Questions marked with a * are required.
Freedom to date anyone? Living Alone? Responsibility only to oneself? Financial Freedom? Other
Very important Important Somewhat important Not important Other
Attractiveness/Chemistry Personality Professionalism Sense of Humor Emotionally available Other
Loneliness Feeling out of place at social events Anxiety at starting new relationships No time to meet other quality singles Other
Friend Companion Long Term Relationship Marriage Other
Clubs & Bars Friends Through work At singles events Dating Services By Chance Blind Dates Not Meeting new people
Yes No
