Name Preferred name if different to Christian name Email Tel Country you live in Education How would you describe your drinking (alcohol) intake If you find a potential partner would you visit them in their country Yes No Would you expect them to visit you first? Yes No If you find your true love would you relocate? Yes No Current relationship: Single Married Separated Divorced Widow/Widower Language/s spoken Would it concern you if your partner was a smoker? Yes No Tell us a little about yourself: (i.e.: Hobbies, Interests) Tell us what type of person you would like to meet? (i.e.: age, nationality, colour)
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