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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 located?
of drink? Do
Weight
Hair Color
Astrological Sign
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?
Casual/For Fun
Committed Relationship
Online/Virtual
Select all that apply
Is long distance ok?
Yes
No
Describe your favorite hobbies and interests:
Describe your taste in music:
Describe your taste in film and television:
Describe your taste in books and podcasts:
What are the most important qualities in a relationship?
Is there anything else I should know about you?
Submit
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