E-DATING APPLICATION FORM FOR “foxx#6134”
APPLICANT INFORMATION
NAME _____________________________________________________________________
Last First Middle
TELEPHONE__________________________ E-MAIL___________________________
LOCATION___________________________ ETHNICITY________________________
FINANCIAL STATUS____________________ OCCUPATION______________________
COLOR OF EYES_______________________ COLOR OF HAIR____________________
QUESTIONNAIRE
Are you ready to sleep on mic on demand? Are you willing to show attention in form
of DMs, snaps, etc.?
☐ YES ☐ NO ☐ YES ☐ NO
Are you ready to whiteknight when Are you willing to buy skins and games?
needed?
☐ YES ☐ NO ☐ YES ☐ NO
Are you ready to spend at least Are you willing to stop talking to any
4 hours in a voice channel? other females IRL or online?
☐ YES ☐ NO ☐ YES ☐ NO
Are you ready to send Good Are you willing to sexually explicit
Morning and Good Night messages? photographs?
☐ YES ☐ NO ☐ YES ☐ NO
I talk to a lot of girls online / I have had many e-relationships in the past.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I get jealous easily.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I would end my internet relationship if I would find a partner IRL.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I tend to stay silent when I am upset, instead of communicating with my partner.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
1
I tend to lie when I am in tricky situations, instead of telling the truth.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I show effort in relationships and try to make things work.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I am excellent at keeping secrets.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
I am uncomfortable getting close to others or trusting them.
Agree ☐ ☐ ☐ ☐ ☐ Disagree
Who is your favourite musician, and what genre do you listen to most?
___________________________________________________________________________
What is your favourite movie/TV Series, and what genre do you watch most?
___________________________________________________________________________
If you could tell your 6-year-old self something, what would it be?
___________________________________________________________________________
What is your idea of a perfect date?
___________________________________________________________________________
What do you do in your free time?
___________________________________________________________________________
Do you have piercings or tattoos?
___________________________________________________________________________
Do you play any instruments?
___________________________________________________________________________
What is something you look for in a girlfriend?
___________________________________________________________________________
What is on your bucket list?
___________________________________________________________________________
2
THANK YOU FOR PARTICIPATING!
PLEASE SEND THIS BACK TO foxx#6134 FOR ASSESSMENT!
___________________________________________ DATE
___________________________________________ SIGNATURE
I hereby confirm the correctness of my given answers.