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Name
*
First
Last
Email
*
Who do you live with?
I live alone
With roommates
With Parents
Height
Eye Color
Age
Are you vegan/vegetarian?
Yes
No
Do you drink?
Yes
No
Occasionally
Where are you from
Weight
Hair Color
Astrological Sign
a your live
Do You have Children
Yes
No
How many children do you Have
Do you have pets?
Yes
No
Do you smoke?
Yes
No
Occasionally
How long was your last relationship?
Less than 6 months
6 months – 1 year
1 year – 2 years
What type of relationship are you looking for now?
Love
Committed Relationship
Friendship
Select all that apply
Is long distance ok?
Yes
No
Describe your favorite hobbies and interests:
Describe your taste in music:
What are the most important qualities in a relationship?
Submit
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