18.11.2006
The Questionnaire
Name
Surname
Email Address
Messenger user-name
Please Choose
AOL IM
ICQ
Yahoo Messenger
MSN Messenger
Homepage
Birthday
Day
Month
Year
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
Describe your dream-man...
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:
Guestbook
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