questionnaire.html




To register only fill in section 1 (section 2 is Optional)
For a FREE CONSULTANT SEARCH complete Section1 and 2
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Under no circumstances will any information supplied to use be
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All fields in red are optional

Section 1 About Me
Create your login and password to access your personalized resources as we create them

We will use your email address as your login. Please provide us with a password for your Corporate Singles account. (this does not have to be the same password that you use to access your email account)
Password
Repeat Password

I am

Female Male
I am interested in
Companionship Expanding Personal & Social Contacts
Friendship Relationship
Expanding Personal Contacts Marriage / Re-Marriage

Title First Name
Last Name
Occupation Job Title Education
E-Mail Address Address  
City Suburb State Post Code
Geographic Direction    
Please call me      
Home (incl.area code) At Work (incl. area code)
Mobile The best time to contact me is:

My marital status is
Children?: Girls(ages) Boys (ages) Living with you ?

I am:              
Height Weight Hair Colour Eye Colour
Age Star Sign Nationality Ethnic Background

DOB

Smoking: Drinking: I have Pets
1.Choose at least one from each section.......or
2. Hold down control key to make multiple selections = (Optional)

Activities

Physical

 

General

 

Arts

Music

 

In my free time I:
My best trait is:
My worst trait is :

Section 2 About My Parnter - Please describe the type of person you would like to meet.
His/Her Nationality : give options

His/Her age : between and His/Her height : between and

( Hold down control key & click to make multiple selections = (Optional)

His / Her Marital Status:

 Children:
 Smoking:
 Drinking:

Interests they would like the share with you (optional)
Optional Information. Things to think about and plan. This can help us and others know some things that turn you on!
1. What are your 3 Favorite Books?
2. What are 3 places you'd like to go to but have never been?
3. The films I am most likley to watch are?
4. What are 3 things you would like to share with a partner and have yet to do?
5. What are your 3 Favorite Cuisines?
6. Where would you like to spend a romantic weekend for two (Within New South Wales)?
7. What are your 3 Favorite Wines?
8. Where would you like to spend a week with someone special in Australia?
9. Television programs I am most likely to watch are.
10. You now have someone special in your life and you are going overseas for 2 weeks. Where would you go?
11. What are your 3 Favorite Outdoor Pursuits?
12. If you had to choose a romantic location in Sydney to go on a date which one would you choose?
13. If you were planning a romantic day out, where would you like to go?
14. As a woman, if you were to share a mans' pursuits for a day which ones would you be willing to share?
15. As a man, if you were to share a womans' pursuits for a day which ones would you be willing to share?

Please provide some characteristics of the type of person to which you feel attracted.

Where did you hear about Corporate Singles Which Publication

WOLLSTONECRAFT STATION (Lower North Shore) Ample free parking
Easy access, 1 minutes walk from the station
Monday-Friday 10:00am-8:00pm
Saturday 10:00am-6:00pm
By appointment
Phone (61-2) 9436 1315

© Corporate Singles 2005