Full name ( both the first and the last ) : 
 
Home address :

Her own telephone number : 
 
Her own E-mail address :  
 
Date of birth :   ....year  ......month   ........day
 
Marital status :  
 
Height : .....  centimetres ( not in feet and inches, please )
 
 
Weight : .....  kilograms ( not in pounds, please )
 
Highest education level : 
 
Present occupation :  
 
Does she have any child ? If so, how many and
in which years were they born ? 
 
Language knowledge (including mother language) :  
 
Does she smoke ?   Yes     No
 
Self description in a few lines :
( Max. 600 characters. ) 








What does she like to do in her free time,
what are her hobbies ? 
( Max. 400 characters. ) 






 
What kind of responses does she expect?
Which age range should her responders belong to ? ( Max. 600 characters. )