THE QUESTIONNAIRE FOR MEN
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The fields marked with a * are mandatory.
Identifier
Surname*
First Name*
Site localization
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E-mail*
Address*
Post Code*
City*
Country*
Phone (necessary)*
Fax
Date or year of birth (dd/mm/yy, yyyy)*
Weight*
Height*
Marital status* :
single
married
divorced
widower
Children (number)
Children (age, sex)
Education
Occupation
Languages
Strong points
Weak points
Smoke* :
no
yes
Eyes
Blue
Green
Brown
Hair
Blond
Dark
Red
Black
Hobbies
Picture (portrait)
Picture (full-length)
Previously sent pictures
Write about yourself in few words
How do you imagine the woman of your life ?
Password*
Confirmation of the password*
*I certify, that all the data specified in the above questionnaire are exact and truthful and I undertake to inform in due time of any changes of these information.