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First Name
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E-mail
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Core Values & Relationship Goals
What does a fulfilling relationship look like to you at this stage in life?
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What are you looking for?
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Companionship
Long-term partner
Marriage
Something else
What are the qualities you most value in a partner?
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How do you handle disagreements or conflict in a relationship?
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What’s one life lesson you think is essential in a successful relationship?
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If you matched with someone who desires a robust sexual aspect of the relationship, would you be able to indulge based on your willingness and physical abilities?
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Lifestyle & Daily Routine
Which describes your current work situation?
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Retired
Semi-Retired
Full Time Work
Unemployed
What do you enjoy about your current lifestyle?
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What’s a typical day like for you?
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How do you like to spend your weekends?
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Do you enjoy traveling? If so, what’s your ideal trip?
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Are you more of a homebody or do you love being out and about?
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Interests & Hobbies
What hobbies or passions keep you inspired or energized?
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Which of the following interest you?
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Arts
Crafts
Music
Gardening
Volunteering
Reading
Movies
Live Performances
What’s a hobby or skill you’ve always wanted to try?
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Are you someone who enjoys sharing hobbies with a partner or prefers doing your own thing?
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Family, Friends & Pets
How important is family in your life?
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Do you have children or grandchildren, and how involved are they in your day-to-day?
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Do you currently have any pets?
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Yes
No
Are you a pet person?
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Yes
No
How do you feel about meeting and spending time with a partner’s family?
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How do you balance time between personal interests and social connections?
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Personality & Preferences
Would your friends describe you as more introverted or extroverted?
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Do you enjoy deep conversations, light banter, or a mix of both?
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What’s your idea of a perfect evening—quiet dinner, movie night, dancing, or something else?
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How spontaneous are you? Do you like plans or going with the flow?
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Are you more traditional or open-minded when it comes to dating and relationships?
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