Name: ___________________ Age: ____________________ Phone: ___________ Occupation: ____________________ Height______ Weight______ Married(Y/N)__ Single(Y/N)___ Other_________ Sexual Orientation: __________
How often do u wanna have sex?(check appropriate answer) Daily__ Weekly__ Monthly__ As much as possible_
How long can u last? (check appropriate answer) 1min ___ 15min__ 30min__ 1hr__ all nite___
Do u like Giving oral sex? (Y/N)___
What could you do for me that no one else could?:
Which do u prefer? (check appropriate box) One on one__ Doubles__ Group___
While having sex, what do u do? (place "X" in all appropriate boxes) Faint__ Cry__ Moan__ Wiggle__ Twist__ Jerk about__ Pant__ Sweat___ Scream__ Hum__ Whistle__ Just lie there__
List three positions u like:
1.
2.
3.
What is ur preferred pace? (place "X" in appropriate spaces) Slow__ Fast__ Very fast__ Rigorous___
Do you like rough sex? No__ Sometimes__ Always__
Do you like to talk dirty? No__ Sometimes__ Always__
When is the best time to reach u? (place "X" in appropriate spaces) Morning__ Afternoon__ Nite___
How late can u stay out? (place "X" in appropriate spaces) 11-12am__ 1-2am__ all nite___
Would you makeout with me?
[] Hell Yea [] Yes [] No [] Maybe [] already have ;)
Would you sleep with me?
[] In an instant! [] Yes [] No [] Maybe
Am I attractive?
[] Heck no [] hot as Hell [] Fine [] Cute [] Okay [] Ugly!
Do you think I'm a virgin?
[] Yes [] No
I look like..
[] A player
[] a wife/husband
[] One time thing
[] Next bf/gf
[] A friend
[] A friend with benefits
[] A possibility
[] A loser
If you saw me for the first time would you talk to me?
[] Yes [] No [] maybe
Would you rather.. ??
[] Hook up with me
[] Cuddle with me
[] Date me
[] Friends
[] Friends with benefits
[] marry me
[] have sex
On a scale of 1-10 (10 being the highest), rate me..
[] 1 [] 2 [] 3 [] 4 [] 5 [] 6 [] 7 [] 8 [] 9 [] 10
Would you give me a lap dance?
[] Hell Yea [] Yes [] No [] Maybe
