Dating Preferences Form

Please complete the Dating Preferences Form. Your dating preferences will provide valuable information for the Staff/Matchmakers who will be assisting you in arranging dates and introductions during your tour.

Please give your answers serious consideration as the Matchmakers will use this information to assist you in arranging ideal matches. If possible please upload one or two recent photos which will also be helpful.

You can always adjust/change your dating preferences as the tour progresses, and of course you will receive valuable input from the Matchmakers during the tour.

 Tell Us About You  

Your First Name

Your Last Name

Your Age

Your City

State

Occupation

Astrological Sign

Education

Religion

How many children do you have?

What are their ages?

 1  2  3  4  5
 6  7  8  9  10
 11  12  13  14  15
 16  17  18 18+

Do your children live with you?

How active would you say you are:

Do you smoke?

 Tell Us About Your Dating Preferences
Please list 3 non-physical traits you find important in a life mate?

Are you open to women who are not fluent in English? 

 

Her age range should be: 

to  

Are you open to women with a child or children?

Are you open to a woman who smokes?

Are you open to a woman who drinks socially?

Is there anything else that you feel is important that we should know about you?

Your Photo:
 Enter Code At Left
 

 

* Please upload one or two photos for our reference when contacting ladies.

Exotic Asian Wives
7320 N Dreamy Draw Drive
Phoenix, Arizona 85020
(602) 553-8178
FAX (602) 468-1119

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