2. What age group do you belong to?

What age group do you belong to? 18 - 24

25 – 30

31 – 40

41 – 50

50+

3. What is your current relationship status?

What is your current relationship status? Single

In a relationship

Married

Other

4. If you answered single, how many dates have you been on in the last 12 months?

If you answered single, how many dates have you been on in the last 12 months? 1-3

4-6

6-9

10+

5. If you are currently looking for a relationship, what type of relationship are you looking for?

If you are currently looking for a relationship, what type of relationship are you looking for? My future wife/husband

A serious relationship

A fun fling

Friendship

Open to any type of adventure

6. What is your favourite form of dating?

What is your favourite form of dating? Meeting randomly (for example in a bar)

Being set up by friends or blind dates

Speed dating

Internet dating

Phone dating

7. Which of the following best describes your attitude towards dating?

Which of the following best describes your attitude towards dating? Positive

Hopeful

Hesitant

Confused

Wary

Disillusioned

Old-fashioned

Open minded

8. Have you ever tried any of the following types of “modern dating”?

Have you ever tried any of the following types of “modern dating”? Speed dating

Internet dating

Phone dating

None of the above

9. Describe your attitude towards “modern dating”:

Describe your attitude towards “modern dating”:

10. Have you ever been in a relationship with someone you met through “modern dating”?

Have you ever been in a relationship with someone you met through “modern dating”? Yes

11. If you answered yes, how long did the relationship last?

If you answered yes, how long did the relationship last? 0-6 months

6 – 12 months

12+ months

12. How stressful do you find dating?

How stressful do you find dating? Extremely stressful

Somewhat stressful

Neutral

Not Stressful

A fun and relaxing experience

13. If you answered yes to having tried “modern dating” (internet, phone or speed dating) were these experiences more or less stressful in comparison to traditional dating?

If you answered yes to having tried “modern dating” (internet, phone or speed dating) were these experiences more or less stressful in comparison to traditional dating? More stressful

Less stressful

The same level of stress

14. Do you present an honest representation of yourself on a first date?

Do you present an honest representation of yourself on a first date? Always

Sometimes

Rarely

Never

15. Please rate in order of importance (1 being most important and 10 being least important) the following traits in a potential partner:

	1	2	3	4	5	6	7	8	9	10
Looks	*Please rate in order of importance (1 being most important and 10 being least important) the following traits in a potential partner: Looks 1	Looks 2	Looks 3	Looks 4	Looks 5	Looks 6	Looks 7	Looks 8	Looks 9	Looks 10
Common goals	Common goals 1	Common goals 2	Common goals 3	Common goals 4	Common goals 5	Common goals 6	Common goals 7	Common goals 8	Common goals 9	Common goals 10
Sense of humour	Sense of humour 1	Sense of humour 2	Sense of humour 3	Sense of humour 4	Sense of humour 5	Sense of humour 6	Sense of humour 7	Sense of humour 8	Sense of humour 9	Sense of humour 10
Conversation skills	Conversation skills 1	Conversation skills 2	Conversation skills 3	Conversation skills 4	Conversation skills 5	Conversation skills 6	Conversation skills 7	Conversation skills 8	Conversation skills 9	Conversation skills 10
Wealth	Wealth 1	Wealth 2	Wealth 3	Wealth 4	Wealth 5	Wealth 6	Wealth 7	Wealth 8	Wealth 9	Wealth 10
Similar religious beliefs	Similar religious beliefs 1	Similar religious beliefs 2	Similar religious beliefs 3	Similar religious beliefs 4	Similar religious beliefs 5	Similar religious beliefs 6	Similar religious beliefs 7	Similar religious beliefs 8	Similar religious beliefs 9	Similar religious beliefs 10
Similar interests	Similar interests 1	Similar interests 2	Similar interests 3	Similar interests 4	Similar interests 5	Similar interests 6	Similar interests 7	Similar interests 8	Similar interests 9	Similar interests 10
Sense of adventure	Sense of adventure 1	Sense of adventure 2	Sense of adventure 3	Sense of adventure 4	Sense of adventure 5	Sense of adventure 6	Sense of adventure 7	Sense of adventure 8	Sense of adventure 9	Sense of adventure 10
Sex appeal	Sex appeal 1	Sex appeal 2	Sex appeal 3	Sex appeal 4	Sex appeal 5	Sex appeal 6	Sex appeal 7	Sex appeal 8	Sex appeal 9	Sex appeal 10
Kindness	Kindness 1	Kindness 2	Kindness 3	Kindness 4	Kindness 5	Kindness 6	Kindness 7	Kindness 8	Kindness 9	Kindness 10

Other (please specify)

16. Do you think pick up lines work?

Do you think pick up lines work? Yes

Sometimes

17. Tell us the best pick up line you have ever heard:

Tell us the best pick up line you have ever heard:

18. Tell us the worst pick up line you have ever heard:

Tell us the worst pick up line you have ever heard:

19. What’s the top turn-on on a first date?

What’s the top turn-on on a first date?

20. What’s the top turn-off on a first date?

What’s the top turn-off on a first date?

21. Please enter your details (this is optional and your information will not be shared with any third parties)

Please enter your details (this is optional and your information will not be shared with any third parties) State:
Email Address:
Phone Number:

1. What is your gender?