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Your title:	Mr. Mrs. Ms. Dr.
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Please tell us about yourself:
Are you meeting people right now?	Many Few None
What is your marital status?	Single Divorced Separated Widowed
Are you new to the area?	Yes No
What is your educational background?	Bachelor's Degree Master PhD Vocational High School
Are you working full-time?	Yes   No
What kind of work do you do?
How did you find our web site?	Don't Know...Just Surfing Web Site Link Search Engine Direct Mail Flyer Direct Mail Postcard Newspaper Ad Radio Television Friend Together Member
If linked from another site, what site was it?
If you used a search engine, which one did you use?
What keywords did you search for?
Any additional comments?

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