Please certify that you are over 18 years old.
*
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I confirm
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*
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Yes
No
Full Name
*
First Name
Last Name
Birthday
*
MM
DD
YYYY
Gender
*
Woman
Man
Non-Binary
Email
*
Cell Phone Number
*
Country
(###)
###
####
Preferred method for receiving initial inquiries
*
This option allows you to select your preferred method for receiving initial inquiries from interested parties. You may choose to receive inquiries directly from BBB platform members, in which case your contact information will be visible to users of the platform, or through our contact form, in which case your contact information will remain concealed from users. To ensure the highest level of security, we recommend opting for the initial contact option via the contact form.
I allow direct contact
Only via contact form
Address of your main residence
*
Your address will not be disclosed to platform members; only your country and city will be shared. The full address is required solely for identity verification, correspondence, and billing purposes.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Skin Tone
*
Fair or light
Light olive
Medium olive
Dark olive
Light tan
Medium tan
Dark tan
Light brown
Medium brown
Dark brown
Deep brown
Black
Hair Color
*
Black
Brown (ranging from light to dark)
Blonde (ranging from light to platinum)
Red (ranging from copper to auburn)
Gray or silver (due to aging)
White (also due to aging or genetic factors)
Blonde with highlights or lowlights
Brunette with highlights or lowlights
Ombre or balayage effects
Dyed or unconventional colors (such as blue, pink, purple, etc.)
Face shape
*
Oval
Round
Square
Heart-shaped
Diamond-shaped
Triangle (upside-down)
Rectangle or oblong
Color of Eyes
*
Brown
Blue
Green
Hazel (a combination of brown and green)
Gray
Amber (a golden or yellowish-brown hue)
Black (very dark brown)
Violet (with a reddish or bluish tint)
Red (due to albinism or other genetic conditions)
Shape of Eyes
*
Almond-shaped
Round
Hooded
Upturned
Downturned
Monolid
Double eyelid
Deep-set
Close-set
Wide-set
Mouth shape
*
Thin lips
Full lips
Cupid's bow (defined arch on the upper lip)
Straight lip line
Rounded lip line
Heart-shaped mouth
Wide smile
Small mouth
Overbite or underbite
Nose shape
*
Straight nose
Roman nose (slightly curved bridge)
Hawk nose (prominent, curved bridge)
Button nose (small and rounded)
Aquiline nose (long and straight, with a downward curve at the tip)
Snub nose (short and turned-up)
Crooked nose (irregular or asymmetrical)
Bulbous nose (large and rounded at the tip)
Narrow nose
Height
*
150 cm - 4'11''
151 cm - 4'11'' 1/2
152 cm - 4'12''
153 cm - 5'
154 cm - 5' 1/2
155 cm - 5'1''
156 cm - 5'1'' 1/2
157 cm - 5'2''
158 cm - 5'2''
159 cm - 5'2'' 1/2
160 cm - 5'3''
161 cm - 5'3'' 1/2
162 cm - 5'4''
163 cm - 5'4''
164 cm - 5'4'' 1/2
165 cm - 5'5''
166 cm - 5'5'' 1/2
167 cm - 5'5'' 1/2
168 cm - 5'6''
169 cm - 5'6'' 1/2
170 cm - 5'7''
171 cm - 5'7'' 1/2
172 cm - 5'7'' 1/2
173 cm - 5'8''
174 cm - 5'8'' 1/2
175 cm - 5'9''
176 cm - 5'9'' 1/2
177 cm - 5'9'' 1/2
178 cm - 5'10''
179 cm - 5'10'' 1/2
180 cm - 5'11''
181 cm - 5'11'' 1/2
182 cm - 5'11'' 1/2
183 cm - 6'
184 cm - 6' 1/2
185 cm - 6'1''
186 cm - 6'1''
187 cm - 6'1'' 1/2
188 cm - 6'2''
189 cm - 6'2'' 1/2
190 cm - 6'3''
191 cm - 6'3''
192 cm - 6'3'' 1/2
193 cm - 6'4''
194 cm - 6'4'' 1/2
195 cm - 6'5''
196 cm - 6'5''
197 cm - 6'5'' 1/2
198 cm - 6'6''
199 cm - 6'6'' 1/2
200 cm - 6'6'' 1/2
Over 200 cm
Any tattoos?
*
Yes
No
Any piercing?
*
Yes
No
Have you undergone any cosmetic surgeries?
*
Yes
No
If you have answered 'Yes' to any of the questions in the body modification section, please describe the nature of those modifications.
What is the highest level of education you have attained?
*
High School Diploma or Equivalent
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate (Ph.D., Professor)
Professional Degrees (MD, JD, DDS, DVM, etc.)
What is the primary reason for the changing seasons on Earth?
*
The distance between the Earth and the Sun changes throughout the year.
The tilt of the Earth's axis relative to its orbit around the Sun.
The varying amount of solar radiation received by different parts of the Earth.
The elliptical shape of Earth's orbit around the Sun.
The distribution of land and water masses affecting heat absorption.
Interested in?
*
Men
Women
Everyone
What are you looking for?
*
Platonic relationships
Intimate relationships
Soulmate
Long-term partner
Long-term, open to short-term
Short-term, open to long-term
Short-term fun
Casual sex
New friends
Sugar Daddy
Sugar Momma
Still figuring it out
Your sexual orientation?
*
Streight
Gay
Lesbian
Bisexual
Asexual
Demisexual
Pansexual
Queer
Questioning
Aromantic
Omnisexual
Favorite movie genres?
