Name: Nickname: (Must correspond to the nickname filled on the friendship questionnaire)

E-Mail: (PLEASE fill in correctly you E-Mail address!!! PAY ATTENTION!)

Telephone (please include international prefix and area code): 

Fax: (please include international prefix and area code): 

Snail mail address: 
Neigbouhood: 
Zip Code: 
City: State: 

PO Box: 

Residential Zone:
South
North
East
West
Center

Country
Birth date - MONTH / DAY / YEAR 

Do you smoke?
Yes
No

Alchoolic drinks?
Yes
No
Light Drinker

Children? How many? (please type 0 "Zero" if none)

If you have children, do they live with you?
Yes
No

Scolarship?
Basic
high School
College
Ph.D.

What is your body type?
Skin
Normal
Fat
Athletic
Muscular
Fatty

What is your annual income? (in US$ Dollars, thousands)
from 0 to 10
from 10 to 30
from 30 to 50
from 50 to 70
more than 70
 

Do you own a car?
yes
no

Your residential place:
is yours
is rented

Do you rather:
be contacted
contact

On a meeting you
always be there before time
get sharply in time
close to the settled time, but usually a little late
usually late
always on the same day

MC (Multiple Choices - Mark as many as you want) What information do you authorize to be informed to the other participants: 
My snail mail address
My phone number
My fax number
My E-Mail

MC - Do you have any of the symptoms below. Benefit those ho have by being honest.
Allergies 
Stomach problems
Cardiac problems
Breathing problems
Handicapped 
I'm blind
I'm deaf 
Epilepsia 
Herpes simplex
Herpes genital
Hepatitis B, C, or G
HIV

Are you looking for what gender?
Female
Male
 

MC (Multiple choices. Mark as many as you want) - From what race?
White
Black
Asian
Mix
Other
Importance A lot Middle Little

MC - Martial status
Single
Separated
Divorced
Married
Living together
Widow
Importance Muita Middle Little
 

With Children?
Yes
No
don't matter
Importance A Lot Middle Little
 

If the person have children, and you accept it, do you accept that he/she lives with the children?
Yes
No
don't matter
Importance A Lot Middle Little
 

Smoker?
Yes
No
don't matter
Importance A Lot Middle Little
 

Alcoholic drinks?
Yes
Light Drinker
No
don't matter
Importance A Lot Middle Little

From what age range? from to 
Importance A Lot Middle Little

Hair:

Most distinguished color:  Brown  Black  Blond  Auburn  Gray  White  Other

Kind:  Wavy  Rough (black race)  Straight  Bald  Curly  Other

Importance A Lot Middle Little

Eyes, predominant color:
Hazel
Black
Blue
Green
Other
Importance A Lot Middle Little
 

Body type?
Skin
Normal
Fat
Athletic
Muscular
Fatty
Importance A lot Middle Little

Height range? (In centimeters) Example: 155 to 180 from to 
Importance A lot Middle Little
 

That have a car?
Yes
No
don't matter
Importance A lot Middle Little
 

Own it's home?
Yes
No
don't matter
Importance A lot Middle Little

Living:
within your residential zone
within your city
within your state
within your country
any place
Importance A lot Middle Little

Instruction Level:
School
High School
College / University
Ph. D.
Importance A lot Middle Little

Income? (in US$ Dollars, thousands)
from 0 to 10
from 10 to 30
from 30 to 50
from 50 to 70
more than 70
Importance A lot Middle Little

Do you wish to contact people from what compatibility percentage?
Exemple:
from 50% to 65% - Average
from 66% to 80% - Good
from 81% to 100% - Excellent (but very difficult)
from % 

97. - Do you work on what you like?
Yes
No

98.- Do you like to work?
in groups
individually
taking the lead
being lead
on temporary jobs
no way

99. - In what kind of ambient you prefer to work?
on the outdoors
indoors
different from time to time
don't have preference

100. - Which activities most interest you for working?
scientifically and research
numbers and calculations
direct contact with people
artistically
physically
ecologically

101. - If a job seams too complex and big work, you:
quit before start
try up to your abilities
don't quit by any means
I only take task I can achieve

102. - If your husband/wife is more successful than you (be honest!):
I become proud
I become disturbed

103. - If your husband/wife earns more money than you
I become accommodated in my work
I try to earn more money
I quit working
I feel great

