Info:
1. What is your name?
2. What is your gender? Male Female
3. What is your birthdate?
4. What is your address?
5. What is your phone number?
6. How long have you lived at your current address?

Appearance:
7. What is your height?
8. What is your weight?
9. What is the natural color of your hair?
10. What is the current color of your hair?
11. What color are your eyes?
12. Do you wear glasses? Yes No
13. Do you wear contacts? Yes No    Color?
14. What size waist are your pants?
15. Do you have dimples? Yes No
16. Are your earlopes attached or unattached? Attached Unattached
17. Is your second toe longer than your first? Yes No
18. Can you curl your tongue? Yes No
19. Do you have any piercings? List:
20. Do you have any tattoos? Explain:
21. Do you pluck your eyebrows? Yes No
22. Attach your pic here:

Family:
23. How many brothers and sisters do you have? List:
24. Are your parents married? Yes No
25. If not, how old were you when they split up?
26. What is your mother's maiden name?
27. What do your parents do for a living? Father:   Mother:
28. Do you like your parents?
29. Do you like your siblings?
30. Do you still live with your parents? Yes No
31. Do you have any children of your own? Yes No
32. If so, what are their names and ages?

Financial:
33. What is your annual income?
34. What is your occupation?
35. What style of home to you live in?
36. Do you own any other property? Yes No
37. How much money do you currently have in your checking account?
38. How much money do you currently have in your savings account?
39. Which stocks do you own and how many shares of each?
40. What is your estimated networth?

Education:
41. Did you graduate from high school? Yes No
42. What was the name of the last high school you attended?
43. List all colleges or universities you have attended?
44. What was your major course of study?
45. What was your minor course of study?
46. Have you ever failed a grade in school?
47. Have you ever skipped a grade in school?
48. Have you received any specialized training?
49. Are you licensed in any professional fields?
50. What were your results on the ACT/SAT? ACT: SAT:

Religion:
51. What is your religion?
52. How often do you attend religious services or ceremonies?
53. How often do you pray to your God or gods?
54. How often do you read your particular sect's literature?
55. Have you ever been on a mission trip? Explain:
56. How much money do you contribution to religious organizations annually?
57. How comfortable are you with your level of spirituality? Explain:

Lifestyle:
58. What time do you usually go to bed at night?
59. What time do you usually wake up in the morning?
60. Do you smoke? Yes No
61. Are you gay or lesbian? Yes No
62. How often do you drink alcoholic beverages?
63. Have you ever had or desired a sex change? Yes No

Relationships:
64. How many close friends do you have?
65. Who is your closest friend?
66. Have you ever lied to a close friend? Yes No
67. If so, explain:
68. Do you hate anyone? List:
69. Does anyone hate you? List:
70. Are you currently involved in a relationship? Yes No    Name:
71. How long have you been dating or single?
72. How many serious relationships have you had in your life?
73. How many people have you had sex with in your life?
74. How old were you when you lost your virginity?
75. Was it concensual? Yes No
76. How old were you when you received your first kiss? By Whom:
77. Have you ever been dumped? Yes No
78. If so, how did it make you feel?
79. Have you ever kissed a person of the same sex? Yes No
80. Would you have sex on the first date? Yes No
81. How often do you casually date?
82. Have you ever cheated on a boyfriend/girlfriend? Yes No
83. If so, explain:

Emotional:
84. What is your current mood?   
85. When was the last time you cried?
86. How often do smile in the average day?
87. Have you ever attempted suicide? Yes No
88. If so, explain:
89. Are you proud of any accomplishments you have made in your life?
Explain:
90. Are you currently happy with the direction of your life? Yes No
91. Are you willing to admit when you are wrong? Yes No
92. Do you have any regrets in your life? Explain:
93. If so, do they interfere in your personal relationships? Yes No Sometimes
94. Do you trust people easily? Yes No
95. Do you consider yourself trustworthy? Yes No
96. Have you ever received counseling? Yes No
97. If so, explain:

