Ilona
Alena
Irina
Viktoriya
Ievgeniia
Kseniya
Gulia
Elena
Alena
Irina
Ievgeniia
Kseniya
Gulia
Elena
Subscription Membership
  FREE     Matchmaking services  
Please fill out deep questionnaire form below to be contacted by our matchmaker for further review.
Due to the volume of received applications, please, allow us up to 4 business days to contact you for further detailed interview.


Oksanalove.com Inc - Confidential Questionnaire

* Name (first/last):
* Address:
* City:
State:
* Zip/Postal Code:
* Country :
Do you own or rent your home?:
How Long?:
* Best Contact Phone Number:
* Best Contact Time:
* Best Contact Method:
Home Phone:
Work Phone:
Fax:
Cellular:
* E-mail:
* How did you hear about Oksanalove.com Inc?
Indicate your readiness to begin:
Please explain:
Have you experienced other services? Yes No
Please explain:
Do you travel internationally? Yes No
If Yes, How Frequently?
To Which Destinations:
* Place of birth:
* Date of birth: Month Day Year
* Gender:
* Height: Feet Inches
* Weight:
Hair Color:
Eye Color:
Education:
Describe your education:
* Occupation:
Describe your occupation:
* Income:
Select the Currency in which your income is stated:
Assets:
Employed By:
Are you self-employed?: Yes No
* How much of a financial investment are you prepared to make to find your desired companion?:
Select the currency of your financial investment:
Are you emotionally prepared for marriage?
(1=lowest, 10=highest):
Are you emotionally prepared for a committed relationship?
(1=lowest, 10=highest):
Please comment on your emotional preparedness:
Marital Status:
If you are separated, divorced,
or widowed, how long?:
Years Months
Have you been
married before?:
Yes No
If yes, how long?: Years Months
Do you have children?: Yes No
Number of Children:
Number of Children
living with you:
Please describe the sex
and ages of your children:
Would you like to have
children in the future?:
Yes No
About Yourself : I am new to the area
I am too busy to meet people
I do not meet enough quality people
I am not dating anyone seriously now
I am dating someone not compatible
I want to date various people
I desire a steady relationship
I believe in marriage
I am shy
I am very outgoing
I am active
I am very active
I am passive
I am amiable
I enjoy the company of large groups
I have a small circle of friends
I enjoy quiet evenings at home
What community activities do you participate in?:
What languages
do you speak?:
Please list any other languages you speak:
Ethnic background:
I am: Adventuresome
Ambitious
Demanding
Giving
Reliable
Sexy
Thoughtful
Emotional
Organized
Romantic
Stubborn
Devoted
Creative
Affectionate
Your Athletic Activities: Aerobics
Horseback Riding
Boating
Skiing
Cycling
Swimming
Golf
Walking
Jogging
Dancing
Outdoors
Tennis
Other
Please describe any other activities:
Do you watch sports?: Yes No
Please explain:
Describe your life goals:
You attend church or synagogue: Never
Infrequently
High Holidays
Weekly Services
Daily
Twice a week or more
Comment on your religious beliefs and their influences on your life:
Do you suffer from any medical condition?
If yes, please explain.:
About your eating habits: Meat
Fish
Vegetarian
Natural Foods
Junk Foods
Other
Do you drink alchohol: Yes No
Frequency: Seldom
Occasionally
Daily
Are you an alcoholic?: Yes No
If recovering, how long?:
Do you smoke?: Yes No
Frequency: Moderate
Occasionally
Heavily
If yes, how long?:
Have you quit smoking?: Yes No



Information About The Compatible Companion You Seek

Age: to
Comments on age:
Rate their general attractiveness:
1 (Lowest),10 (Highest)
Height: Feet Inches
Weight:
Hair Color
Eye Color
What physical qualities are you attracted to?:
Ethnic Preference:
About their athletic activities: Aerobics
Horseback Riding
Boating
Skiing
Cycling
Swimming
Golf
Walking
Jogging
Dancing
Outdoors
Tennis
Televised Sports
Other
Describe any other activities:
Their occupation: Professional
Entrepreneur
Managerial
Technical
Business Person
Self-employed
Retired
Not Important
Describe any other occupations:
Their education: High School
Junior College
Vocational
University (4 year)
Masters Degree
Ph.D
Professional Degree
Not Important
Other
Other levels of education:
Their children: No Children
Desires Children
Has Children
Not Important
Comment on children:
Their preferred annual income:
Income level comments:
Their cultural interests: Dance
Family Development
Visual Arts
Music
Current Events
Intellectual
Film
Theatre
Other cultural interests:
Their musical interests: Classical
Jazz
Country Music
Opera
Easy Listening
Popular
Folk/Ethnic
Rock
Comments on musical interests:
Views on smoking:
Views on alcohol:
What are the three most important considerations about the person you want to meet?
1.
2.
3.
* Insert the security code:


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