NAME (NO NEED TO USE REAL NAME)

WHAT AGE SHOULD YOUR FRIEND/PARTNER BE?

20-30   30-40  40-50  50-60

ARE YOU MALE OR FEMALE?

E-MAIL (NECESSARY FOR RESPONSE) YOUR E-MAIL INFO WILL NOT BE GIVEN AWAY OR USED FOR OTHER PURPOSE

ARE YOU IN BROWARD-PALM BEACH-DADE-OTHER?

ARE YOU INTERESTED IN: DANCING PARTNER-FRIEND-ROMANCE

CHECK AS MANY AS YOU NEED
I LIKE TO EXERCISE MORE THAN AVERAGE
I LIKE TO GO OUT A LOT 
I LOVE TO STAY HOME MOST OF THE TIME
I LIKE ANIMALS VERY MUCH
I LIKE TO READ A LOT
I AM A SMOKER

WHAT IS THE THING THAT YOU LIKE DOING THE MOST? (COULD BE ANYTHING)

BRIEFLY DESCRIBE ANYTHING THAT YOU WOULD LIKE SOMEONE ELSE TO KNOW ABOUT YOURSELF.