Nickname :

Email :

Marital Status : ...Birth Sign :

Where do you live :

Age : ..Height : ..Weight :

         
Do you have Children? Ages:
Do you have custody ? Yes   No  
Do want more kids? Yes   No  
         
Your Personality Traits  
     
What Attracts you most?  
     
What kind of Relationship are you looking for?
Pen pals   Friendship   Casual Dating
Long Term   Live In   Marraige
   
Hobbies &
Interests:		 (hold Ctrl key to select)
Other:
   
Ideal 1st Date (check all that apply)
Coffee   Movie   Music Concert   Museums
Lunch   Dancing   Sports Event   Watching TV
Dinner   Drinks   Outdoor Activity   Winging It
Other:
                     
Which Chat Programs do you use?
                     
Comments:

Thank you for Your interest & I will contact you as soon as possible.

DemonAnn's Questionaire Revised: June 02, 2005.
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