Sample Questionnaire

 (Multiple Choice Questions)

Biographical Information, Part 1

1. What is your gender?

__ Male __ Female

2. How old are you?

__ 18-20 years old __ 21-25 years old __ 26-30 years old __ 31-35 years old __ 36-40 years old 

 __ 41-45 years old __ 46-50 years old __  51-55 years old __ 56-60 years old __ 61-65 years old 

__  66-70 years old__ over 70 years old

3. What is your height?

__ 4’0"-4’2" __ (4’3"-4’5" __ 4’6"-4’8" __ 4’9"-5’0" __ 5’1"-5’3" __ 5’4"-5’6) __ 5’7"-5’9" 

__ 5’10"-6’0" __ 6’1"-6’3" __ 6’4"-6’6" __ other ________

4. What is your weight?

__ Less than 100 lbs __ 101 lbs-110 lbs __ 111 lbs-125 lbs __ 126 lbs-140 lbs __ 141 lbs-155 lbs __ 156 lbs-170 lbs __ 171 lbs-190 lbs __ 191 lbs-205 lbs __ 206 lbs-225 lbs __ 226 lbs-250 lbs __ More than 250 lbs

5. How would you describe your physique?

__ Athletic __ Toned __ Average build __ Naturally slender __ Large but in shape __ Big and Loveable __ None of your business! __ Other____________________________

6. What is your hair color?

__ Black hair __ Brown hair __ Auburn hair __ Red hair __ Blond hair __ Grey or white hair __ Bald

__ Other__________________________________

(if ‘bald’, next question will drop)

7. What is your hair style?

__ Long straight hair __ Medium length straight hair __ Short straight hair __ Long wavy or curly hair

__ Medium length wavy or curly hair __ Short wavy or curly hair __ Afro __ Contemporary or Trend-setting __ Shaved __ Thinning __ Other______________________

8. What color eyes do you have?

__ Brown eyes __ Blue eyes __ Hazel eyes __ Green eyes __ Grey eyes 

 __ Other_____________________________

9. Do you have eyewear?

__ I don’t need corrective lenses __ I wear glasses __ I wear glasses for reading only __ I wear contact lenses __ Other__________________________

10. Which Ethnicity or Race describes you best?

__ I am White __ I am Black __ I am Hispanic __ I am Asian __ I am Semitic __ I am Native American __ I am Middle Eastern __ I am Eastern Indian __ I am Polynesian __ I am (other) ______________________________________________

11. How would your friends describe your looks?

__ I have been told that I am very good looking __ My friends would describe my looks as ‘above average’ __ I have average looks __ Beauty is in the eye of the beholder

12. What style of dress do you prefer?

__ I enjoy dressing up __ I prefer to dress casual __ I usually dress to be comfortable __ My dress is an expression of my generation __ I try to dress for the occasion

Faith-Based Information

13. How long have you been a Christian?

__ I have been a Christian for less than one year __ I have been a Christian for (choose-one prompt): 

(1-75) years, __ I have been a Christian since childhood

14. How important is your Christian faith to you?

__ Nothing is more important __ It is very influential to me __ I would like to be more committed than I am __ I go to church on Special occasions __ I am still not sure of its place in my life

15. Which statement best describes your spiritual maturity?

__ I have attended a Bible College or Seminary __ I have read the entire Bible and have led others to Christ __ I read the Scriptures and pray regularly __ I attend church often __ I attend church occasionally __ I am a new Christian

16. Which best describes your religious affiliation?

__ I am a Baptist __ I am a Methodist __ I am Church of Christ __ I attend a Bible Church __ I am Pentecostal or a Charismatic __ I am Non-denominational __ I am a Presbyterian __ I am Episcopalian __ I am Adventist __ I am Lutheran __ I am Catholic __ I am Orthodox __ Other __________________

17. How large are the meetings you attend?

__ less than 200 members __ 200-500 members __ more than 500 members __ more than 1,000 members

18. What is your typical role in the body of Christ?

__ Professional Minister __ Elder __ Deacon(ess) __ Church administration __ Church Counselor __ Group leader __ Teacher __ Activities director (outreach, nursery, etc.) __ Volunteer in church activities (Nursery, Outreach, Benevolence Prayer, etc.) __ Choir or worship team __ Church maintenance or cleanup __ Lay person

