Womens Questionnaire First Name
Last Name
How Did You Hear About True Romance? From a Friend Social Media Google or Yahoo! Search Other Websites TV Radio or Print
City
State
Phone / Mobile
E-Mail
Relationship Status
Birthday
Age
Height / Weight
Eye Color Blue Brown Black Green Gray Hazel
Hair Color Blonde Brown Black Gray White Salt & Pepper
How Many Children Do You Have? 0 1 2 3 4 5 6 7 No Way!
What Are Your Children’s Ages
Do You Drink? No Light Social Regular
Do You Smoke? No Yes
Ever Used an Online Dating or Matchmaker? No Yes
If Yes How is it Working Out for You? OK Its Great! Not So Good I Hate It
Education Level High School Graduate Associate Degree Bachelor Degree Master Degree Doctorate
Salary Less than $50K $50K - $100K $100K - $150K $150K - $250K $250K - $500K Over $500K
Occupation / Title / Company
How Would You Describe Yourself and What You Bring to a Relationship?
What Are You Passionate About?
What Are Your Relationship Goals? Dating Long term relationship Marriage Marriage with children
Are You Interested In Children? Yes No Somewhat
Qualities You Are Looking For in Your Match
Minimum Age of Your Match
Maximum Age of Your Match
