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BASIC INFORMATION
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6. Allergies _______________________________________________________________________
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13. Do you believe in astrology & horoscopes? Y N 14. Can you handle spice? Y N
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RELATIONSHIP IDEALS
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11. What do you need your partners to know about your needs? ______________________________
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12. What hours of the day are you unable to communicate? _________________________________
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Personal Questions
1. Fears __________________________________________________________________________
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DEEPER LEVEL QUESTIONS
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2. Self-love is _____________________________________________________________________
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8. How would you describe the feeling of being in love in a sentence? ________________________
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11. What are your top three priorities at the moment? ______________________________________
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12. When upset, how do you want to be comforted? _______________________________________
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PAST RELATIONSHIPS
What dating advice would you give your younger self? __________________________________
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AGREEMENT
I hereby swear the information that I have provided is accurate to the best of my knowledge and I give
you the authorization to verify it using any means deemed appropriate. I understand that my information
will not be released to independent 3rd parties and will only be viewed by the final judge(s).
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