19. How would you describe your social views?

__ Conservative __ Moderately conservative __ Middle of the road __ Liberal __ Progressive __ I have few social opinions

Living Arrangements:

20. “I am calling from ____________________” (Automatically posts from your zip code)

21. What is our current living arrangement?

__ I am living with my parents __ I am living alone __ I am living with roommate(s) __ I am living with my kid(s) __ I am living with a roommate and we both have kid(s)

22. In what type of home do you reside?

__ In a house __ In a mobile home __ In an apartment __ In a condo __ In a townhouse __ In a dormitory __ In a barracks or a ship __ I live in a nursing home __ I am currently incarcerated

23. Where were you born?

__ I was born in another country (choose-one prompt): (Abyssnia-Zimbabwe)

__ I was born in the state or territory of (choose-one prompt): (Alabama-Wyoming)

24. Where were you raised?

__ I was raised in the country of (choose-one prompt): (Abyssnia-Zimbabwe)

__ I was mostly raised in the country of (choose-one prompt): (Abyssnia-Zimbabwe)

__ I was raised in the state or territory of (choose-one prompt): (Alabama-Wyoming)

__ I was mostly raised in the state or territory of (choose-one prompt): (Alabama-Wyoming)

__ I have been raised in many places

25. How would you describe the extent of your travels?

__ I have traveled extensively in the U.S. and abroad

__ I have traveled extensively through the U.S.

__ I have traveled moderately in the U.S. and abroad

__ I have moderately in the U.S.

__ I have not done much travelling

26. Do you speak any foreign languages?

__ I speak only English

__ In addition to English I speak: _________________________

27. How often can you log on to this matchmaking service?

__ I can check in daily __ I have access to a computer on weekdays only __ I have access to a computer on weekends only __ I have sporadic access to a computer, so I can only participate occasionally

28. What sort of transportation do you have at present?

__ Luxury car __ Family car __ Sports car __ Economy car __ Truck __ Van __ Sports Utility Vehicle __ Motorcycle __ Bicycle __ Bus __ Mostly walking

Vocational Information:

29. What is your current or highest level of education?

__ Have not yet finished high school __ High School diploma or equivalent __ Associate degree 

__ Technical training __ College freshman __ College sophomore __ College junior __ College senior __ Batchelor’s degree __ I am in a graduate program now __ Masters degree __ Doctoral degree (if a degree field is clicked, it will generate next question):

30. What type of work do you do?

__ Executive or Managerial __ Administrative __ Clerical or Secretarial __ Sales or Marketing             __ Financial or Investing __ Computer professional __ Engineering __ Technical or Trade __ Creative (art, music, writing, etc.) __ Entertainer or Celebrity __ Courier or Delivery __ Science or Research     __ Counseling __ Teaching __ Student __ Legal professional __ Medical or Dental __ Domestic Care __ Salon care __ Food services __ Labor, Construction or Assembly __ Law Enforcement or Security  __ Military __ Transportation __ Agricultural __ Self employed __ Retired __ Other ) ___________________

31. How long have you been with your present job, or how long have you been retired?

__ I am currently between jobs __ Less than 6 months __ More than 6 months __ More than (choose-one prompt): (1-19) years __ More than 20 years (next 2 prompts drop if ‘currently between jobs’)

32. How does your job relate to your goals in life?

__ I’m doing this to pay the bills, my goals are elsewhere __ I hope to work my way up within this field __ I am doing this job to gain skills or experience for a related field __ I am not yet sure how this job relates to my goals __ I am retired

33. How do you feel about accomplishing your goals so far?

__ Too soon to tell, I’m still working on it __ I'm satisfied; I’m just about on track with my goals          __ Things are going better than I thought, I can hardly keep up __ I plan to make some plans one day __ I am too busy with other responsibilities to pursue my goals right now. __ I’ve already accomplished most of my goals.

