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Lovebytes Computer Dating Survey

Client Dating Information Section

Last name            First name:  Male Female
E-Mail Address:   Age14-15    16-17    18-19    20-22

1. My idea of a romantic evening would be a walk on the beach.

Agree Strongly

Areee Moderately

Disareee Moderately

Disagree Strongly

2. My favorite kind of movie is:

Drama

Adventure

Comedy

Science Fiction

3. My idea of a perfect Sunday is watching as many football games as possible.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

4. My idea of a romantic weekend would be to stay at a cabin at the beach.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

5. You are a _______ person?.

Morning

Afternoon

Evening

Energetic all the time

6. If you spent a week together, you would: spend

An afternoon apart

A few afternoons apart

Be together 24/7

Sneak out when given a chance

7. The idea if surfing or skiing sounds:

Exhilarting

A good time

Pretty Exhausting

A death wish

8. I would love a vacation where I would spend a couple of days at the beach:

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

9. Money is no object when you are on a date.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

10. I love to try new foods.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

11. When I go to work full-time, I plan to live for the weekend.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

12. Nowadays it is almost essential that both a husband and wife work outside the home.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

13. If I won a free trip for a week, I would like to go to:

Europe

Hawaii

Carribean Cruise

South America

14. The plans for my future include a four-year college degree.

For Certain

Pretty Sure

Maybe Not

No Way

15. Making a lot of money is a very important goal in my life.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

16. A job in which I help others is an important goal for me.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

17. My favorite kind of food is:.

Americam

Mexican

Italian

Asian/Chineese/Thai

18. A perfect first date would be going to an important school dance.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

19. My favorite spectator sport is:.

Football

Baseball

Bassketball

Soccer

20. I am a religious person.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

21. I am extremely sensitive to any hint of criticism.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

22. In stores and restaurants, I am quite demanding with the help.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

23. In a relationship, I believe you should please yourself first then the other person.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

24. I am a person who needs lots of emotional support

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

25. I go to extremes to avoid disappointing anyone.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

26. I have strong opinions and don't mind expressing them.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

27. I tend to demand perfection from a date or mate.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

28. If something needs to be said, I will say it no matter whose feelings might be hurt.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

29. I am very disiciplined and seldom give into procrastination.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

30. Watch out! I am a dangerous person to cross.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

31. It is a disaster to me when I lose someone's friendship.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

32. I find it easy to simulate emotions I don't really feel.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

33. When I care for someone, I try to anticipate his/her wishes and desires.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

34. I think it is important for each person to own a car.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

35. My parents and I get along great.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

36. Being grounded is worse than death.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

37. I date at least _________ at a time.

one pesron

two people

three people

four or more people

38. If you eventually marry, how many children would you like?

None

One

Two

Three or more

39. Being on time is exteemely important.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

40. Achieving high social status is an important goal in my life.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

41. Being kissed on the first is very important.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

42. I could not live without my cell phone.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

43. Social media cites like Facebook and Twitter are an integral part of my life.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

44. I consider myself to be handsome/beautiful.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly

45. Having the latest styles and fachions of clothing is very important to me.

Agree Strongly

Agree Moderately

Disagree Moderately

Disagree Strongly