Relationship Application | ||||||
CONTACT INFORMATION | ||||||
Name | Real Name | |||||
Cell Phone | ||||||
Real email | ||||||
Position Sought | Companion | FWB | Mistress | Girl Friend | Live-in | Spouse |
MAINTENANCE LEVEL | ||||||
Least | (Circle answer) | Most | ||||
General Needs | None | Low | Average | Needy | High | Very High |
Dinning | Cook | Fast Food | Chains | Fine Dining | Five Star | My Chef |
Travel Lodging | Camping | Motel 6 | Radisson | Hilton | Four Seasons | My Villa(s) |
Transportation | Walk | Bus | Train | Southwest | First Class | My Jet(s) |
Child Care | None | Family | Baby Sitter | Stay-Over | Live-in | My Staff |
Shopping | 99 Cent | Target | Macys | Nordstrom | Neimans | My Seamstress |
Vehicle | Bus | Ford | Camry | BMW | Bentley | Limo w/ Driver |
Household Help | No way | Rarely | Monthly | Weekly | Every Day | My Servants |
Gifts | Flower | Bouquet | Clothes | Trip | Car | Van Cleef |
Spa | Why | Rarely | As needed | Monthly | Weekly | My Masseuse |
In addition to all of the above I need $_____,_____,_____ per week to cover out of pocket expenses. | ||||||
BACKGROUND | ||||||
Are you/have you ever been a man? | Y / N | Have you had a restraining order issued against you? | Y / N | |||
Are you currently in a relationship? | Y / N | Have you had a restraining order issued against anyone? | Y / N | |||
Do you often drink heavily? | Y / N | Have you had cosmetic surgery more than once? | Y / N | |||
Do you use any illegal substances? | Y / N | Are you looking for a man to "fix" or "improve"? | Y / N | |||
Do you have large visible tattoos? | Y / N | Disregarding your ears, do you have any piercings? | Y / N | |||
Do you whistle on a regular basis? | Y / N | Do your ear piercings set off metal detectors? | Y / N | |||
Are you in debt over $2,000? | Y / N | Have you had a child while unmarried? | Y / N | |||
Do you just want to be "friends"? | Y / N | Have you ever been convicted by a court of law? | Y / N | |||
Have you ever stalked someone? | Y / N | Do you have male 'Friends" who are not gay? | Y / N | |||
Do you have an STD? | Y / N | Do you call your mom more than once a week? | Y / N | |||
Do you feel a need to have a child? | Y / N | Does anyone have videos/pictures of you having sex? | Y / N | |||
Do you smoke? | Y / N | Do you often burst into tears for no reason? | Y / N | |||
If you answered "Yes" to any of the previous questions, we are not currently interested in your services. | ||||||
GENERAL CHARACTERISTICS | ||||||
Dating Site | Barefoot | CFM Heels | Ethnicity | |||
Height | Nordic Goddess | Exotic | ||||
Dating Site | Will Admit to: | Actual: | Alluring Asian | Gorgeous Indian | ||
Age | Exquisite European | Polynesian Princess | ||||
Weight | Divine African | Fiery Latin | ||||
No. of Children | Magnificent Mediterranean | |||||
On a scale of 1 to 10, I am a | Other: | |||||
Described Body Style | Totally Hot, Who Cares | |||||
(Body styles; Athletic-Toned-Fit-Average-HWP-Few Extra-Heavy-Curvy-Total Porker) | ||||||
PREVIOUS RELATIONSHIPS | ||||||
Name (His) | Income | Started/Ended | Ended by? | Still Obsessed? | Refer. Avail? | Why Ended |
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(Please list all relationships in the last 20 years - attach additional sheet(s) as needed) | ||||||
PERSONALITY | ||||||
Least | (Circle answer) | Most | ||||
Education | Public | Elementary | Middle | High School | College | Masters/PHD |
Manners | I belch | Use spoon | Use Fork/Spoon | Right Fork | Correct Spoons | Can Set Table |
Science | Cut Class | Heard of it | Forgot Most | Know Sum | Use it Daily | Quantum Theorist |
Intelligence | Room Temp | Summer Day | Hot Desert | Beef Medium | Poultry | Boiling water |
Politics | Hope/Change | Unfamiliar | Heard of it | Always vote | Active | Lobby often |
Religion | Too Early | Heard of it | Rarely | Often | Every Week | Everyday |
Culture | Sports | Yogurt | Swap Meets | Museums | Theater | Opera Often |
Verbal | Don't do that | Outspoken | Loquacious | Well Spoken | Eloquent | Orator |
Clingy | Still here? | Weekly | Daily | Hourly | Minute | Overbearing |
Summary | I'm Totally Hot, Who Cares | Presents Well | Highly Potty Trained | |||
Circle Answer (Rating scale is; 1 least or disagree to 9 most or agree) | ||||||
