Questionnaire
Name:
Age:
City:
State:
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Email:
IM/AIM name:
Your sex:
Male
Female
I consider myself:
Gay
Straight
Bi
Unsure
Don't believe in labels
My body type is:
Skinny
Slim
Average
Muscular
Overweight
My race is:
White
Black
Latino
Asian
Appearance:
I am
4
5
6
feet,
1
2
3
4
5
6
7
8
9
10
11
inches tall.
I have
blue
green
brown
hazel
grey
eyes and
brown
blond
red
black
grey
auburn
dyed
hair.
I consider myself:
Very conservative
Conservative
Totally in the middle
Liberal
Very liberal
Check anything that interests you or you like to do:
Joke around
Nature/outdoors
Try new things
Read
Shop for clothes
Drugs
Sports
Movies
Experiment
Art & Literature
Parties
Surf the net
Listen to Music
Booze
Computer games
Be a part of the crowd
What's your scene (check any that apply):
Hipster/Alternative
Jock
I love shopping and the mall
Punk
Your average Joe
Math & science geek
Social butterfly
Preppy
Shout outs to my peeps!
Artist/Intellectual
Suburban
Religious
How the hell do I know?
Do my own thing
How often do you masturbate?
Gross! I'd never do that
Haven't tried it
Tried it, but don't really do it
Few times a year
A couple times a month
A couple times a week
Once a day
2-3 times a day
More than 3 times a day
How hot is Raphi?
Butt ugly
So-so
Decent
Kinda cute
Really cute
Hot as hell
Comments: