1
Relationships & Children
What is your relationship status?
Single / never been married.
Divorced once but now single.
Two or more divorces but now single.
Attached but looking for a better match.
Married / Separated / Widowed / Other
If you are divorced, how much time do
you spend communicating with or
involved with your ex(es).
How long was your longest
romantic relationship?
How about your second and third
longest relationships?
Do you have children and if so,
how old are they?
If you do have children,
are they all with the same partner?
In addition to any children you might
already have, how many more would
you like to have?
2
Health - Nutrition - Other
How tall are you and how much
do you weigh?
What is your body type?
skinny - lean with muscle -
fat with muscle - slightly overweight
overweight - obese
How is your physical / mental health?
Have you ever been diagnosed
with a mental illness?
Do you have tattoos and/
or piercings?
Do you follow a special diet? If
so, how important is it that your
partner follow the same diet?
Do you take any prescription drugs?
If so, what do you take them for?
How physically active are you?
3
lndulgences
Which of these have you used in
the past 12 months?
Cannabis Cocaine Opiates Amphetamines
Methamphetamine Ecstasy Psychedelics
Tranquilizers Solvents None Other
If you are a smoker or vaper, what do you
smoke or vape and how often?
If you drink alcohol, how many drinks
per day on average?
In the past 12 months, how many times
have you gambled? If you have, how
much have you won and how much
have you lost?
Outside of work hours, how many hours
per day do you spend gaming?
Outside of work hours, how many hours
per day do you spend on social media?
Do you have any other
favorite indulgences?
4
Behind Closed Doors
How would you describe yourself?
Heterosexual & Monogamous
Heterosexual & Polyamorous
Bisexual & Monogamous
Bisexual & Polyamorous
Gay & Monogamous
Gay & Polyamorous
Asexual but I will accommodate my partner
Asexual & Celibate Celibate Other
How open minded are your sexually?
I'm sexually conservative
Middle of the Road
Very open to new & exciting ideas!
On average, when you are in a committed
relationship, what is your preferred
number of intimate encounters
per month with your partner?
While in a committed, monogamous
relationship, have you ever cheated?
To what extent do you agree with
the following statement?
"If I am in a monogamous relationship, I will
end my relationship with my partner BEFORE
I become emotionally and/or romantically
involved with another person."
In the future, if you lost interest in having a
physical relationship with your partner,
which of these would apply?
If they cheat and I find out, our relationship is over.
If they are out of town, they can do as they please.
They can get themselves a love doll.
If they cheat on me, I'll probably forgive them.
They can "sleep" with someone else but they
need to tell me about it first.
They can "sleep" with someone else but they
should keep it to themselves. The less I know
about it, the better.
5
Education
What are your academic achievements?
Some high school / GED / High school diploma
Tech school / Trade school / Associates degree
Bachelor of Arts Bachelor of Science
Honors degree Master's degree
PhD MD Other
The School of Hard Knocks
6
Employment
If you work for a living, what do you do?
If you work, considering all aspects, how
happy are you in your chosen field?
I love my work
I like my work
Above average
Average
Below average
Not very happy
Unhappy
Suppose that you are currently employed
and one day you win $20 million.
Would you keep working in your field?
Would you retire?
Would you pursue other interests?
7
Personal Finance
Do you earn more than you spend or
do you spend more than you earn? In
all honesty, how much stress do your
spending habits cause you?
None A little A lot
How important is it to you to project a
successful image to others or for you to
live at a certain level that results in you
regularly spending more than you earn?
In other words, are you broke or in
debt because you feel like you
deserve the "good life"?
If you are separated or divorced,
do you pay alimony and / or
child support?
What is your credit score?
How much college or university
debt do you have, if any?
What is your total annual income
from all sources?
What is your net worth?
Add together the value of your assets
and subtract the value of your liabilities.
What is the difference? Find out how
you compare here:
https://www.nerdwallet.com/article/finance/average-net-worth-by-age
8
Politics - Religion - Media
What best describes your political affiliation?
Far Left / Left / Center / Right / Far Right
Apolitical
How important is it that your partner
shares your political affiliation?
Un- Somewhat Very
Important Important Important
If you pay attention to media,
what are your favorite outlets?
Mainstream Media
Alternative Media
Other
How religious are you?
Non Somewhat Very
If you are religious, which
religion do you practice?
Is it important that your partner share
your religious beliefs or non-belief?
No Somewhat Yes
9
Sports - Activities - Hobbies
Which spectator sports - if any - do
you like watching or listening to?
On average, how many hours per day
are you engaged with spectator sports,
either at live events or on devices?
Which physical activities - if any -
do you enjoy?
Do you have any hobbies and if
so, what are they?
If you listen to music,
what are your favorite genres?
If you reach a point in life where you are
no longer forced to get up at a certain
time, what time would you get out of bed?
If you work, apart from weekends,
how much vacation time do you get
and how do you like to spend that time?
10
The Law & Your Secrets
How many times have you committed a crime
more serious than a minor traffic infraction?
How many times have you been charged
with a crime more serious than a minor
traffic infraction?
How many times have you been
convicted of a crime more serious
than a minor traffic infraction?
