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Dad of the Week
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info@mysite.com
123-456-7890
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First name
*
Favorite picture of you
*
Upload File
Are you single?
*
Yes
No
Age
*
Email
*
Phone
Ethnic Survey
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Hispanic or Latino
Middle Eastern or North African
Other
Single choice
*
Republican
Democrat
What state do you live in?
*
Do you have kids?
*
Yes
No
If so- How many & how old?
*
Have you cheated?
*
Yes
No
Have you been cheated on?
*
Yes
No
Do you talk to your ex?
*
Yes
No
What do you do for work?
*
Would you be willing to reloacte?
Yes
No
I'd be open to discuss it
Rate your cooking on a scale of 1-10
*
Are you financially stable on your own?
*
Yes
Somewhat
I make it work
No
I need a sugar daddy
Are you religious?
*
Yes
Not Sure
No
How often do you drink?
*
Few times a week
When theres an event going on
I don't drink much
Not at all
Tattoos?
*
Yes
No
Are you outdoorsy?
*
Yes
Not really
No
Favorite thing/s to do?
*
Have you been hunting before?
*
Do you like to go to races?
*
Do you have animals?
*
Anything else you want us to know?
Submit
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