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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??