Mutual Attraction Signup Form

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Address

Street Address

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Date of Birth

DayMonthYear

Gender

Nationality

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Religion

Do you practise your religion?

Political preference

Do you smoke?

Relationship status

Do you have children?

Highest qualification

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Early years

Family

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Holidays

Personality

Anything & everything else you would like to add

Age

Height

What qualities are you drawn to in a person?

What physical qualities are you drawn to in a person?

What are you looking for in a relationship?

Do you have any 'deal breakers'?

Would you like children?

Would you like to get married?

Who has children from a previous relationship?

YesNoOpen minded

Who has previously been married?

YesNoOpen minded

Who smokes?

YesNoOpen minded

Of a different Ethnic Group than yourself?

YesNoOpen minded

Of a different religion to yourself?

YesNoOpen minded

On the outskirts of Greater London

YesNoOpen minded

Anything & everything else you would like to add

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About yourself

Who are you looking for? Please be open minded

Would you consider dating someone:

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