(Directions: check Ö short lines_ fill-in longer lines______… )

Name _______________________________________________________________   Phone___________________ _____________
Address ___________________________________________________________   Best time to call:______________________
_____________________________________________ _______________________    Email address___________________________
________________________________ ____________________________________    Country_______________________________   
Vital statistics: bust___  __  waist ____ hips____  Coloration: eyes________ skin_________ hair_________ Hair length______
Age ___  Date of Birth: day____ month____ year_____    Height___feet____inches_____cm    Weight_____lbs_____kg 
Education: secondary_ vocational training_ College: some_ over 2 years_ degree_ Major? ________ Grades: excellent_ good_ average_ fair_ poor_ If still a student, what grade?______ Can you type___ and use a computer word processor___ ?
Religion: Catholic __ Protestant ___ Muslin ___ Other _______ very active_ active_ go sometimes_ special occasions only_ Would you marry a man of a different faith?___
Marital Status: single single_ married_ widow_ divorced_ Any children? yes_no_ ages_______ Ages of: Sisters_________________ Brothers____________ Father____ Mother____ Heritage: Father_________ Mother______ Health: Father_____ Mother_____
How can Everlasting Love help you? Pen pals_ Lifetime Partner/husband___ Age range of pen pal/ lifetime partner: Prefer men age____  
to ___ but will consider to age___ age doesn't matter_   His physical appearance is: not important_ somewhat important_ important_
Speak English? excellent excellent_ good_ fair_ a little_ none_ Other languages: Tagalog_ Bisaya_ Chinese_ Japanese_ Spanish_ French_ German_ Other___________ Do you have a passport? yes_ no_   Health? excellent_ good_ fair_ poor_ any disabilities____________
Employed? Yes_ no_ Your occupation? _________________________ previous (before) _____________________________  Hometown? ______________ Do you: sing_ play an instrument_ dance_ swim_ drive_ draw_ paint_ write poetry_ /stories_ / diary_
Who/What are your favorites? actors______________________________________    actresses____________________________
singers_________________________  songs_____________________________  books__________________________ foods_______________________  movies_______________________________ television shows___________________
What sports do you play?  volleyball_ basketball_ soccer_ bowling_ tennis_ sailing_ skating_ badminton_  
What sports do you like to watch? volleyball_ basketball_ soccer_ wrestling_ tennis_ boxing_ baseball_
Describe your sexual experience: none none_ still a virgin_ a little_ many times but with only 1 or 2 lovers_ 3 to 5 lovers_ 
Habits: exercise regularly_ vegetarian_ bite nails_ gamble_ smoke_(___cigarettes per day) drink alcohol_ (rare_ sometimes_ often_ )
How would a friend describe you? ________________________________________________________________ _______________ __________________________________________  _______________________________________________________________
__________________________________________________________________ _______________________________________
Check ALL words that describe you: smart smart_ responsible_ considerate_ kind_ romantic_ practical_ thrifty_ understanding_ sensitive_ cries easily_ talkative_ quiet_ sad_ happy_ bold_ shy_ modest_ good body shape_ well groomed_ optimistic_ ambitious_ generous_ flirt_ simple_ humble_ flexible_ caring_ energetic_ good friend_ conscientious_ outgoing_ good cook_ kind to animals_ good gardener_ funny_ good dancer_ passionate_ loner_ friendly_ mature_ attractive_ pretty_ clear skin_ serious_ athletic_ hourglass figure_ organized_ sweet_ neat_ independent_ rebel_ mischievous_ joker_ laugh a lot_ giggle easily_ blush easily_ affectionate_ demanding_ obedient_ good kisser_ discreet_ use common sense_ helpful_ punctual_ good listener_ open minded_ respectful_ adventurous_ enjoy learning new things_ witty_ moody_ honest_ dreamer_ studious_ forgiving_ sincere_ quick temper_ truthful_ dominate_ submissive_ God fearing_ fast runner_ good at games_ enjoy travel_ light skin_ medium brown skin_ dark brown skin_ straight hair_ curly hair_ conservative_ liberal for a Filipina_  
Complete the sentences: I will be a good friend because I ________________________________________________________________
I will be a good wife because I ______________________________________________________________________________________
I will be a good lover because I _____________________________________________________________________________________

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