Couples Company,
This is What WE Want!

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Thank you for your diligence and help in filling out the application. Your profile is strictly confidential and it provides information crucial to Couples Company's ability to provide you with resources that are pertinent to your lifestyle and relationship needs.

You can choose to your application, or continue to the next five questions, which cover your preferences for the content, products and services you would like to see us carry

The next 5 questions covers your interests and what you like to do. Your answers will help us determine what content we need to provide, which companies we should partner with, and what type of prizes you would enjoy winning. Answering is optional and greatly appreciated.

21) Where do you connect to the Internet? WHY

At Home
At Work
Both
Wireless
Hand Held

22) What are your favorite leisure time activities?
(Check all that apply) WHY

Boating/Sailing
Golf
Tennis
Camping/Hiking
Bicycling
Art (Do)
Flying
Equestrian Sports
Sewing
Football
Basketball
Baseball
Hockey
Movies
Running
Cooking

Soccer
Skiing
Socializing
Music/Play Instrument
Dancing
Gardening
Photography
Reading
Making Love
Writing
Traveling
Driving Car
Arts & Crafts
Hobbies
Shopping
Live Theater

23) If you could travel anywhere in the world, where would you like to go? WHY

(Check all that interest you)

Africa
Australia/New Zealand
Southeast Asia
United Kingdom
Northern Europe
Mediterranean
The Holy Land
Middle East
South America

Central America
China/Japan
Russia/Baltics
Alaska/Arctic
South Pacific
Bahamas/West Indies
India/Thailand
US/Canada
None of the Above

24) If you could improve anything about yourself and your life, what would it be? WHY

(Check all that apply)

Lose weight
Communicate Better with Partner
Finish Education
Get in Shape
Spend More Time with Family
Make Better use of Free Time
Become a Better Lover/Be More Romantic
Quit Smoking
Increase Income and Financial Security
Minimize Stress
Develop More Patience
Increase Sexual Desire
Become More Socially Active
Increase Sexual Satisfaction
None of the Above

25) Finally….How did you learn about CouplesCompany.com? WHY

THANK YOU!
(You're Awesome:)

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