Dating Survey
1. Please indicate your gender
Female
Male
Other
2. Please select the category that includes your age
18-24
25-34
35-44
45-54
55-older
3. Do you smoke?
Yes
No
4. How would you describe your personality?
Shy and naive
Brave and talkative
Easy-going and cheerful
Honest and reliable
Sympathetic and tolerant
Energetic and open minded
Other
5. What traits do you look for in a partner?
Kind
Energetic
Honest
Naive
Talkative
Moody
Open minded
Respectful
Passionate
Good looks
Other
6. What kind of music puts you in the mood?
Soul music
Jazz
Blues
Classical music
House music
Other
7. What's your favorite international food?
Pizza
Pasta
Sushi
Hamburger
Other
8. How do you feel about pets and animals?
not very much
1
2
3
4
very like
5
1 is not very much, 5 is very like
9. How would you describe an ideal day?
10. What's your dream date night?
11. What's the number one thing that you think makes a relationship last?
Submit
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