Please note that all fields followed by an asterisk must be filled in.
First Name*
First Name*
Last Name*
Last Name*
E-mail Address*
E-mail Address*
State/Prov*
State/Prov*
Country*
Country*
Country
United States
Canada
----------------
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribadi
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Former Republic of Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
S. Georgia and S. Sandwich Isls.
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
US VIrgin Islands
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia (former)
Zaire
Zambia
Zimbabwe
Sex*
Sex*
Sexual Orientation*
Sexual Orientation*
---Select--- \nPlease Select One
Hetrosexual
Gay
Bisexual
Marital Status*
Marital Status*
---Select--- \nPlease Select One
Single
In a long term relationship
Married
Divorced
Widowed
Age
Nationality
Religion
Do you have any children? If yes how many?
Physical Description
Job Description
Would you like your name to be changed (We will use a pseudonym)
---Select--- \nYes
No
1a. Do pick up lines work on you?
---Select--- \nYes
No
What is the worst pick up line you have ever heard?
What is the best pick up line your have ever heard?
b.Who should make the first move?
---Select--- \nMan
Woman
Either
c.If you are with a group of male friends, should a woman approach if she is interested?
---Select--- \nYes
No
Would you feel comfortable approaching a woman you were attracted to if she was with a group of girlfriends?
---Select--- \nYes
No
What could a girl out with her girlfriends do to make it easier for you to approach?
d.Is hello the best way to start a conversation?
---Select--- \nYes
No
e.Do you like it if the woman compliments you?
---Select--- \nYes
No
f.Do you like it when a woman looks you up and down? (Gives you the head to toe look)
---Select--- \nYes
No
g.Do you like to be offered a drink?
---Select--- \nYes
No
h.Do you like it if a woman that you don’t know touches you whilst flirting?
---Select--- \nYes
No
i.Do you like sexual innuendo?
---Select--- \nYes
No
j.Should women ask men out?
---Select--- \nYes
No
k.If yes, when should she call you?
---Select--- \nStraight away
The next day
Within a couple of days
Withing a few days
Within a week
Within a couple of weeks
Within a month
l.Do you like it when a woman flirts with you via sms prior to asking you out
---Select--- \nYes
No
m. Should a woman ask you out via sms?
---Select--- \nYes
No
2a. What signals would a woman need to be giving you for you to feel comfortable approaching her and what could she say or do to make you feel more comfortable?
2b. When you first meet someone that you are attracted to how do you come across / react, are you warm and open, or do you appear closed and unapproachable? (Warm and Open / Closed and unapproachable)
---Select--- \nOpen and Warm
Closed and Unapproachable
2c. Is there different to the way you are when you are with your friends?
---Select--- \nYes
No
2d. Do you feel nervous approaching someone you’re attracted to?
---Select--- \nYes
No
2e. Would you approach someone you were attracted to if there was no sign of interest from her?
---Select--- \nYes
No
2f. Do you find it difficult to approach someone you don't know?
---Select--- \nYes
No
2 g. Would you find going for a job interview easier than approaching someone you find attractive?
---Select--- \nYes
No
2h. Would you find it easier to approach someone who was making eye contact and smiling at you?
---Select--- \nYes
No
2 i. Have you ever not called when you said that you were going to?
---Select--- \nYes
No
2j. Have you ever deliberately given out a wrong number to a woman?
---Select--- \nYes
No
2k. Have you tried online dating?
---Select--- \nYes
No
2l. If yes, what do you mainly go online for?
---Select--- \nFriendship
To find a relationship
To have an affair
Sex
2m. How far would you go online?
---Select--- \nChat
Flirt
Cybersex
2n. If you would do cyber sex online, how soon?
---Select--- \nStraight away
After a few emails
After a week
After a couple of weeks
After a month
1 - 2 months
2 - 3 months
3 - 4 months
4 - 5 months
5 - 12 months
Never
2o. How many people would you date online at the same time?
---Select--- \n1
2
3
4
5
6
7
8
9
10-15
16-20
21-30
31-40
41-50
Over 51
2p. Do you lie in your online profile
---Select--- \nYes
No
2q. At what point would you like to meet the person?
