1. Full Name:
2. Email Address:
3. Gender:
4. Race:
5. Date of Birth:
(Month/Day/Year)		 PopUp Calendar
6. Marital Status:
7. Are You Attracted To:
8. Height: feet inches
9. Weight: pounds
10. What is your personal income level?
11. Do you presently have
firm career goals?
12.
What's your normal current job field?
13.
What's your current job title?
14.
How many years of experience do you have in your chosen field?
15.
For the most part, do you enjoy this type of work?
16.
My friends think I'm slightly absent-minded and not always practical.
17.
I get new ideas about all sorts of things, too many to put into practice.
18.
I get so interested in thinking about ideas that I sometimes overlook practical details.
19.
Sometimes I don't fit in because my ideas are not conventional or ordinary.
20.
My thoughts are too deep and complicated for many people to understand.
21.
I'm the type of person who daydreams and thinks up things on my own.
22.
I'd enjoy more being a counselor than being an architect.
23.
I enjoy taking care of other people's needs.
24.
If the salary were the same, I'd rather be a scientist than a sales manager.
25.
In helping with a useful invention, I'd prefer showing people how to use it.
26.
My friends would probably describe me as warm and comforting.