Name: ___________________
Age: ____________________
Phone: (____) ____________
Occupation: ____________________
Height______
Married(Y/N)__ Single(Y/N)___ Other_________
Sexual Orientation: __________
How often do u wanna have sex?(check appropriate answer)
Daily__ Weekly__ Monthly__ As much as possible__
How long can u last? (check appropriate answer)
1min ___ 15min__ 30min__ 1hr__ all nite___
Do u like Giving oral sex? (Y/N)___
What could you do for me that no one else could?:
Which do u prefer? (check appropriate box)
One on one__ Doubles__ Group___
While having sex, what do u do? (check all appropriate answers)
Faint__
Cry__
Moan__
Wiggle__
Twist__
Jerk about__
Pant__
Sweat___
Scream__
Hum__
Whistle__
Just lie there__
Go to sleep__
Watch tv__
Read__
Think of someone else___
Ball play___
List three positions u like:
1.
2.
3.
What is ur preferred pace? (check appropriate answer)
Slow__ Fast__ Very fast__ Rigorous___
Do you like rough sex?
No__ Sometimes__ Always__
Do you like to talk dirty?
No__ Sometimes__ Always__
When is the best time to reach u? (check appropriate answer)
Morning__ Afternoon__ Nite___
How late can u stay out? (check appropriate answer)
11-12am__ 1-2am__ all nite___
Any talent or skills(Y/N) if so, list:
Most interesting place you've done it:
What would you do to me if we were stuck alone together in an elevator for an hour?:
What is your telephone number?:
And last but not least when can i call you??
