Questionnaire
Fill out the form below - ALL questions must be answered.
What is your name?
What is your email address?
How old are you?
How tall are you?
What size pants do you wear?
What shoe size are you?
What size shirt do you wear?
What size suit do you wear?
When was your last relationship?
How long did it last and why did it end?
What are you looking to get out of this service?
What are your weak areas?
What are your strong areas?
If an ex-girlfriend were to complain about you, what would she say?
What type of girls do you attract and what type would you like to attract?
Have you ever been accused of stalking? Explain if so...
Do you have children?
Yes
No
Ever been married?
Yes
No
What women do you admire and why? (Actual women - not attributes)
What women do you dislike and why? (They can be actual, but more of the characteristics)
Have you ever participated in any of the "Pick up" seminars and if so what did you learn?
How do you know if someone is interested?
How do you tell someone you're not interested?
How would you like for someone to tell you they are not interested?
Are you open minded and able to laugh at yourself?
Yes
No
Can you try something even if you don't agree with it?
Yes
No
Please attach a picture and we will contact you for a meeting shortly.
Home
|
Services - Men
|
Services - Women
|
About Me
|
Testimonials
|
FAQs
|
Tell A Friend
|
Recent Press
Serria's Blog
|
The Bunny Book
|
Contact Us
|
MySpace
|
Sitemap
All Materials © 2007 Ask Serria - All Rights Reserved.
Web Services by
David Cosgrove