Appreciate art and culture | 1 2 3 4 5 6 7 8 9 | Calm and resilient | 1 2 3 4 5 6 7 8 9 | |||
Communicate innermost feelings | 1 2 3 4 5 6 7 8 9 | Like to learn | 1 2 3 4 5 6 7 8 9 | |||
Community service (not part of parole) | 1 2 3 4 5 6 7 8 9 | Earn an income | 1 2 3 4 5 6 7 8 9 | |||
Cook for family and friends | 1 2 3 4 5 6 7 8 9 | New adventures | 1 2 3 4 5 6 7 8 9 | |||
Create solutions to everyday problems | 1 2 3 4 5 6 7 8 9 | Organize and schedule | 1 2 3 4 5 6 7 8 9 | |||
Create everyday problems | 1 2 3 4 5 6 7 8 9 | Raise/care for children | 1 2 3 4 5 6 7 8 9 | |||
Decorate (other than just being in room) | 1 2 3 4 5 6 7 8 9 | Romantic | 1 2 3 4 5 6 7 8 9 | |||
Do Improvements/Repairs | 1 2 3 4 5 6 7 8 9 | Sense of humor | 1 2 3 4 5 6 7 8 9 | |||
Release/ renew IP connection | 1 2 3 4 5 6 7 8 9 | Think outside the box | 1 2 4 3 5 8 6 7 9 | |||
Know what an IP connection is | 1 2 3 4 5 6 7 8 9 | Teaches Others | 1 2 3 4 5 6 7 8 9 | |||
Understands world events | 1 2 3 4 5 6 7 8 9 | Simple things please me | 1 2 3 4 5 6 7 8 9 | |||
Help the less fortunate (if any) | 1 2 3 4 5 6 7 8 9 | I'm Totally Hot, Who Cares | 1 2 3 4 5 6 7 8 9 | |||
STATISTICS | VISUAL ATTACHMENTS | |||||
Dating Site | Will Admit to: | Actual: | Please attach full length | |||
No. of Marriages | front (with face) and rear views | |||||
No. of Men slept with | of you attired in: | |||||
No. of Men at the same time | Evening Gown | Favorite LBD | ||||
No. of women slept with | Semi-Formal | Business Attire | ||||
Number of Children | Summer Dress | Shorts/Casual | ||||
Number of Different Fathers | Lingerie & Heels | No Couture | ||||
Golf Handicap | ||||||
Tennis Rating | ||||||
PHRF rating of your Yacht | Photos should be from your current modeling | |||||
World Ranking ________sport | portfolio, and less than six months old | |||||
PHYSICAL ATTRIBUTES | ||||||
Smallest | (Circle answer) | Largest | ||||
Head | Softball | Small | Proportional | Awesome | Basketball | Pumpkin |
Neck | Pencil | Delicate | Thin | Awesome | Bulging | Weight Lifter |
Shoulders | Tiny | Petite | Ballerina | Awesome | Swimmers | Line Backer |
Waist | Wasp | Slim | Nice | Awesome | Bulging | Porker |
Legs | Tree Stumps | Short | Average | Awesome | Long | Forever |
Hip | Tight | Slim | Awesome | Got Back | Junk in Trunk | Fat Ass |
Thigh | Pencils | Thin | Average | Awesome | Tree Trunk | Thunder |
Calves | Toothpicks | Delicate | Thin | Awesome | Bulging | Weight Lifter |
Feet | Tiny | Petite | Small | Awesome | Big | Sasquatch |
Bust | Girlish | Petite | Awesome | Stacked | Amazing | Too Much |
Cup Size | A | B | C | D | DD | OMG |
HAIR | ||||||
Color(s) | Shortest | (Circle answer) | Longest | |||
Head | Dykish | Neck | Shoulders | Mid Back | Awesome | |
Face | None | Shaped | Trimmed | Natural | Jungle | |
Eyebrows | Shaved | Shaped | Trimmed | Natural | Unibrow | |
Underarm | None | Shaped | Trimmed | Natural | Jungle | |
Chest | None | Shaped | Trimmed | Natural | Jungle | |
Legs | None | Shaped | Trimmed | Natural | Jungle | |
Down there | None | Shaped | Trimmed | Natural | Jungle | |
PERSONAL PREFERENCES | ||||||
Least | (Circle answer) | Most | ||||
Too Often is? | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Experiment? | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Lingerie/Heels | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Oral; Receive | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Oral; Give | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Toys | Never | 3 Years | Yearly | Monthly | Weekly | 2+ per Day |
Backdoor | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Foods/Sauces | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Oils | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Blindfolds | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Oral; Advanced | Never | Monthly | Weekly | 2+ per Week | Daily | 2+ per Day |
Lite Spanking | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Mirrors | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Take Pics/Vids | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Role Playing | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Sub/Dom Game | Never | 2 Years | Yearly | Monthly | Weekly | 2+ per Day |
Too many is | 1 | 2 | 3 | 4 | 5 | >10 |
This List is | Sick | Perverted | Odd | Kinky | Fun | Incomplete |