(1) How would you describe yourself?
(This helps others find your questionnaire)

(2) What is your sexual preference?

male female couple transgender

heterosexual bisexual gay lesbian

(3) Into which age group do you fall?

(4) How tall are you?

18 to 28 29 to 39 40 to 50 51 to 61 62 and over

Under 5' 5'0" to 5'6" 5'6" to 6'0" 6'0" to 6'6" 6'6" and above

(5) How much do you weigh?

(6) What color is your hair?

Under 100 lbs. 100 to 120 lbs. 121 to 140 lbs. 141 to 160 lbs. 161 to 180 lbs. 181 to 200 lbs. 201 to 220 lbs. 221 to 240 lbs. 241 and above

Black Red Blonde Gray Brown Bald Other

(7) What is the color of your eyes?

(8) Do you practice safe sex?

Brown Blue Green Hazel Other

Always Sometimes Never Only when my partner requests I do

(9) What is your ethnic/race?

(10) Do you drink?

White/Caucasian Afro-American Asian German French Italian Other

Yes No Occasionally

(11) What type of business are you in?

(12) Describe your looks:

Sales Teaching Clerical Laborer Student Self employed Retired Legal Services Medical Services Entertainment Computer Services Other

I am very good looking I have average looks I have less than average looks

(13) Have you ever had or would you
consider having a homosexual encounter?

(14) Do you smoke?

I am not interested in having a homosexual encounter I have had several homosexual encounters I could be persuaded to have a homosexual encounter I have had one homosexual encounter

Yes No Occasionally

(15) Give a detailed description of yourself:

(16) Describe the type of person/persons that you would be interested in meeting:

(17) What kind of sex do you enjoy engaging in?

(18) What makes a person sexy to you?

(19) From what country, state, city, town are you from?
(This helps others find your questionnaire)

(20) Do you have a fantasy that you would like to share?

(21) In one hundred words or less, is there anything you would like to let others know about yourself?