23.11.2012
The Questionnaire
Name
Surname
Email Address
Messenger user-name
Please Choose
AOL IM
ICQ
MSN Messenger
MySpace IM
Yahoo Messenger
Homepage
Birthday
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Place of Birth
Place of residence
Telephone-number (only joking! ;-)
Height
5
6
7
Feet
0
1
2
3
4
5
6
7
8
9
10
11
Inches
Ethnicity
Please Choose
African American (black)
Asian / Pacific Islander
Caucasian (white)
Latino
Native American
Other
Prefer not to say / No Answer
Weight and/or physical built (if you don't want to be specific)
Pounds or:
My physical built is:
Slim/Waif-ish
Slender/Average
Athletic/Fit
Healthy/Slightly overweight
Large
Prefer not to say
Eye-colour
Hair colour and length (short, long etc.)
Do you wear heels and if so up to which height?
Yes
No
Inches
What do you like or find attractive/sexy in a man?
What's your minimum height requirement for a guy?
-
4
5
6
7
Feet
-
0
1
2
3
4
5
6
7
8
9
10
11
Inches
What do you dislike in a man (anybody)?
What do you like about yourself?
What do you dislike about yourself?
What is/are your favourite movie(s)?
What is/are your favourite TV-show(s)?
Who is/are your favourite musician(s)?
Who is/are your favourite author(s)?
What would you take to an island in the middle of nowhere?
Would you consider yourself as progressive/emancipated?
You are taller than him, if you were stronger than him would you consider helping him carry the heavy shopping?
Do you do any sports, if so - which?
What perfume do you use?
Who would be your "dream"-man? Please name him.
Do you have any other hobbies?
Have you ever been married and if so, describe him.
What car are you driving?
What's your dream car?
What impressed you most in a small(er) man you have met?
What is the nicest compliment/present that you have ever got?
What is your idea of a romantic evening?
Are you happy with your physique (weight, height etc)? If not, what would you change?
Do you have anything else to say or do you want to ask me something? Here's the place to do it:
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