104. - On a relationship, you:
don't interfere in the professional life of you partner
don't like to share failures
don't like to share success
both are responsible for success and failures

105. - Do you normally face day to day problems with:
objectivity
desperation
goo humor
bad humor
I don't have problems

106. - Do you consider yourself as:
optimist
pessimist
depends on the day

MC - 107. - Do you rather go out
alone
with friend's of the same sex
with friend's of opposite sex
with a boyfriend (girl), husband (wife), etc

108. - For dressing you:
dress with casualty
dress with moderation
Is very careful with dressing
always dress with the latest fashion
observe a lot other dressing, and dress the same
every ambient/circumstance demands a different cloth
Jeans and T-shirt is always good
I don't care

109. - Do you use perfumes?
No
Yes. Which ones?
citric
flower scent
sweet
dry

110. - Do you like vain people that take lot's of time to get dressed up?
Yes
No

111. - You could say your home place is:
very organized
organized
not much organized
I'm always lost in the mess

112. - When you are sick you look for:
a doctor
a therapist
I take medicine by my will
I don't get sick

113. - Do you prefer:
industrialized medicines
natural medicines
alternative therapies
anything that heels me

114. - When someone look straight inside your eyes, you:
deviate your look
you blush
look for some time, then look down
look firmly back

115. - Considering personal hygiene:
you are very clean
you are clean
I take baths, normally
too much soap&water damages the skin
to get clean is against my belief's

MC - 116. - Which are your most desirable dreams?
to marry and raise a family
to marry and dedicate my self to home
find my soulmate
earn lots of money
build up my own business
live in a foreign country
be understood
travel the world
I don't have dreams

117. - Do you think you have many character changes to be made?
Yes
No
Always

118. - Do you feel attracted by people that "jump" fearlessly into relationships?
Yes
No

119. - Do you like relationships where your partner controls everything?
Yes
No
I like to split

120. - Having to necessarily chose one, in a relationship, you give more importance to:
what you feel
what the other feel's

121. - Are you INcapable of ending a relationship were your partner is dependent of you?
Yes
No

122. - Are you CAPABLE to maintain a relationship being madly in love, even if your partner DO NOT correspond you?
Yes
No

123. - Do you do, or have you done psychological therapy?
Yes
No

124. -When things, on a relationship, are not going very well, you:
get away from the problems
manage to talk
get aggressive
rather not talk
blame the other

125. - Do you get attracted by violent people?
Yes
No

126. - Are you jealous?
Yes
No

127. - If you are jealous, you are:
a little
a lot
too much
I get sick

128. - Would you be CAPABLE of doing untaught things to the love of someone:
Yes
No

129. - If you answered yes to the preceding question, would you be able to shit, still, or eve kill?
Yes
No

130. - What MOST matters to you in a relationship?
the feelings
the objectiveness
the financial situation
the physical attraction

131. - What LESS matters to you in a relationship?
the feelings
the objectiveness
the financial situation
the physical attraction

132. - Where do you think is easier to have an approximation:
on a party
in a show
in a bar
on a line (bank, theater, etc)
on a friend's house
any place

133. - What you understand is important for an approximation:
an opportunity
be willing to
the physical look of the other
his/her way of talking

134. - What you think makes an approximation easier:
the physical look
his/her way of talking
the mood of the person

135. - What you think is most important for a relationship begin:
the physical attraction
the intelligence/culture
the financial situation
be willing to
the overall look
the mood of the person

136. - What you think is MOST important for a relationship to last?
the physical attraction
the financial situation
the intelligence/culture
the mood of the person
the respect

137. - What you think is Most important for a marriage last:
the physical attraction
the financial situation
the will of both
the respect
love

138. - Love to you is:
eternal
eternal, while it lasts
love does not exist

139. - Do you think love is:
consequence of an adult relationship
instantaneous
depend on the person
does not exist

140. - Do you think is easier to love a person:
with lack of love
psychologically fit
it depends a lot
some one self-assured

141. - Your mother-in-law hates you, and strives to make you understand that. She gets very sick and have no one to take care of her, you:
allow her to stay in your home
do nothing to help
pays a nurse for her
allows her to stays in you home, but ignores her

142. - You were deeply hurt by the one you love. You feel deeply mistreated and betrayed, you:
wipe your bad feeling alone, and forget
try to forgive and to approximate again
gets deeply resented
hurt and mistreat
kill

143. - When someone looks sensual at you partner, you:
get jealous, but don't show it
get irritated
feel flattered
get insecure
don't bother

144. - An old "love" of your partner calls him/her and ask for a personal favor, you:
get jealous, but allows it
get jealous and don't allow it
don't even want to talk about
don't pay much importance
do it yourself

145. - Your partner has bad breath, you:
don't care
get incommoded, but don't talk
ask she/he to get some treatment
ends the relationship

146. - Please write the name of tree male actors whom you think are attractive.

