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* What is your current age?
 
Under 20
 
20 - 24
 
25 - 29
 
30 - 34
 
35 - 39
 
40 - 44
 
45 - 49
 
50 - 54
 
55 - 59
 
60+
 

What is your current status?
 
Single, never married
 
Not Married, by in a committed relationship
 
Married, but separated
 
Married and looking for outside relationship
 
Divorced
 
Widowed
 
 

1. Where do you typically look for dates?
 
Public Places (e.g. train, street, park, etc)
 
School or Work
 
Blind Dates Through Friends or Family
 
Friend or Family Get-togethers
 
At the Gym
 
Club or Bar
 
Religious Institutions (e.g. church, synagogue, etc)
 
Volunteer Associations
 
Online Dating Service
 
Online Chat Room
 
Personal Ads
 
Professional Matchmaker
 
Other
 
 

This is true about me.
 
I have a limited circle of friend that are in my city
 
I like to introduce myself to new people
 
I don't like bars and have a hard time mingling
 
I am willing to find new ways of meeting people
 
I am open to new situations
 
I am shy in social situations
 
 
 
 
 
 
 
 
 

My current dating goal is
 
I just want to meet new people I can be friends with
 
I want to meet someone I can have a serious relationship with
 
I want to have sex
 
I want to get out of the house
 
 
 

Have you ever signed up for a dating service online?
 
Yes, I have
 
No, I am apprehensive about internet dating?
 
No, I think Internet dating is sketchy and prefer 'classic" methods
 
I want to try it, I haven't gotten around to it
 
I want to try it, but I don't want to pay for it
 
I think internet dating is for younger people
 
 

What is the most compelling motivation for signing-up for an online dating service?
 
Recommendation in the media
 
Recommendation from a friend
 
Cool Looking Site
 
Good advertising
 
Free Trial
 
Other
 
 
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