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Your first name:
Your Surname:
Your email address:
Your mobile phone number:
Your address including postcode:
We will ask you to email us a form of ID that shows your name and address. You may block out any other information including your photo. Are you happy to send us this?
Are you:
What is your current status?
Which status would you prefer your date to have?
How old are you?
How old should you date be? Please give us a range.
Do you have children?
Do you mind if your blind date has children?
Do you want more children?
Do you have a religion/faith and if so, what is it?
Should your blind date have a religion/faith?
How far are you willing to travel for your blind date?
Do you smoke?
Do you mind if your date smokes?
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