Texting back n forth for days and weeks on end, no thanks!

If you really want to get to know me better, wouldn’t it be nicer to meet in person? Fill in the form to get the ball rolling!

Name *

Nationality *

Ethnicity *

Year of Birth *

Height *

Weight *

Relationship Status *SingleSeparatedDivorced

If Single, how long have you been single? *

How long was your longest relationship? *

Do you have children, if so, how many? *012345678

Do you want children? *

• Yes
• No

Smoke *

• Yes
• No

Recreational Drugs? *

• Yes
• No

How often do you drink alcohol? *

Tattoos *012345Loads!

Occupation *

Do you drive? *

• Yes
• No

Location *

Where are you from? if different to current location

Do you have any pets? *

Do you watch soaps *

• Eastenders
• Coronation Street
• Emmerdale
• Hollyoaks
• Other/Not listed above
• Don’t watch any soaps

What are your hobbies and interests? specifically for weekends. This can include things you would like to do in the future! *

Do you have the ability to plan an event, and sometimes compromise to accommodate others? *

• Yes
• No

Are you capable of scheduling an event in your calendar, sticking to it, and arriving on time? *

• Yes
• No

Favourite holiday destination for relaxation? *

What are your favourite recipes? *

Are you religious? *

Clumsiness Scale

Selected Value: 0

Rate yourself based on how clumsy you are, 5 been very clumsy.

Link to Facebook Profile

Mobile *

You can leave a message for me here

You can upload a nice picture of yourself here, preferable one i haven't seen before. No Nudes!

Click or drag files to this area to upload. You can upload up to 5 files.

Add up to 5 pictures of yourself

Preferably, when would you like to meet in person? *TomorrowNext WeekNext Month

Submit