Dating Questionnaire
Personal Information
First Name:
Last Name:
Date of Birth:
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
Gender:
Male
Female
Where do you live now:
Select country
England
Kazakhstan
Kyrgyzstan
Northern Ireland
Scotland
Tajikistan
Turkmenistan
Uzbekistan
Wales
Your citizenship:
Select country
England
Kazakhstan
Kyrgyzstan
Northern Ireland
Scotland
Tajikistan
Turkmenistan
Uzbekistan
Wales
Email or Telegram:
General Questions
1. What are your hobbies or interests?
2. What's your favorite way to spend your weekends?
3. Are you more of an:
Introvert
Extrovert
Ambivert
4. Do you enjoy traveling? If yes, what's your favorite travel destination?
5. You prefer on a typical Friday night:
Staying in
Going out
Lifestyle and Habits
6. What do you do for work, and do you enjoy it?
7. What's your relationship with fitness and health?
Exercise regularly
Occasional exercise
Rarely exercise
No exercise routine
8. Do you drink alcohol?
Yes, regularly
Yes, occasionally
Rarely
Never
9. Do you smoke or use tobacco products?
Yes, regularly
Yes, occasionally
No
10. What's your diet like?
Omnivore
Vegetarian
Vegan
Pescatarian
Other:
Values and Beliefs
11. How important is family to you?
Very important
Important
Somewhat important
Not very important
12. Do you want children in the future?
Yes
No
Undecided
Already have children
13. How do you feel about marriage?
Very positive
Positive
Neutral
Not interested
14. Do you practice any religion or follow a spiritual belief system?
Yes:
No
15. What's your view on politics?
Liberal
Conservative
Moderate
Not politically active
Other:
Personality and Preferences
16. What's your primary love language?
Words of affirmation
Physical touch
Quality time
Acts of service
Receiving gifts
17. How do you handle stress or difficult situations?
18. What qualities do you value most in a partner?
19. What are your deal-breakers in a relationship?
20. What's your biggest pet peeve?
Relationship History
21. How long was your longest relationship?
22. What did you learn from your past relationships?
23. Are you currently seeing or dating anyone?
Yes
No
Employment Information
24. What is your employment status?
Unemployed
Business Owner/Self-employed
Full-Time Employed
Student
Job Seeker
25. General Income Level (annual):
£20,000 - £28,000
£28,000 - £35,000
£35,000 - £42,000
£43,000 - £50,000
£50,000 - £65,000
Other:
Dating Preferences
26. Please describe your ideal date:
Having coffee/drinks
Having dinner/lunch
Walking in the park
Visiting a museum/exhibition
Other:
27. Physical Preference:
Slim
Curvy
Athletic
Tall
Short
Average height
No preference
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