---Select--- \nStraight away
After a few emails
After a week
After a couple of weeks
After a month
1 - 2 months
2 - 3 months
3 - 4 months
4 - 5 months
5 - 12 months
Never
2r. Have you ever thought that someone wasn't interested in you only to find out that they were flirting?
---Select--- \nYes
No
2s. Is fear of rejection the main reason you wouldn't approach someone you were attracted to?
---Select--- \nYes
No
2t. Would you find it easier to approach someone you were attracted to if you had a purpose? eg asking for directions, helping the host at a party, taking photos etc
---Select--- \nYes
No
2u. Have you ever avoided eye contact or ignored someone who you were attracted to?
---Select--- \nYes
No
3. What qualities are most important to you in a prospective partner?
4a. Should a woman make a move on you? (Yes / No)
---Select--- \nYes
No
4a. If so, when?
4b. If you like a woman, would you have sex on a first date?
---Select--- \nYes
No
4c. Would you still think of a girl as ‘marriage or long term’ potential if she slept with you on the first date?
---Select--- \nYes
No
4d. How long after a date should a woman call you?
---Select--- \nStraight away
The next day
Within a couple of days
Within a few days
Within a week
Within a month
The woman should wait for the man to call
4e. Would you like the woman to offer to pay for the date/dinner or to go dutch or pay yourself?
---Select--- \nWould like to pay
Go dutch
Would like the woman to offer but would pay
Would like the woman to pay
5a. How important are appearances to you?
---Select--- \nNot important at all
Not important
Neither important nor unimportant Important
Very important
5b. What are the most attractive qualities you find in a woman?
5c. Is her profession important to you?
---Select--- \nYes
No
5d. Is it important how much money she makes?
---Select--- \nYes
No
5e. How important is how a woman dresses and grooms herself?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
5f. How important is honesty at the beginning of a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
5 g. How important is it to you that a woman knows how to cook, clean, do the laundry?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
5 h. How important is honesty at the beginning of a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
5 i. Is it important that she pays you compliments?
---Select--- \nYes
No
5 j. When a woman is not into you, is there a way she can break it to you so you don’t feel hurt or rejected?
5 k. Does her age matter?
---Select--- \nYes
No
5 l. Would you go out with an older woman?
---Select--- \nYes
No
5l. If yes, how much older?
---Select--- \nSame age
Up to 1 year older
Up to 2 years older
Up to a few years older
Up to five years older
Up to 7 years older
Up to 10 years older
Up to 15 years older
Up to 20 years older
Up to 25 years older
Up to 30 years older
Doesn't matter
5l. If yes, how much younger?
---Select--- \nSame age
Up to 1 year younger
Up to 2 years younger
Up to a few years younger
Up to five years younger
Up to 7 years younger
Up to 10 years younger
Up to 15 years younger
Up to 20 years younger
Up to 25 years younger
Up to 30 years younger
Doesn't matter
5 m. If your woman has a best friend who is male would you be jealous or try to be friends with him?
---Select--- \nWould be jealous
Would try to be friends with him
5n. Would you ever consider / like to be in an open relationship?
---Select--- \nYes
No
5o. What do you feel women don’t understand about men?
6a. What do women do that put you off?
6b. Do you believe it is possible for a woman to change her bad habits?
---Select--- \nYes
No
7a. Do you believe in love at first sight?
---Select--- \nYes
No
7b. Can love grow even if there is no initial attraction?
---Select--- \nYes
No
7c. Do you like it when a woman shows you her feelings?
---Select--- \nYes
No
7d. If a woman is emotional does it turn you on or off?
---Select--- \nTurns me on
Turns me off
7e. Do you like sensitive, caring women?
---Select--- \nYes
No
7 f. Is a woman’s education important to you?
---Select--- \nYes
No
7f. Do you prefer ‘book smarts’ or ‘street smarts’?
---Select--- \nBook Smarts
Street Smarts
Both Equally
8 a. When you meet a woman are you looking for a long term relationship - marriage or just for fun?
---Select--- \nMarriage
Long Term Relationship
Fun
8b. Do you believe in marriage?
