Questionnaire Form

Name:

Age:

Weight:

Height:

City/State:

Country:

Education Level:

Children (age and gender):

Status:

Want Children?

Smoker?

Describe the person you might be interested in meeting

What would someone notice first about you

How might others best describe you?

If you could choose the ideal friend, what would he/she be like?

Which virtues give you the most of your self-confidence?

If you could change one thing about yourself, what would it be?

What personal habits of others irritate you?

What would you like to do that you have never had the opportunity to do?

What do you do to stay in shape?

What type of work do you do and do you enjoy it?

Your current living situation is?

Is religion a part of your life?

What is your favorite outdoor activity?

What is your favorite indoor activity?

What is your favorite type of music?

What type of food do you enjoy the most?

What types of movies do you like the best?

Final comments :

	Please review Pricing & Services and place purchase prior to completing this Questionnaire. After sending Questionnaire please email pictures to Karina@International-Introductions.com.

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