* 1. Full Name

* 2. Age

* 3. Town 

* 4. Contact Number 

* 5. I am a...

* 6. Do you drink/smoke?

* 7. Tell us a bit about yourself.

* 8. Do you want an individual date or a double date?  Please note that we may not be able to accommodate all double date requests.

* 9. Click three things that you enjoy doing in your spare time.

* 10. Tell us what you are looking for in a partner? 

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