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
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Sex*
Sex*
Sexual Orientation*
Sexual Orientation*
---Select--- \nPlease Select One
Hetrosexual
Gay
Bisexual
Marital Status*
Marital Status*
---Select--- \nPlease Select One
Single
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 you have ever heard? b.Who should make the first move?
---Select--- \nMan
Woman
Either
Would you feel comfortable making the first move?
---Select--- \nYes
No
c.If you are with a group of female friends, should a man approach if he is interested?
---Select--- \nYes
No
Would you feel comfortable approaching a man you were attracted to if he was with a group of his male friends?
---Select--- \nYes
No
What could a man out with his male friends 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 man compliments you?
---Select--- \nYes
No
f.Do you like it when a man 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 man that you don’t know touches you whilst flirting?
---Select--- \nYes
No
i.Do you like sexual innuendo?
---Select--- \nYes
No
j. How soon should he wait to ask you out? k. When should he 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 man flirts with you via sms prior to asking you out
---Select--- \nYes
No
m. Should a man ask you out via sms?
---Select--- \nYes
No
2a. What signals would a man need to be giving you for you to feel comfortable approaching him and what could he 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?
---Select--- \nOpen and Warm
Closed and Unapproachable
2c. Is this 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 him?
---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 man?
---Select--- \nYes
No
If yes, why have you not called when you said you would or given out a wrong number? 2k. Have you tried online dating?
---Select--- \nYes
No
2 l. If yes, what do you mainly go online for?
---Select--- \nFriendship
To find a relationship
To have an affair
To have cyber sex
2 m. How far would you go online?
---Select--- \nChat
Flirt
Cybersex
2 n. If you would do cyber sex online, how soon?
---Select--- \nStraight away
Within a few emails
Within a month
Within a couple of months
Within 6 months
2 o. How many people would you date online at the same time? 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
s. Would you find it easier to approach someone you were attracted to you if you had a purpose? (eg. taking photos, helping a host etc)
---Select--- \nYes
No
t. Have you ever avoided eye contact or ignored someone you are attracted to?
---Select--- \nYes
No
3. What qualities are most important to you in a prospective partner? 4a. When should a man make a move on you? 4b. If you like a man, would you have sex on a first date?
---Select--- \nYes
No
4c. How long after a date should a man call you?
---Select--- \nStraight away
The next day
Within a couple of days
Within a few days
Within a week
Within a month
4d. Would you like the man 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 man to offer but would pay
Would like the man 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 man? 5c. Is his profession important to you?
---Select--- \nYes
No
5d. Is it important how much money he makes?
---Select--- \nYes
No
5e. How important is how a man dresses and grooms himself?
---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 man knows how to cook, clean, do the laundry?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
5 i. Is it important that he pays you compliments?
---Select--- \nYes
No
5 j. When a man is not into you, is there a way he can break it to you so you don’t feel hurt or rejected? Please describe. 5 k. Does his age matter?
---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
5 l. Would you go out with a younger man?
---Select--- \nYes
No
5l. 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
5l. Would you go out with an older man?
---Select--- \nYes
No
5l. If yes, how much older?
---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 man has a best friend who is female would you be jealous or try to be friends with her?
---Select--- \nWould be jealous
Would try to be friends with her
5n. Would you ever consider / like to be in an open relationship?
---Select--- \nYes
No
5n. What do you feel men don’t understand about women? 6a. What do men do that put you off? 6b. Do you believe it is possible for a man to change his 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 man shows you his feelings?
---Select--- \nYes
No
7d. If a man is emotional does it turn you on or off?
---Select--- \nTurns me on
Turns me off
7e. Do you like sensitive, caring men?
---Select--- \nYes
No
7 f. Is a man’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 man are you looking for a long term relationship - marriage or just for fun?
---Select--- \nMarriage
Long Term Relationship
Fun
Do you believe in marriage?
---Select--- \nYes
No
Do you want to get married?
---Select--- \nYes
No
Do you believe in marriage?
---Select--- \nYes
No
8 b. What needs to be present to sustain a long-term relationship? 8 c. How important is communication in a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
8 d. When is it important to meet his 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 e. Does it matter if he already has children?
---Select--- \nYes
No
8 f. Do you want a man who wants to have children?
---Select--- \nYes
No
8 g. How important are maintaining common interests in a relationship?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
8 h. Is flirting with someone online or via sms whilst you are dating/ in a relationship cheating?
---Select--- \nYes
No
8i. How important is that a man gives you your space?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
n. Would you stay with a partner who cheated on you?
---Select--- \nYes
No
9a. How important is it that your friends like him?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
9b. How important is it that you like his friends?
---Select--- \nNot important at all
Not important
Neither important nor unimportant
Important
Very important
9c. How important is it that his 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 man? 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 man to say to you during sex? 10h. What is the most exotic place you would like to make love in? 10 j. What are you favorite positions during sex? 10 j(ii) Are there any positions that you don't like? 10k. Does size matter?
---Select--- \nYes
No
10. Do you prefer Small / Medium / Large?
---Select--- \nSmall
Medium
Large
10l. Would you like your partner to strip for you?
---Select--- \nYes
No
10l. Would you strip for your partner?
---Select--- \nYes
No
10 m. Would you / do you do a Brazilian wax?
---Select--- \nYes
No
10n. Does it upset you if a man 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
10 p. Is monogamy important to you?
---Select--- \nYes
No
10 q. What is more important - quality of sex and quantity of sex?
---Select--- \nQuality
Quantity
10 r. Do you use sex toys? 11. What is more important? 12a. Is it important that a man share your religious / spiritual beliefs?
---Select--- \nYes
No
13 a. Please share any short, funny or embarrassing stories / examples of a man treating you the way you would like. 13b. Please share any short stories / examples of a man 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 her boyfriend, and you liked him, would you go out with him?
---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
Would you like your name to be changed on this questionnaire? (We will use a pseudonym)
---Select--- \nYes
No
I give my consent that all information collected in this questionnaire remains the property of Inna Segal, Paul Morris Segal and Katia Loisel-Furey, and may be reproduced in a book, on the internet or in any other format.*
I give my consent that all information collected in this questionnaire remains the property of Inna Segal, Paul Morris Segal and Katia Loisel-Furey, and may be reproduced in a book, on the internet or in any other format.*
Do we have permission to contact you at a later date?
---Select--- \nYes
No
