Today's Date
*
Phone Number
*
Email
*
City & State Country (where you live)
*
How long have you lived at your current home
*
Own/Rent
*
Own Rent
Education
*
High School Some College Current College Student Associate's / 2-Year Degree Bachelor's / 4-Year Degree Current Grad School Student Graduate / Masters Degree PhD. / Post Doctoral Other
University/College
*
Major/Minor
*
Job Title
*
Annual Income
*
Full Time/Part Time
*
Full Time Part Time Varies
Do you have a flexible schedule
*
Yes No Sometimes
Body Type
*
Model Thin Slender with Curves Slender & Fit Curvy Thick Athletic
Hair Color
*
Eye Color
*
Height
*
Weight
*
Dress Size
*
Bra Size
*
Marital Status
*
Single Divorced Widowed
Have you ever been engaged
*
Yes No
Do you have any children
Yes No
Kids Ages (Describe boy or girl next to age)
Are your kids with you Full Time or Part Time (or out of the house)
Do you want any/more children
*
Yes No Maybe
If you were to meet the love of your life, but he didn't want (or be able to have) children, would you give up that relationship?
*
If you were to meet the love of your life, but he didn't want to be married for at least 3 years would you give up that relationship?
*
What is more important to you
*
Intelligence Looks Money Chemistry
If you were madly in Love would you relocate?
*
Yes No Maybe
Do you have any tattoos
*
If you have tattoos where are they
How often do you drink
*
Occasionally Often Socially Never Quitting
How often do you smoke
*
Occasionally Often Socially Never Quitting
Do you have any pets
*
Name the breed & age
What ethnicity would you not consider (if any)
*
Your dating objective
*
Date Frequently Committed Relationship Marriage Open
Pick your #2 Choice (From the 5 Love Languages)
*
Words of Affirmation Quality Time Receiving Gifts Acts of Service Physical Touch
What are your top two Favorite books you are have read
*
Name your favorite two movies
*
Name of your favorite Restaurant
*
Name any food allergies
*
Name 3 of your favorite restaurants you like to go to, on the 1st date
*
2 favorite types of food
*
Refer a friend that deserves a chance at love
Available to travel Internationally
*
US Citizen with Valid Passport Available to travel out of US Permanent Resident with Valid Passport Available to travel out of the US Here on a Visa but available to travel in/out of the US with a valid passport Have a US Visa but currently not available to travel out of US Live outside of the US but have a Visa and can travel to US Live out of the US without a Visa and cannot travel to the US
Available to Travel out/into US
*
What do you think is the key to a successful relationship
*
How do you show affection or care (love) to your partner
*
What are your core values or principles
*
What do you have to bring into a relationship with the love of your life
*
What do you bring thats different (special) to the service
*
How important is religion to you
*
Have you ever ended a relationship and later realized you were also responsible for some of the issues?
*
No Yes
Have you ever been told that you are difficult to date, emotionally unavailable, controlling, overly independent, jealous, high maintenance, or hard to communicate with?
*
No Yes
What do you have to bring into a relationship with the love of your life
*
What personal goals are you working towards right now
*
When was your last long term relationship? Do you still have feelings for him?
*
What was missing in your last relationship? And why did it end?
*
What Countries have you been to and which one was your favorite?
What are 2-3 accomplishments you are most proud of?
*
Where would you like to travel to (as a romantic getaway)
*
What qualities do you believe help create a peaceful, healthy, long-term relationship?
*
What qualities do you believe make someone a supportive and emotionally healthy partner?
*
What does femininity mean to you personally?
*
Is there anything in your past, online presence, reputation, legal history, or personal lifestyle that could create reputational concerns for BDI or potential matches?
If you are human, leave this field blank.
