Background Survey

Questions marked with a * are required.

 
1. Sex
Female
Male
 
*2. Age
Teen
Twenties
Thirties
Fourties
Fifties
60 and over
 
*3. Ethnic/Genetic Background
Northern European
European
Southern European
Middle Eastern
African
Northern Asian
Asian
Southern Asian
Island
Other: 
 
*4. Your biggest turn off
weight
body odor
bad teeth
bad breath
bad/no job
nasal/ear hair
shorter than you
taller than you
makes less money than you
Other: 
 
*5. Same question, what is the second biggest turn off for you?
weight
body odor
bad teeth
bad breath
bad/no job
nasal/ear hair
shorter than you
taller than you
makes less money than you
Other: 
 
*6. What turns you on?
physically fit
attractive
personality/sense of humor
good teeth
executive type
construction worker type
biker type
taller than you
makes more money than you
Other: 
 
*7. Second biggest turn on?
physically fit
attractive
personality/sense of humor
good teeth
executive type
construction worker type
biker type
taller than you
makes more money than you
Other: 
 
*8. Are you dating someone now?
Yes
No
 
*9. Do you think sex is OK on a first date?
Yes
No
Depends
 
*10. Would you date someone who is...
Unemployed
Married
Has less education
Has less money
Is overweight
Balding
 
*11. Last time you had sex?
More than 6 months ago
More than a month ago
More than a week ago
This week
Last night
Today
 
*12. If dating, in the last 6 months have you
kissed/hugged romantically
had oral sex
had intercourse
I have not dated in the last 6 months
 
*13. I practice safe sex
Always
Sometimes
Never
What is safe sex?
What is sex?
 
*14. You wish your partner would
Have more money
Be more faithful
Make more time for sex
Make more time to date
Quit smoking
Quit drinking
He is perfect, no change needed!
Other: 
 
*15. When going out to meet people, how often do you go alone?
Always
More than half the time
About half the time
Less than half the time
Never
Go out???
 
*16. How many first dates did you go on this past year?
None
1
2-5
6-10
11-20
I lost count!