147. - Please write the names of tree female actresses whom you think are attractive.

MC - 148. - What is you preferred readings
I don't like to read
Adventure
Science Fiction
Cartoons
News papers
technical literature
erotic literature
Info literature (Times, Newsweek, etc)
romance
suspense / fiction

149. - Write down the name of your preferred book or writer.

150.
151.

152. - Have you ever met someone that somehow you felt you known him/her for a lot more time than you actually did.
Yes
No

153. - What is you skin type:
Dry
Normal
Oily

154. - Do your personal objects, like a watches, rarely break down?
yes, my personal objects last longer than normal
no, my personal objects last the normal time

MC - 155. - Check the physical characteristics that you have:
hot skin (people say you have)
sweat easily
your hand touch is very pleasant
your natural odor is attractive (not industrialized perfume!)

MC - 156. - Check the elements which you harmonize best:
plants
small animals
big animals
none of the above

157. - Do you have compelling eyes?
Yes
No
I don't know

158. - For you, the priest is:
a thief
the one that cares for the devotees
a respectful person
God's word

159. - Do you think that financial contribution for a religious organization is:
crime
non sense
normal
an obligation

MC - 160. - Check the options in which you believe
astrology
numerology
cards (Tarot, etc)
fortune tellers
voodoo
superstitions
spirits
life after death
reincarnation
miracles
mind power
UFO's and ET's
this is all non sense

MC - 161. - Check some phenomena you manifest:
I have an sharp sixth sense
I have "Déjá Vú" with frequency
I predict things
I feel someone's watching me
I see spirits
I see and talk with spirits
I levitate objects
I don't manifest those phenomena's
this is all non sense

162. - Are you affiliated to a political party?
Yes
No

163. - Do you consider yourself, politically fit in the?
left
right
center
I don't know

164. - What political system you think is best?
capitalism
socialism
communism
anarchy
I don't like politics

165. - Politicians are:
all thieves
some thieves other honest
generally well intentioned
they all work for the benefit of the nation

166. - Sex should be practiced:
on the very first date
some time after
depends on the person
only after knowing well the partner
only after marriage
should never be practiced

167. - When dating a boy/girlfriend, a night should always end in sex?
yes
No
depends on the boy/girlfriend
I don't do sex

168. - For a good sex, the most important thing is :
the body
the mind
I don't do sex

169. - You understand that foreplay should:
be very quick
should last a satisfactory time
should be very long
depends on the day
are better than the rest
I don't do sex

170. - You understand that foreplay initiate:
on looking
on chatting
in a dinner situation
dancing
kissing
touching erogenous zones
I don't do sex

MC - 171. - Do you understand that valid foreplay is:
body massage
bathing together
touching erogenous parts
watch porn movies
talk dirty
touch sexual organs
read erotic things
I don't do sex

MC - 172. - Do you consider normal sex:
oral
vaginal
anal (you are passive)
anal (you are active)
masturbation
I don't do sex

173. - When you are close to the orgasm, you:
go for it
wait your partner, because together is better.
have not found a partner that made me have an orgasm, yet.
I don't do sex

174. - Generally you reach orgasm:
very quickly
after some time
after a long time
depends on the partner
I don't have orgasms
I don't do sex

Atention! the next question should be answered with lots of caution.
To some it might be polemic. But we have no intention to shock, nor to discriminate. Only to find people that have the same taste, even if is weird for most.
Check ONLY those you really want, and know what it means!.

MC - 175. - You practice sex as:
Conventional
Bisexual
only male Bissexualism
Bondage
Homosexual
Nudity/naturalism
SM
SM only domination
Swing - Exchange of partners
Bestiality
only female bissexualism
Bizarre
Exhibitionism
Menage au trois (tree in bed)
Orgies
SM moderate
SM only submission
Voyeurism
I don't do sex
Do you want this question to be excluding? That is, only questioners with the exact or compatible answers will be analyzed with your questionnaire:
Yes
No / Indifferent