01. What are the three letters of your full (First, Middle, Last) name, followed by the last four numbers of your Social Security number or active telephone number [ Example: drb7472 ], conveniently called your Personal Identification Passcode (PIP)? _____________________
02. If this Form is e-mailed, will you remember to send a recent .jpg photo of yourself in an attachment, identified with your particular I.D. file name (see Question #1) but followed by the letter "p" and conveniently called your Personal Identification Passcoded Photo (PIPP)? [ Example: drb7472p.jpg ], to an appropriate Matchmaker's e-mail address, for him to post your [removable-if-applicable] answers to the questions in this Form, plainly associated with your [removable-if-applicable] PIP and [removable-if-applicable] PIPP, to be publicly posted on the Matchmaker's publicly-accessible Facebook page? _______
IMPORTANT NOTICE:
For men, if they have loose long hair, it must be tied back in a single back-of-head ponytail for their photo.
For women, if they have loose long hair longer than mouth-level, it must be tied up in a chignon or bun, or tied in a single back-of-head ponytail, or completely covered with a shawl. Also, shoulders and chest area must be completely covered with opaque clothing; long-sleeves and roomy slacks are also mandatory, and no soxlessness is allow.
Any deviation from the above-stated parameters will (NOT "might") result in a Matchmaker rejecting the photo, with or without explanation nor optional request for re-submittal.
03. Do you have a Driver's License? ________
04. If you have a Driver's License, for what U.S. State is it issued? _____________________
05. If you are a [single] female [20 to 40 years old], would you be willing to become a [common-law married]
concubine of some already-married man? _________
06. Are you an admitted or non-admitted vice-cop decoy, and/or working with at least one investigative media agent (such as MSNBC's Dateline Predator ), in communication with at least one law-enforcement officer? _____
07. In what city and state do you receive utility bills? __________________ _____
08. What is your e-mail address? _______________________________
09. State your marital status (never-been-married single, married, or a widower) ___________________
10. What is your gender? _________
11. What is your birth month and year? __________________________ ____________
12. Are you mostly Caucasian, Negroid, or Asian? __________________
13. What language(s) do you speak most fluently? __________________________ __________________________
14. What is your present height? _____ ft. ____ in.
15. What is your present weight? _________ lbs.
16. What is your eye color? ____________
17. What is your present hair color? _____________
18. Are you a vocational or college graduate? _______
19. If you are a vo-tech or college graduate, what was the name of the facility? ___________________________
20. What are your main occupation(s) and hobbies ___________________________ ______________________________
21. Is your income range above $ 15,000 per year? ________
22. Do you have stock market or real estate investments? ________
23. Do you have any not-yet-paid loans or mortgages? ______________________________
24. Do you live alone? _______
25. Do you mainly live in an apartment, cabin, house, trailer, townhouse, or condo? ___________________
26. Are you presently renting/leasing at least one storage unit? ________
27. What is the year, make, and model of the vehicle you mostly drive?
_________ ____________________________ _______________________
28. Specify all of which of the following you presently own: boat, outboard motor, motorcycle, and/or snowmobile _____________________________________________________
29. Do you generally wear glasses or contact lenses? ________
30. What handicaps or disabilities do you presently have? _____________________ ______________________
31. What medication-requiring continuing diseases do you presently have? ________________ ______________
32. What prescription or over-the-counter pharmaceutical drugs have you swallowed within the past month?
___________________________ _________________________ _________________________
33. To your knowledge, can you bear children? ________
34. If (to your knowledge) you are able to produce children, do you want to bear children? ________
35. What is the name and city-and-state location of the church you mostly attend?
_______________________________ ________________________ _____
36. What religion or religious denomination do you mostly affiliate yourself with?
__________________
37. Will you avoid using spermicides, condoms, or contraceptives when married? ________
38. Will you avoid suggesting and/or committing abortion-homicide murder (i.e. infanticide)? ________
39. Are you an effeminate homogay, or same-gender sodomite? _______
40. Do you presume as true some form of anti-Genesis [non-scientific] myth of evolution? _______
41. Do you dabble in astrology, the occult, witchcraft, sorcery, voodoo, or necromancy? ______
42. Do you consider yourself a sexist feminist or sexist-feminist supporter? ______
43. Is it acceptable for your mate to sip potentially-intoxicating communion wine during communion? ______
44. Do you eat meat bloody rare or medium rare? ________
45. Do you ever smoke or chew nicotene products, and/or approve of those who do? ______
46. Is it necessary or helpful for a healthy, Christian, young woman to apply artificial additions to supposedly enhance her beauty like Leviticus 19:28-forbidden tattoos and/or body piercings? _____
47. Is it necessary or helpful for a healthy, Christian, young woman to apply artificial additions to supposedly enhance her beauty with Jezebel-and-harlot-like eye shadow, eyelashes, fingernail polish, toenail polish, lipstick, allergies-exacerbating perfumes, and/or rouge in view of II Kings 9:30 and Ezekiel 23:40 _____
48. Should women occupy their time shopping for needless higher-priced new or different clothes, jewelry, or new cars according to I Timothy 2:9 and I Peter 3:3? ______
49. Do you vote for anti-abortion, anti-homosexual, anti-feminist politicians? ______
50. Do you shun female government officials, lawyers, judges, newscasters, clergy.....and instead prefer male leaders? ________
51. Will you wear headphones and/or earphones rather than irritating your spouse with harassing-to-them radio and TV feminist or religiously or politically subversive chatter plus rap or other noxious music noise? ________
52. Should a man be medically treated by male doctors and nurses only, and especially a woman be medically treated by female medical personnel only? ___________
53. Is it OK to sexually stimulate and sexually harass erotically-sensitive men in general public view by exposing naked female mopheadedness, arms, legs, and socksless feet during summer and/or indoor/outdoor sports in their possible or obvious view? ________
54. Should women NOT arrogantly compete against men in the business and corporate world......but INSTEAD stay home and tend to housekeeping and child-raising? ________
55. It is appropriate to read the New Revised Standard Version or Revised Standard Version Old Testament and the King James Version (or John Wesley) and New King James Version or KJ21 New Testament for daily devotions with your date or mate? ________
56. Pertaining to common-law-marriage concubinally-cohabitational living-together housekeeping decisions, should the husband have the final and overriding say as to any household and familial-related phenomena which has, does, and will occur? _________
57. Would you be content to become married to your date without a wedding ceremony, and should common-law spouses wear marriage rings on the 4th fingers of their left hands (if convenient)? ________
58. Have you ever been lain with nude or been known nude in the sexual sense? _______
59. Have you ever had a mutually-nude exchange massage? ________
60. Are you a virgin (genitally)? ____
[NOTE: For matchmaking purposes, after you and your targeted person answer the questions in this DTMF, each should convey the answers to each other directly or by e-mail. If either you or your target does not communicate within one week after such conveyance, it is prudent and understandable to consider any initial or ongoing relationship inactive and not worthy of further consideration].