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Personal Details

Full Name

Address

Postcode

Home Phone

Mobile Phone

Email Address

Best Time To Be Contacted

Preferred Method Of Contact

Age

Date Of Birth

Birth Sign

Occupation

Nationality

Country Of Birth

Are You Religious ?

Religion

Marital Status?

Do You Have Children?

What Languages do you speak ?

Do you Live Alone ?

Your Accommodation
(hold down ctrl to select more than one)

Political Views

Qualifications

Do you have any medical Problems ?

Height

Weight

Build

Skin Type

Hair Colour

Eye Colour

Do You Drive?

Do You own a car ?

Do You Drink?

Do You Smoke?

Personal Qualities

Please Rate 0 = Not At All, 5 = Very Much

Affectionate

Adventurous

Moody

Shy

Considerate

Reserved

Extrovert

Cautious

Sensitive

Creative

Romantic

Intellectual

Humorous

Dependable

Confident

Tolerant

Self Assured

Predictable

Strong Willed

Practical

Dominant

Fashion Conscious

Ambitious

Serious


Interests

Please Rate 0 = Not At All, 5 = Very Much

Reading Books

Photography

Theatre

Concerts

Reading Newspapers

Computers

Night Clubs

Music

DIY

News

Parties

Travel

Gardening

Current Affairs

Restaurants

Ballet

Board Games

Films

Wine Bars

Pets

Cooking

Comedy

Dinner Parties

Cinema

Painting

Active Sports


Other Information

What was the last book you read ?

Describe your perfect evening

Describe your perfect holiday

Describe your own personality

Want are your strengths?

What are your weaknesses ?

What are your pet hates ?

What Are your goals and ambitions ?

What are your main interests / hobbies?

What is your favourite food ?

What are you seeking in a new relationship ?

Describe your ideal Partner !

Describe yourself in three words:

If you won a million pounds what would you spend it on?

If you could invite 6 people to a dinner party, dead or alive who would they be?

What social events would you like to see us hosting?

How Did you hear of First Impressions?



Additional Information