All information is private and confidential and only used in a professional manner to create fabulous date matches. You can ask to have it removed at anytime. Please answer as much as possible but know we respect any that you may choose not too. X
Name
First Name
Last Name
Date Of Birth
-
Month
-
Day
Year
Date
Age
Where are you at?
Full time student
Professional
Self employed
Home maker and parent extraordinaire
Part time
Unemployed
Do you drink or smoke?
Both
Just Smoke
Just Drink
Neither
Other
What area are you from within Perth ?
North
South
City
East
West
Are you willing to make time for the potential one or two meet up dates after the event within a 4 week period?
Yes set me up
No I’m happy just with the event and figuring it out myself
Orientation (for when we do gay/lesbian/open specific events)
Straight
Gay
Lesbian
Other
Do you have pets
Yes
No
Do you have kids
Yes, Teens
Yes, Adults
Yes, Toddlers
Yes, Mixed ages
No
If you are a co-parent, briefly explain your percentage of time. 50%, every second weekend, full time, not living in this city, always changes etc. We need to understand and respect your time out, so we can help match with your time available. We understand life changes so it’s just a general idea.
Would you like kids? More kids?
No
Haven't decided
Yes
If the right person comes along, but not necessary.
Are you more attracted to an introvert or extrovert?
Introvert
Extrovert
It doesn’t matter to me
Are you an introvert or extrovert
Extrovert
Introvert
Can be both
Unsure/Middle
Your body type - athletic, curvy, slim, fit, etc. However you feel you want to describe it.
Marital status
Single
Recently Divorced
Divorced for more then 2 years
Widowed
Recently separated
Never Married
Other
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Give a brief description of yourself. Tell us where you’re at in life. What do you do for work and what do you do for fun.
Truthfully, what are you attracted to in a person? For example, looks, character and lifestyle. What are things that turn you off or are a definite no? What’s important to you, religion, family etc.
Recent photo face/selfie
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Recent photo - full body shot
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