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Name
*
First
Last
Location:
Occupation:
Hobby 1:
Hobby 2:
Hobby 3:
1. How old may he be?
2. How old are you?
3. Are you single or single mother?
4. Are you looking for single or single father?
5. How tall does he have to be?
6. How tall are you?
7. What bodybuild do you prefer?
Slim/Petite
Normal
Chubby
8. What is your bodybuild?
Slim/Petite
Normal
Chubby
9. Do you mind wearing eyeglasses?
Yes
No
10. Are you wearing eyeglasses?
Yes
No
11. What hair color are you looking for?
Blond
Brown
Black
12. What is your natural hair color?
Blond
Brown
Black
13. What is your view on intimacy/sex?
Low
Moderate
High
2. How Location:
14. Do you want to have children?
Yes
No
15. Are you religious?
Yes
No
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