| 1. _YOUR HISTORY_ |
yes |
| 2. Name: |
no |
| 3. Age: |
maybe |
| 4. Date of Birth: |
perhaps |
| 5. where were you born? |
No Answer |
| 6. do you have a criminal record? |
No Answer |
| 7. do any of your relatives have a criminal record? |
No Answer |
| 8. have you ever been pulled over or received tickets? |
No Answer |
| 9. grade point average: |
No Answer |
| 10. education history: |
No Answer |
| 11. job(s): |
No Answer |
| 12. _PERSONALITY_ |
No Answer |
| 13. introvert or extrovert? |
No Answer |
| 14. how easy is it to make you laugh? |
No Answer |
| 15. do you enjoy talking about you? |
No Answer |
| 16. longest amount of time you can talk with someone? |
No Answer |
| 17. do you tend to start conversations? |
No Answer |
| 18. do people come to you for advice? |
No Answer |
| 19. how do you handle your anger? |
No Answer |
| 20. if you had to do a group project, would you rather lead or follow? |
No Answer |
| 21. how easily do you get embarrassed? |
No Answer |
| 22. _APPEARANCE AND HEALTH_ |
No Answer |
| 23. hair color: |
No Answer |
| 24. hair style: |
No Answer |
| 25. facial hair: |
No Answer |
| 26. eye color: |
No Answer |
| 27. contacts/glasses: |
No Answer |
| 28. height: |
No Answer |
| 29. shoe size: |
No Answer |
| 30. piercings: |
No Answer |
| 31. tattoos: |
No Answer |
| 32. nationality: |
No Answer |
| 33. clothing style: |
No Answer |
| 34. how many (average) hours of sleep do you get? |
No Answer |
| 35. how do you sleep? (example: on your back, on your side) |
No Answer |
|
|
| 36. are you a morning person? |
No Answer |
| 37. how easy is it for you to wake up? |
No Answer |
| 38. do you snore? |
No Answer |
| 39. do you smoke? |
No Answer |
| 40. do you drink? |
No Answer |
| 41. how often do you work out? |
No Answer |
| 42. are you a virgin? |
No Answer |
| 43. do you get seasick? |
No Answer |
| 44. does any other form of transportation make you sick? |
No Answer |
| 45. do you have any health related problems? |
No Answer |
| 46. what health related problems run in your family? |
No Answer |
| 47. any allergies? |
No Answer |
| 48. do you take any medication? |
No Answer |
| 49. ever have any surgeries? |
No Answer |
| 50. how many cavities have you had? |
No Answer |
| 51. do you visit a doctor/dentist regularly? |
No Answer |
| 52. _CHECK ALL THAT APPLY_ |
No Answer |
| 53. you know how to : |
No Answer |
| 54. [ ] mow the lawn |
No Answer |
| 55. [ ] cook |
No Answer |
| 56. [ ] do laundry |
No Answer |
| 57. [ ] do an oil change |
No Answer |
| 58. [ ] use a mop |
No Answer |
| 59. [ ] use a broom |
No Answer |
| 60. [ ] take out the trash |
No Answer |
| 61. [ ] balance a checkbook |
No Answer |
| 62. [ ] handle things financially |
No Answer |
| 63. [ ] have a dignified discussion in replace of an argument |
No Answer |
| 64. [ ] keep calm in an emergency situation |
No Answer |
| 65. [ ] dance |
No Answer |
| 66. [ ] be romantic |
No Answer |
| 67. [ ] give a back massage |
No Answer |
| 68. [ ] give a foot rub |
No Answer |
| 69. [ ] be a good listener |
No Answer |
| 70. [ ] work hard |
No Answer |
|
|
| 71. [ ] compromise |
No Answer |
| 72. [ ] follow a schedule |
No Answer |
| 73. [ ] complete a to-do list |
No Answer |
| 74. [ ] sing |
No Answer |
| 75. [ ] play guitar |
No Answer |
| 76. [ ] draw/paint a picture |
No Answer |
| 77. [ ] be competitive |
No Answer |
| 78. [ ] be reasonable |
No Answer |
| 79. [ ] think things through |
No Answer |
| 80. _VIEWS_ |
No Answer |
| 81. - how do you feel about: |
No Answer |
| 82. abortion: |
No Answer |
| 83. the president of the united states: |
No Answer |
| 84. gay marriage: |
No Answer |
| 85. premarital sex: |
No Answer |
| 86. religion: |
No Answer |
| 87. divorce: |
No Answer |
| 88. vegetarians: |
No Answer |
| 89. music: |
No Answer |
| 90. books: |
No Answer |
| 91. movies: |
No Answer |
| 92. sports: |
No Answer |
| 93. camping: |
No Answer |
| 94. traveling: |
No Answer |
| 95. _DO YOU OWN A_ |
No Answer |
| 96. car: |
No Answer |
| 97. drivers license: |
No Answer |
| 98. library card: |
No Answer |
| 99. firearm: |
No Answer |
| 100. computer: |
No Answer |
| 101. cell phone: |
No Answer |
| 102. credit card: |
No Answer |
| 103. motorcycle: |
No Answer |
| 104. pet: |
No Answer |
| 105. television: |
No Answer |
|
|
| 106. game system: |
No Answer |
| 107. musical instrument: |
No Answer |
| 108. ipod / mp3 player: |
No Answer |
| 109. _FAMILY_ |
No Answer |
| 110. how was your childhood? |
No Answer |
| 111. any brothers or sisters? |
No Answer |
| 112. are your parents still married? |
No Answer |
| 113. what's your favorite thing about your mom? |
No Answer |
| 114. favorite thing about your dad? |
No Answer |
| 115. did you have any pets growing up? |
No Answer |
| 116. were/are cuss words used frequently at home? |
No Answer |
| 117. how did you get punished or grounded? |
No Answer |
| 118. what chores did you have? |
No Answer |
| 119. when was the last time you yelled at a family member? |
No Answer |
| 120. _DO YOU HAVE ANY_ |
No Answer |
| 121. talents: |
No Answer |
| 122. hobbies: |
No Answer |
| 123. quirks: |
No Answer |
| 124. phobias: |
No Answer |
| 125. goals: |
No Answer |
| 126. _TOP 5_ |
No Answer |
| 127. things you look for in a girl |
No Answer |
| 128. places you'd like to see |
No Answer |
| 129. things you want to do in your lifetime |
No Answer |
| 130. questions you want to ask God |
No Answer |
| 131. _ONE LAST QUESTION_ |
No Answer |
| 132. why should I consider you to be my boyfriend? |
No Answer |
| 133. _ANYTHING ELSE YOU WOULD LIKE TO ADD_ |
No Answer |
| 134. - you may do so here. |
No Answer |
| 135. _CONTACT INFORMATION_ |
No Answer |
| 136. - what is the best way to get a hold of you? |
No Answer |
| 137. cell phone: |
No Answer |
| 138. home phone: |
No Answer |
| 139. work phone: |
No Answer |
| 140. email: |
No Answer |
| 141. address: |
No Answer |
| 142. other: |
No Answer |