Questionnaire

Todays Date:

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Love Interests Interview

True

False

1) I love having people around me

2) I would like a partner who is the "life of the party"

3) I am a very affectionate person and long for the same.

4) I set goals in my life and strive to achieve them.

5) I am happiest when in love and don't like being alone.

6) I am open minded and wear my heart on my sleeve.

7) I am very emotional about love.

8) Respect is very important in a relationship.

9) It is important that my mate and I are on the same
intellectual level.

10) It's important that my mate and I share the same cultural,
ethnic and religious backgrounds.

Which of the following have you utilized to meet people?

Night Clubs

Chat Rooms

Friends

Church

Relatives

Chance

Health Clubs

Which of the following make it a challenge to meet people? (check all that apply)

I'm not comfortable in the social scene.

I'm a single person with children.

My Career

Let us know if you have any other comments.

Patti Novak Introductions

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