Please be open and honest in filling out this questionaire. The truth will come out sooner or later, when members begin to date you. If upon answering these questions and you become aware of any short-comings you may have. Do the necessary work before becoming a member of this website. Leave blank those questions you feel uncomfortable answering.
Do you smoke? daily occasionally Never    
Would you quit if the right person came into your life and they asked you quit would you? Yes No
Do you drink alcohol? daily once a week twice a month once a month Never
When you go to a bar how many alcoholic drinks do you have? Less than 3 More than 3  
Do you smoke pot? daily once a week twice a month once a month Never
Do you use cocaine, heroin, methamphetamines , or escatsy? daily once a week twice a month once a month Never
Do you have a substance abuse problem? No Yes      
Describe your body type? Average Athletic Thin Overweight Big and beautiful!
If overweight would you be willing to lose weight if your life-partner asked you to? Yes No      
How often do you shower or bathe? daily twice a week once a week twice a month once a month
In this moment, are your finger nails clean or dirty? Clean Dirty      
How often do you change your cloths? daily twice a week once a week twice a month once a month
How often do you brush your teeth? daily twice a day once a week once a month never
Do you attend a dentist on a regular basis? Yes No      
Have you seen a dentist in the last 12 months? Yes No      
Do you have a physical disability? Yes No Describe    
Do you have a mental disability or challenge? Yes No Describe    
Are you employed? Yes No Student Retired  
How often do you read the newspaper ? Daily Occassionaly Never    
Do you read self-help or relationship books? Often Seldom Never Don't beleive in them.  
If your life-mate asked you to attend a relationship work-shop, would you agree to go? Yes No      

Activities you would like to do together with your partner?

Swim (indoor) daily once a week twice a month once a month Never
Go for a one hour walk.
(weather permitting) 		daily once a week twice a month once a month Never

Bike ride.
(weather permitting)

 daily once a week twice a month once a month Never

Mountain-Bike?
(weather permitting)

 daily once a week twice a month once a month Never
Roller-blade?
(weather permitting)		 daily once a week twice a month once a month Never
Go dancing together? daily once a week twice a month once a month Never
Attend church? daily once a week twice a month once a month Never
Attend a fitness gym? daily once a week twice a month once a month Never
Attend a movie? daily once a week twice a month once a month Never
Dine out? daily once a week twice a month once a month Never
Attend a coffee shop? daily once a week twice a month once a month Never

Eating Habits and Preferences!

Do you like to cook? Yes No      
Are you vegetarian? Yes No      
Do you like to cook for friends and invite them over? Yes No      
How often do you eat fruit? daily once a week twice a month once a month Never
How often do you eat vegetables? daily once a week twice a month once a month Never
How often do you drink pop? daily once a week twice a month once a month Never
Which is your big meal of the day? breakfast lunch dinner    
Chinese food? daily once a week twice a month once a month Never

Greek food?

daily once a week twice a month once a month Never

Japanese food?

daily once a week twice a month once a month Never
Spicey food (Mexicain)? daily once a week twice a month once a month Never
How do you like your meat cooked (steak)? well done medium medium - rare rare  
Do you eat dinner salads? daily once a week twice a month once a month Never
How often do youe eat pasta? daily once a week twice a month once a month Never
How often do you eat rice? daily once a week twice a month once a month Never
How often do you eat noodle soups? daily once a week twice a month once a month Never
Do you eat pork? Yes No      
Belching during dinner? Appropriate Inappropriate      
Farting in mate's presence? Appropriate Inappropriate      
Turning on bathroom fan after using toilet? Yes No      
Is your house or apartment clean and tidy? Yes No Sometimes to busy to do it. Never

How often do you do your dinner dishes?

daily once a week twice a month once a month As needed

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