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Name:

Email Address (for our records only):

City Born:

Resides:

Birthdate:
Sign:

Height:

Hair:

Eyes:

Nationality:

Family/brothers/sisters:

Status:

Do you have Kids:
Want children: A) Yes B) No C) Undecided

Engaged before:

A) Smoker B) Nonsmoker C) Occasional smoker

Education: A) Never Finished High School B) High School Graduate
C) Technical/AA degree D) Attending College E) Bachelor's Degree
F) Attending Grad School G) Master's Degree H) PhD/Post Doctoral
I) Professional Degree

Occupation:

Income: A) under $30,000 B) $30,000 - $45,000 C) $45,000 - $60,000
D) $60,000 - $75,000 E) $75,000 - $90,000 F) $90-000 - $100,000
G) $100,000 - $150,000 H) over $150,000 I) I'd rather not say

Best Qualities:

Strengths:

Weakness:

What I see in myself that others may not see:

I've been known to ...

Interests:

Turn ons:

Turn offs:

Special Talents:

Awards, Titles:

Charitable Involvement:

15 minutes of fame:

Travels:

Spiritual/religious views:

Fashion sense:

How I stay healthy and in shape:

What touches my soul:

How can a woman/man get my attention:

Ideal woman/man:

I can't resist a woman/man who ...

Most important quality in a woman/man:

Ideal date:

What makes me call a woman/man back after a first date:

I would never date a woman/man who ...

How I show a woman/man I care:

What makes a woman/man unforgettable:

What I wish women/men understood more about men/women:

One thing a woman/man has never done for me yet, but I would love it:

Views on relationships/marriage - Is it important and why:

Keys to a great relationship:

A woman/man who is in a relationship with me can expect:

What I expect:

When I'm in love, I ...

What makes me feel close to a woman/man:

What's the greatest lesson you've learned from a relationship:

What makes a woman/man marriage material:

I feel my sexiest when ...

Sexiest thing a woman/man can wear in private is ...

Surefire way to seduce me:

How I plan to make my mark on the world:

Responsibility to Society:

One lesson that life has taught me:

What I try to get out of life every day:

Three things I must do in this lifetime:

Best advice I've received:

The best advice I've given a woman/man:

Wheels (my car):

My Pets:
Tattoos/piercings:

What items are always in my refrigerator:

Hottest possession:

Who I would like to change places with for 24 hours, and why:

I would most like to hang out with ...

Celeb I would love to go on a date with and why:

Me, a deserted island and ...

What makes me a great catch:

One word that best describes me:

Favorite Movie:

Favorite TV Show:

Favorite Book:

Favorite Food:

Favorite Season:

Anything else we should know about you:

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