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* 1. What days of the week and times are best for you to attend a mixer (check all that apply):

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* 2. What year were you born?

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* 3. How tall are you?

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* 5. Your Personality (check all that apply):

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* 6. Your Social Habits:

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* 7. Your Diet (check all that apply):

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* 8. Your Pets (check all that apply):

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* 9. Your Children (check all that apply):

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* 10. Your Style (check all that apply):

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* 11. Your Taste in Music (check all that apply):

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* 12. Your Taste in Movies (check all that apply):

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* 13. Your Relationship Status (check all that apply):

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* 16. Your occupation(s):

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* 17. Your Do's and Don'ts in the Bedroom:

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* 19. Your ethnicity (check all that apply):

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* 21. Preferred ethnicity in a partner (check all that apply):

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* 22. Preferred occupation in partner (check all that apply):

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* 23. Preferred education level in a partner (check all that apply):

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* 24. Preferred age of partner (check all that apply):

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* 25. Preferred height of partner:

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* 26. Preferred relationship status in partner:

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* 27. Preferred personal beliefs of partner (check all that apply):

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* 28. Your astrological sign:

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* 29. My views on body in a partner(check all that apply):

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* 30. Your education level:

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* 31. Preferred gender in a partner (check all that apply):

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* 32. Preferred income of partner (check all that apply):

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* 33. Your email address:

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* 34. Your Phone Number:

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* 35. What city are you driving from:

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* 36. Extra information or requests:

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