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| What is your name? |
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| What is your Age? |
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| In what Country do you live? |
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What is your E-Mail
Address?
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| What is your Status? |
Single
Married
Separated
Divorced
Widower |
| How many Children do you have? |
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| Your level of Education |
If college level, what is (was) your major?
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| Your Profession |
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| Your Job Title |
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| What Languages do you speak? |
English
Arabic
Spanish
Italian
German
Russian
Tatar
French
Other(s),
please write in box below.
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| How did you find our site? |
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| Why did you come to our site? (State
as many reasons as you wish.) |
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| Do you have a Favourite Lady on our
site? |
If yes, which Lady?
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If you only looked at some ladies
(and especially, if you have a favourite), why did you choose not
to write?
(Be specific)
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| What is the most Important Quality
you look for in a lady? |
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| Does it matter how many ladies are
listed on our site? |
If yes, why?
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| What do you look for in an
Introduction Service? |
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| What do you Like Best about our
site? |
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| What do you Like Least about our
site? |
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| Would you like to be able to put
your own profile on our site? |
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| Have you tried to use our Shopping
Cart? |
If yes, how was the experience?
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| If you are not currently a club
member, what can we do to earn your business? |
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| Additional Comments |
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