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E-mail
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example@example.com
Mobile Number
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Gender
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Male
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Relationship Status
Single
Separated
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Please Upload Some Recent Photos
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Photo 2
*
Photo 3
Where Did You Grow Up
*
Where Did You Go To School
*
Where Did You Go To University
*
What Did You Study at University
*
What is Your Highest Level of Education
*
GCSEs
A/AS Levels/6th Form
Associate Degree
Bachelors Degree
Graduate Degree
Phd/ Post Doctoral
Masters Degree
Where do you Work (location)
Tell us a bit about your early years
*
Body Type
*
Petite
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A few extra pounds
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Hair Colour
*
Brown
Blonde
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Red
n/a
Eye Colour
*
Blue
Brown
Green
Hazel
Black
Grey
Weight
Stone
Pounds
Height
*
Feet
Inches
What do you do for a Living?
*
Annual Income
Less than £30,00
£30,000 - £50,000
£50,000 - £70,000
£70,000 - £90,000
£90,000 - £110,000
£110,000 - £130,000
£130.000 - £150,000
£150.000 - £200,000
£200,000 - £250,000
£250,000 - £500,000
£500,000 - £1m
£1m - £3m
More than £3m
Languages Spoken Fluently
Do You Have Any Siblings
*
Yes
No
What is your relationship like with your family?
Religion
*
Agnostic
Atheist
Buddhist
Christian (Catholic)
Christian (Protestant)
Christian (Other)
Hindu
Muslim
Jewish
Spiritual but not religious
Other
Do you practice your religion?
*
Political Preference
Ethnicity
*
Caucasian
Hispanic/Latino
African American
Asian
Middle Eastern
Asian Indian
Native American
Multi Ethnic
Other
Do You Have Any Children
*
Yes
No
If yes, how many and how old are they?
Do You Want Children
*
Yes I do
Yes, but not for a while
I'm not sure yet
No I don't
Would You Date Somebody with Children
*
I would be happy to
I would rather they didn't have children
Are you Introvert or Extrovert?
*
1
2
3
4
5
6
Introvert
Extrovert
Drinking Habits
*
No
Light/Social
Yes
Smoking Habits
*
I don't smoke
Light/Social
Yes I smoke
Eating Habits
*
I try to be healthy
Traditional - I eat what I know mostly
I love unusual food (hot and spicy)
I love eating out
I'm not much of a foodie
Tell us something about you in your own words...
Hobbies and Interests
*
Holidays
A Bit About What You're Looking For...
Gender
*
Male
Female
Age From
*
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
60
61
62
63
64
65+
Age To
*
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
60
61
62
63
64
65+
Match Location
*
Within 2 miles from where I live
Between 2 - 5 miles
Between 5 - 10 miles
Between 10 - 30 miles
More than 30 miles ok
Don't mind
What qualities do you look for from a partner?
*
What physical qualities do you find most attractive?
*
Match Religion
*
Agnostic
Atheist
Buddhist
Christian (Catholic)
Christian (Protestant)
Christian (Other)
Hindu
Muslim
Jewish
Spiritual but not religious
Other
Match Ethnicity
*
Caucasian
Hispanic/Latino
African American
Asian
Middle Eastern
Asian Indian
Native American
Multi Ethnic
Other
Does Your Match Want Children
*
Yes, definitely
Not sure
Definitely Not
Height From
*
5' 0" - 1.52m
5' 1" - 1.55m
5' 2" - 1.57m
5' 3" - 1.60m
5' 4" - 1.63m
5' 5" - 1.65m
5' 6" - 1.68m
5' 7" - 1.70m
5' 8" - 1.73m
5' 9" - 1.75m
5' 10" - 1.78m
5' 11" - 1.80m
6' 0" - 1.83m
6' 1" - 1.85m
6' 2" - 1.88m
6' 3" - 1.91m
6' 4" - 1.93m
6' 5" - 1.96m
6' 6" - 1.98m
6' 7" - 2.01m
6' 8" - 2.03m
6' 9" - 2.06m
Height To
*
5' 0" - 1.52m
5' 1" - 1.55m
5' 2" - 1.57m
5' 3" - 1.60m
5' 4" - 1.63m
5' 5" - 1.65m
5' 6" - 1.68m
5' 7" - 1.70m
5' 8" - 1.73m
5' 9" - 1.75m
5' 10" - 1.78m
5' 11" - 1.80m
6' 0" - 1.83m
6' 1" - 1.85m
6' 2" - 1.88m
6' 3" - 1.91m
6' 4" - 1.93m
6' 5" - 1.96m
6' 6" - 1.98m
6' 7" - 2.01m
6' 8" - 2.03m
6' 9" - 2.06m
What are your deal breakers?
*
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