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Mate Selection Questionnaire
 
 
 
* What is your age?
 
17
 
18
 
19
 
20
 
21
 
22
 
23
 
24
 
25
 
26
 
27
 
28
 
29
 
30
 
 
Other
 
 
 

* What is your gender?
 
Male
 
Female

 
 

Which of ONE the following words do you think best describes yourself?
 
Trustworthy
 
Honest
 
Attractive
 
Mature
 
Intelligent
 
Open-minded
 
Faithful
 
Adventurous
 
Fun-Loving
 
Ambitious
 
 
 
Other
 

 
 

Which ONE word would best describe your perfect mate?
 
Trustworthy
 
Honest
 
Attractive
 
Mature
 
Intelligent
 
Open-minded
 
Faithful
 
Adventurous
 
Fun-Loving
 
Ambitious
 
 
 
Other
 

 
 

What is more important to you when choosing a mate?
 
Personality
 
Appearances

 
 

Do you feel it is important to find a mate of the same intelligence as you?
 
Yes
 
No

 
 

You usually look for mates that are:
 
Older
 
Younger
 
The Same Age

 
 

Does your family's approval impact your choice of mates?
 
Yes
 
No
 
Sometimes

 
 

Do you agree with this statement?

We strive to find a mate that is better than ourselves.
 
Yes
 
No
 
Somewhat

 
 

Do you believe in love at first sight?
 
Yes
 
No

 
 

Do you feel it is/will be important to share househole responsibilities with your mate?
 
Yes
 
No
 
Sometimes

 
 

Have you ever tried meeting a mate using untraditional methods? (Online dating, speed dating, etc.)
 
Yes
 
No

 
 

Do you think it is possible to find true love in the Internet?
 
Yes
 
No

 
 

Do you usually look for a mate of the same cultural/religious background?
 
Yes
 
No
 
Sometimes

 
 

Which ONE physical feature is most important to you when selecting a mate?
 
Eyes
 
Lips
 
Body
 
Hair
 
Natural Looking
 
Skin
 
Other
 

 
 

Do you consider financial stability when selecting a mate?
 
Yes
 
No
 
Sometimes

 
 

What is your ideal length of relationships?
 
1-5 months
 
6-12 months
 
1-5 years
 
Longer

 
 

Do you consider the long-term possibilities of relationships when choosing a mate? (commitment, faithfulness, marriage, etc.)
 
Always
 
Sometimes
 
Never

 
 
 
* If you could describe your perfect mate with one word, what would it be?
   
 
 

* What is your marital status?
 
Single
 
Dating/Long Term Relationship
 
Married
 
Divorced
 
Prefer not to say
 
Other
 

 
 

* What is your sexual orientation?
 
Straight
 
Gay/Lesbian
 
Bi-Sexual
 
Prefer not to say
 
Other
 

 
 
 
Additional Comments/Suggestions for improvement
   
 
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