Activities:
98. Do you play any sports? Yes No    List:
99. Do you play video or computer games? Yes No    List:
100. How much time do you spend watching television per day?
101. How many hours do you talk on the phone per day?
102. How often do you dine out per week?
103. What kind of books do you read?
104. Do you play any musical instruments?
105. What was the last movie you saw in a theatre?
106. Describe your average day:

Experiences:
107. Have you ever seen a theatrical production? Yes No Name:
108. Have you ever been to an opera? Yes No Name:
109. Have you ever traveled overseas? Yes No Where:
110. Have you ever been on a cruise? Yes No
111. Have you ever sang karaoke in a bar? Yes No
112. Have you ever been to a strip-club? Yes No
113. Have you ever swam nude? Yes No
114. Have you ever been in a castle? Yes No
115. Have you ever been arrested? Yes No Why:
116. Have you ever comitted a felony without being caught? Yes No
117. Have you ever shot a gun? Yes No
118. Have you ever cross-dressed? Yes No
119. Have you ever stalked a celebrity? Yes No Who:
120. Have you ever rollerskated? Yes No
121. Have you ever played miniature golf in your hometown? Yes No
122. Have you ever ate at a diner in the middle of the night? Yes No
123. Have you ever spelunked? Yes No
124. Have you ever surfed? Yes No
125. Have you ever jumped out of a plane? Yes No
126. Have you ever fallen out of a tree? Yes No
127. Have you ever cheated on your taxes? Yes No
128. Have you ever voted for a President? Yes No
129. Have you ever starred in an adult movie? Yes No Name:
130. Have you ever looked at child pornography? Yes No
131. Have you ever had or dated someone who had an abortion? Yes No
132. Have you ever done drugs? Yes No List:
133. Have you ever been caught having sex? Yes No
134. Have you ever killed an animal? Yes No
135. Have you ever taken a nude picture of yourself? Yes No Attach:
136. Have you ever gambled? Yes No
137. Have you ever recorded yourself singing? Yes No
138. Have you ever been blindfolded? Yes No
139. Have you ever eaten duck? Yes No
140. Have you ever been in a car accident? Yes No
141. Have you ever had surgery? Yes No List:
142. Have you ever parachuted? Yes No
143. Have you ever been in a fight? Yes No
144. Have you ever joined an online dating service? Yes No
145. Have you ever walked on a boardwalk? Yes No
146. Have you ever been in a lighthouse? Yes No
147. Have you ever caught a fish? Yes No
148. Have you ever participated in anal sex? Yes No
149. Have you ever had a sexually transmitted disease? Yes No List:
150. Have you ever been in the military? Yes No

Favorites:
151. What is your favorite book?
152. What is your favorite movie?
153. Who is your favorite actor?
154. Who is your favorite actress?
155. What is your favorite genre of music?
156. Who is your favorite male artist/group?
157. Who is your favorite female artist/group?
158. What is your favorite television sitcom?
159. What is your favorite vacation spot?
160. What is your favorite U.S city?
161. What is your favorite color?
162. What is your favorite food?
163. What is your favorite drink?
164. What is your favorite dessert?
165. What is your favorite season of the year?
166. What is your favorite time of the day?
167. What is your favorite sport to watch?
168. What is your favorite sport to play?
169. What is your favorite store to shop?
170. Who is your favorite designer?

Preferences:
171. Chinese Italian
172. Steak Chicken
173. Apple Pie Cherry Pie
174. Clothed Nude
175. Blue Yellow
176. Tylenol Excedrin
177. Boxers Briefs
178. Cats Dogs
179. Eating Sleeping
180. Reading Writing
181. Life Boardwalk
182. Kellogg's Post
183. Las Vegas New York
184. California Florida
185. Downy Snuggle
186. Jif Peter Pan
187. Trojan Durex
188. Coke Pepsi
189. Coffee Orange Juice
190. Gold Silver

Random:
191. Are you insecure? Yes No    Explain:
192. What kind of car do you drive? Year:    Make:    Model:
193. What are you wearing right now?
194. How often do you masturbate per month?

Online:
195. What is your aol screenname?
196. What is your aim screenname?
197. What is your msn contact name?
198. What is your Yahoo id?
199. What is your ICQ address?
200. What is your homepage url?