Your name:

E-mail:

Are you...:

Yes	No
		...male?
		...female?
		...filthy rich?
		...drop dead gorgeous?
		...madly in love with me?
		...environmentally friendly?
		...religious?
		...taking this application thing seriously?

Do you...:

Yes	No
		...mind long silences?
		...recycle?
		...like flowers?
		...speak japanese?
		...if not, are you willing to learn?
		...enjoy complex mathematics?
		...how about physics?
		...like art?
		...play the piano?

What is the airspeed velocity of an unladen swallow?

What kinds of music to you listen to? Why?

Name some musicians and songs you enjoy.

Name something I'll never understand.

Like cats?

Where do you want to live when we get married?

Why should I choose to spend the rest of my life with you?

What's a question I can add to this?

Tempted to push the button more than once? Don't.

.