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survey 1

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
Dating Intake Form

Congratulations on matching with Sabina! I’m sure that this is a very special and exciting moment in your life. In order to move forward with this connection, please fill out the following survey. Thank you and have fun!

1

Before we start: please write down your name and age

2

Just because I need to make sure: Are you a murderer, cannibal, rapist, Kanye fan, or a soundcloud rapper?

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3

How do you feel about peas?

Select one answer
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4

Which term is right: Přijdu později / přijdu dýl?

Select one answer
5

Are you a pro choice or pro life?

If you don’t know what that means, please use google before answering
6

How long are you single?

7

Please choose carefully

Select one image answer
8

If we went on a date, where would we go and what would we do?

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9

Who pays on the first date?

Select one answer
10

What do you like to do in your free time? feel free to be as detailed as you want

11

Tell me a secret you swore you'd take to your grave. I promise I'll only tell my mom and my coolest sibling

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12

Smažák v bulce?

Select one answer

Thank you for finishing this survey! These last few questions are optional to answer.

13

How would you rate this survey?

14

Do you have socials? (instagram is preferred) if so, feel free to drop your @

15

Are you considering asking Sabina on a date / to meet up?

Select one answer
16

Is there anything you want to say to Sabina?

If you have any questions or issues with the survey, feel free to message me on instagram @brizatce (((: