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This custom survey has been rated as: Clean

"The Boyfriend Application" by icantskip13
Question Your Answer
1. _YOUR HISTORY_
2. Name:
3. Age:
4. Date of Birth:
5. where were you born?
6. do you have a criminal record?
7. do any of your relatives have a criminal record?
8. have you ever been pulled over or received tickets?
9. grade point average:
10. education history:
11. job(s):
12. _PERSONALITY_
13. introvert or extrovert?
14. how easy is it to make you laugh?
15. do you enjoy talking about you?
16. longest amount of time you can talk with someone?
17. do you tend to start conversations?
18. do people come to you for advice?
19. how do you handle your anger?
20. if you had to do a group project, would you rather lead or follow?
21. how easily do you get embarrassed?
22. _APPEARANCE AND HEALTH_
23. hair color:
24. hair style:
25. facial hair:
26. eye color:
27. contacts/glasses:
28. height:
29. shoe size:
30. piercings:
31. tattoos:
32. nationality:
33. clothing style:
34. how many (average) hours of sleep do you get?
35. how do you sleep? (example: on your back, on your side)
36. are you a morning person?
37. how easy is it for you to wake up?
38. do you snore?
39. do you smoke?
40. do you drink?
41. how often do you work out?
42. are you a virgin?
43. do you get seasick?
44. does any other form of transportation make you sick?
45. do you have any health related problems?
46. what health related problems run in your family?
47. any allergies?
48. do you take any medication?
49. ever have any surgeries?
50. how many cavities have you had?
51. do you visit a doctor/dentist regularly?
52. _CHECK ALL THAT APPLY_
53. you know how to :
54. [ ] mow the lawn
55. [ ] cook
56. [ ] do laundry
57. [ ] do an oil change
58. [ ] use a mop
59. [ ] use a broom
60. [ ] take out the trash
61. [ ] balance a checkbook
62. [ ] handle things financially
63. [ ] have a dignified discussion in replace of an argument
64. [ ] keep calm in an emergency situation
65. [ ] dance
66. [ ] be romantic
67. [ ] give a back massage
68. [ ] give a foot rub
69. [ ] be a good listener
70. [ ] work hard
71. [ ] compromise
72. [ ] follow a schedule
73. [ ] complete a to-do list
74. [ ] sing
75. [ ] play guitar
76. [ ] draw/paint a picture
77. [ ] be competitive
78. [ ] be reasonable
79. [ ] think things through
80. _VIEWS_
81. - how do you feel about:
82. abortion:
83. the president of the united states:
84. gay marriage:
85. premarital sex:
86. religion:
87. divorce:
88. vegetarians:
89. music:
90. books:
91. movies:
92. sports:
93. camping:
94. traveling:
95. _DO YOU OWN A_
96. car:
97. drivers license:
98. library card:
99. firearm:
100. computer:
101. cell phone:
102. credit card:
103. motorcycle:
104. pet:
105. television:
106. game system:
107. musical instrument:
108. ipod / mp3 player:
109. _FAMILY_
110. how was your childhood?
111. any brothers or sisters?
112. are your parents still married?
113. what's your favorite thing about your mom?
114. favorite thing about your dad?
115. did you have any pets growing up?
116. were/are cuss words used frequently at home?
117. how did you get punished or grounded?
118. what chores did you have?
119. when was the last time you yelled at a family member?
120. _DO YOU HAVE ANY_
121. talents:
122. hobbies:
123. quirks:
124. phobias:
125. goals:
126. _TOP 5_
127. things you look for in a girl
128. places you'd like to see
129. things you want to do in your lifetime
130. questions you want to ask God
131. _ONE LAST QUESTION_
132. why should I consider you to be my boyfriend?
133. _ANYTHING ELSE YOU WOULD LIKE TO ADD_
134. - you may do so here.
135. _CONTACT INFORMATION_
136. - what is the best way to get a hold of you?
137. cell phone:
138. home phone:
139. work phone:
140. email:
141. address:
142. other:
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