Biographical Information, Part 2

34. Do you smoke?

__ I do not smoke __ I smoke a pipe __ I smoke cigars __ I smoke cigarettes, less than a pack a day     __ I smoke cigarettes, more than a pack a day __ I do e-cigarettes __ I smoke, but I'm kicking the habit __ I vape

35. Do you drink?

__ I do not drink __ I rarely drink __ I drink socially, but never get drunk __ I’ve had problems with drinking __ I am trying to stop drinking

36. What is your marital status?

__ I have never been married __ I am currently Married __ I am currently Separated __ I am Divorced __ I am Widowed __ Other (describe in essay #15)

(if ‘currently marrried’, profile will reject with explanation; if divorced or widowed, next prompt will appear):

37. How long have you been Divorced or Widowed?

__ (free field) : ____________________

38. Do you have children?

__ I have no children __ I have one child __ I have two children __ I have three children __ I have four children __ I have five children __ I have six or more children

(if ‘no children’, next prompt will appear; otherwise, skips to second prompt following)

39. How would you feel about having children?

__ I would prefer not to have children __ I am not ready to think about children at this time __ I'm satisfied with nieces, nephews, and friend’s kids __ I would like to have one or two kids some day        __ I would like to have one or two kids some day __ I would welcome other people’s kids __ I’d love to have a house full of kids __ Other ___________________________

40. How would you feel about having other children?

__ I have enough of my own right now __ I would gladly accept other's kids __ I would like to have one or two more kids some day __ Other __________________________________

41. Which type of pets do you prefer?

__ a dog __ a cat __ a bird __ an aquarium of fish __ a hamster __ a gerbil __ a ferret __ a reptile __ I do not want pets __  Other ______________________

42. If you met someone nice and things went well, would you consider meeting them?

__ I'll be happy to meet someone if things worked out __ I would consider meeting someone nearby     __ I would prefer to remain pen-pals __ It's unlikely that I'd meet someone from here (if last two choices are made, next prompt will not appear)

43. If you met someone nice and things got serious, Would you consider moving?

__ I would consider moving __ I would consider moving nearby __ I would consider moving to certain other cities __ It would be difficult, but not impossible, for me to move. __ It would be impossible to move because of my children __ I would not be able to move to another city

44. Tell us, why have you signed up?

__ I am hoping to start a relationship __ I am looking for Christian fellowship __ I am looking for a Christian pen pal __ Just curious __ My parents put me up to this __ A friend put me up to this

Sample Essay Questions

The multiple choice questions have provided a framework for others to learn about you, but left to themselves they lack the personal touch; that ‘breath of life’ which describes you as a unique person and shows your character in action.

The following section provides essay questions which are designed to explore your personality. In them, you may speak in your very own words. Answer them as freely as you wish, or skip any question you would rather not answer.

1. Describe the principles were you were raised by. How would you describe your relation with your parents? Any family traditions that were special to you?

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2. Please share a fun memory that has become a private joke or understanding within your family or circle of friends today:

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3. If there was one thing about your family background that you could have changed, what might it have been?

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4. What clubs or special interest groups do you belong to, or have you belonged to in the past? Or are there any particular causes that you admire?

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5. Briefly, please tell us the story of how you became a Christian:

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6. Please share some other special insights that God has used to transform your life in the past:

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7. Where do you think the Lord is taking you in the future, pertaining to the kingdom of God? What appear to be His goals for your life?

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8. Outside of the persons in the Bible, who is the person or historical figure you admire most? What are the traits you admire about them?

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9. Tell us about some of the most special places you have been. What brought you there? Are there ways in which they broadened your horizons? Or how about a place you would especially like to visit? Would you share about your interest in that place?

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10. What sort of periodicals do you read? What are some books that you would recommend to others?

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11. What was the greatest factor in your previous relationship ending? If you are divorced, please give just a little insight into the cause. Finally, what lessons have you learned that might benefit you in the future?

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12. What would you do if were to suddenly to inherit a great fortune, worth millions of dollars?

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13. Is there anything this questionnaire didn’t cover, that you would like to mention?

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14. Finally, what greeting would you like to give to the other members of this service, or what word of encouragement would you like to share with them? (possibly in the future, this would be a YouTube link, and the text below would be your transcript)

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