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Dating Questionnaire

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1. Date of Birth

2. What’s your love language?

3. What is your gender?

4. What gender(s) are you interested in dating?

Male

Female

Other

5. What is your age preference range for dating?

Minimum Age:

Maximum Age:

6. What is your current relationship status?

7. What is your location?

8. Do you have children?

Yes

No

9. What is your height?

ft

in

Please enter your height in feet and inches.

10. Tell us more about yourself.

10. What is your educational background?

12. What is your occupation?

13. Do you want children?

Yes

No