other
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| 12 | Religion : | |
| 13 | Occupation: |
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| 14 | Education: |
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| 15 | Current Income Level: |
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| 16 | Drinking Behavior: |
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| 17 | Smoking Behavior: |
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| 18 | Relationship Status: |
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| 19 | Have Children: |
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| 20 | Want Children: |
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| 21 | About Me |
| | How would your best friends describe your personality? | |
| | How would you describe yourself physically? | |
| | What do you have for a living? | |
| | What do you like to do for fun? | |
| | What do you like to do for fun? | |
| | When are you the happiest? | |
| | When are you most at peace? | |
| | What have you done that makes you proud? | |
| | If you could choose a super power, what would it be? | |
| | If you could invite any 5 people (past or present) to dinner, who would they be? | |
| | Do you believe in love at first sight? Why or why not? | |
| 22 | Describe your ideal future wife - Revise Text |
| | What does your ideal future wife look like? | |
| | What characteristics of character determine the "ideal" future wife? | |
| | What should your future wife do for a fine living? | |
| | What hobbies and interests should your future wife enjoy? | |
| | What are you looking for in an ideal future wife? | |
| 23 | My Personality: |
| | My place of living the place you live at present time, (please, describe your town, state, climate and nature, customs and traditions there?). | |
| | Your education. Your job. Your attitude towards work, your future business plans. | |
| | Your family. Family relations, traditions and characteristic features. | |
| | Please, tell a few words about your children if you have any. | |
| | Your attitude towards children, your notion about children's upbringing. | |
| | Write about your religion beliefs and traditions if it is very important for you. | |
| | Your thoughts and ideas about your future family. What do you think about family relations? What would you like to get from them and create in your future family? | |
| | I would describe my fashion sense as: | |
| | I would describe my sense of humor as: | |
| | When I'm meeting a friend, we usualy do: | |
| 24 | My favorite types of music are: (choose all that apply) |
Alternative
Rock
Pop
Rap/Hip Hop
Electronic / Techno
Classical
Jazz
Blues
Latin
Country & Western
Folk
Christian / Gospel
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| 25 | Are you a Pet Lover? Do you have any pets? | |
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