---Select--- \nYes
No
8c. Do you want to get married?
---Select--- \nYes
No
8d. Are your parents still together ?
---Select--- \nYes
No
8 e. What do you want out of a relationship?
8 f. What needs to be present to sustain a long-term relationship?
8 g. How important is communication in a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
8 h. When is it important to meet her family?
---Select--- \nWithin a week
Within a month
Withing a couple of months
Within 3 months
Within 6 months
Within a year
Within 2 years
Would prefer not to meet parents
8 i. Does it matter if she already has children?
---Select--- \nYes
No
8 j. Do you want a woman who wants to have children?
---Select--- \nYes
No
8 k. How important are maintaining common interests in a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
8 l. Is flirting with someone online or via sms whilst you are dating/ in a relationship cheating?
---Select--- \nYes
No
8m. How important is it important that a woman gives you your space?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
8 n. Would you stay with a partner who cheated on you?
9a. How important is it that your friends like her?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
9b. How important is it that you like her friends?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
9c. How important is it that her family likes you?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
10 a. What turns you on?
10b. What’s your favourite body part on a woman?
10 c. What is your favorite sexual fantasy?
10 d. Would you ask your partner to take part in your sexual fantasy?
---Select--- \nYes
No
10 e. If so, when?
---Select--- \nFirst time you have sex
Within a week
A month
A couple of months
Six months
A year
Never
10f. How often do you like to make love?
10 g. Do you like to talk or have silence during sex?
---Select--- \nTalk
Silence
10 h. What would you like a woman to say to you during sex?
10 i. What are you favorite positions during sex?
10 i (ii) Are there any positions that you don't like?
10j Does breast size matter?
---Select--- \nYes
No
10j. Do you prefer Small / Medium / Large?
---Select--- \nSmall
Medium
Large
10k. Would you like your partner to strip for you?
---Select--- \nYes
No
10l. Would you strip for your partner?
---Select--- \nYes
No
10m. Would you like your partner to have a Brazilian wax?
---Select--- \nYes
No
10n. Does it upset you if a woman that you are interested in doesn't return your call after you've slept with them?
---Select--- \nYes
No
10 o. Does sexual experience matter?
---Select--- \nYes
No
10p. Is monogamy important to you?
---Select--- \nYes
No
10 q. What is more important - quantity of sex or quality of sex?
---Select--- \nQuality
Quantity
10r. Do you use sex toys?
---Select--- \nYes
No
11. What is more important?
12a. Is it important that a woman share your religious / spiritual beliefs?
---Select--- \nYes
No
13 a. Please share any short, funny or embarrassing stories / examples of a woman treating you the way you would like.
13b. Please share any short stories / examples of a woman not treating you how you would like or dating disasters.
13a. When you meet somebody you are attracted to, do you discuss them with your friends?
---Select--- \nYes
No
13b. Do you talk to your friends about sex?
---Select--- \nYes
No
13c. If your best friend broke up with his girlfriend, and you liked her, would you go out with her?
---Select--- \nYes
No
15 a. Are you too picky?
---Select--- \nYes
No
15b. Do you shy away from conversations and meeting new people?
---Select--- \nYes
No
We need your help! We need 1500 questionnaires. Can you help us distribute these questionnaires to your friends or people you know?
Would you be willing to complete a questionnaire on: Weight loss?
---Select--- \nYes
No
Raising Children?
---Select--- \nYes
No
Parents?
---Select--- \nYes
No
Marriage or long term relationships?
---Select--- \nYes
No
Would you be willing to be: Interviewed on TV or radio?
---Select--- \nYes
No
Part of a flirting DVD or filmed focus group?
---Select--- \nYes
No
Interviewed in more depth in regards to you answers?
---Select--- \nYes
No
Do you know anyone who would like to be interviewed on tv / radio or be part of a DVD?
---Select--- \nYes
No
We are looking for one lucky person to filmed whilst being coached one on one through the dating process. Learn the best tips from the experts. Would you like to be considered for this?
---Select--- \nYes
No
Do we have permission to contact you at a later date?
---Select--- \nYes
No