*
Pick up to 3
I don't like movies
Action
Comedy
Drama
Romance
Horror
Thriller
Science Fiction
Fantasy
Adventure
Mystery
Crime
Animation
Documentary
Musical
Historical
Favorite music genres?
*
I don't like music
Pop
Rock
Hip-hop/Rap
Electronic/Dance
R&B/Soul
Country
Jazz
Blues
Classical
Reggae
Punk
Metal
Folk
Indie
Funk
Which sports do you consider to be the most brutal?
*
Boxing
Mixed Martial Arts (MMA)
Rugby
American Football
Ice Hockey
Wrestling (including Greco-Roman and freestyle)
Soccer
Lacrosse
Bullfighting
Muay Thai
Water Polo
Ski Jumping
Big Wave Surfing
What are you most afraid of?
*
I am not afraid of anything
Fear of heights (acrophobia)
Fear of spiders (arachnophobia)
Fear of enclosed spaces (claustrophobia)
Fear of public speaking (glossophobia)
Fear of snakes (ophidiophobia)
Fear of flying (aviophobia)
Fear of the dark (nyctophobia)
Fear of failure (atychiphobia)
Fear of death (thanatophobia)
Fear of being alone (autophobia)
Fear of poverty (aporophobia)
Fear of social situations (social anxiety)
Fear of large bodies of water (thalassophobia)
Which sports do you consider to be the most sexiest?
*
Sport is not sexy at all
Beach Volleyball
Synchronized swimming
Tennis
Gymnastics
Figure Skating
Surfing
Pole Dancing
Soccer
Yoga
Baseball
Boxing
Basketball
Wrestling
Bodybuilding
Golf
Motor Racing
Which place do you think is ideal for a first date?
*
Art gallery or museum
Luxury restaurant
Botanical garden or arboretum
Indoor rock climbing gym
Paris
Street Cafe
Trampoline park
Cooking class or food festival
Opera or Ballet
Arcade or board game café
Drive-in theater
Outdoor concert or music festival
Comedy club or improv show
Animal shelter volunteering
Kayaking or paddleboarding excursion
Conservatory
Cinema
Fancy Boutique
Lobby Bar
What's your go-to indoor time killer?
*
Pick up to 3
Sleeping
Watching movies or TV shows
Playing video games
Amateur cooking or baking
Doing puzzles or brain teasers
Drawing, Crafting, or DIY projects
Listening to music or podcasts
Exercising or yoga
Playing board games or card games
Learning a new skill online
Cleaning or organizing
Playing musical instruments
Journaling or reflective writing
Meditation or mindfulness practice
Online shopping
Сultivating bonsai trees or home flowers
Aquarium
Bathing, skin and body care
Social and Internet browsing
Work from home
Drink alcohol
What is the best option for spending leisure time outdoors?
*
Nature Activities
Recreational Sports
Water Activities
Outdoor Leisure, Picnicking
Shooting range, Archery
Adventure and Exploration
Social Gatherings
Cultural Events
Hunting and/or Fishing
Fitness and Exercise
Wildlife Observation
Relaxation and Wellness
Are you religious?
*
Of course!
Yes
Of course, not!
No
Do you believe you are?
*
Introvert
Extrovert
Open-mindedness level
*
Please rate your level of openness to new experiences on a scale from 1 to 10, with 1 being the lowest and 10 being the highest.
1
2
3
4
5
6
7
8
9
10
Conscientiousness
*
Please rate how organized, responsible, and disciplined you are on a scale from 1 to 10, with 1 being the lowest and 10 being the highest.
1
2
3
4
5
6
7
8
9
10
Agreeableness
*
Please rate on a scale from 1 to 10 how much warmth, kindness, and cooperativeness you exhibit in your interactions with others, with 1 being the lowest and 10 being the highest.
1
2
3
4
5
6
7
8
9
10
Neuroticism
*
Please rate on a scale from 1 to 10 your tendency to experience negative emotions such as anxiety, depression, and stress, with 1 indicating the lowest tendency and 10 indicating the highest.
1
2
3
4
5
6
7
8
9
10
Assertiveness
*
Please rate, on a scale from 1 to 10, the extent to which you feel confident, decisive, and assertive in expressing your opinions and needs, with 1 indicating the lowest level and 10 indicating the highest."
1
2
3
4
5
6
7
8
9
10
Empathy
*
On a scale from 1 to 10 please rate your ability to understand and share the feelings of others and respond compassionately, with 1 representing the lowest level and 10 representing the highest.
1
2
3
4
5
6
7
8
9
10
Resilience
*
On a scale from 1 to 10 please rate your capacity to bounce back from adversity, cope with stress, and adapt to challenging circumstances, with 1 representing the lowest level and 10 representing the highest.
1
2
3
4
5
6
7
8
9
10
Risk-taking
*
On a scale from 1 to 10 please rate your willingness to take risks and embrace uncertainty in pursuit of opportunities or rewards, with 1 representing the lowest level and 10 representing the highest.
1
2
3
4
5
6
7
8
9
10
Emotional Stability
*
On a scale from 1 to 10 please rate your emotional stability and ability to remain calm and composed in various situations, with 1 representing the lowest level and 10 representing the highest.
1
2
3
4
5
6
7
8
9
10
Which temperament type do you believe best describes you?
*
Sanguine: Sociable, outgoing, and enthusiastic.
Choleric: Ambitious, assertive, and sometimes irritable.
Melancholic: Thoughtful, introspective, and prone to sadness or moodiness.
Phlegmatic: Calm, easygoing, and unemotional.
What motivates you most?
*
Intrinsic motivation
Extrinsic motivation
Achievement motivation
Power motivation
Affiliation motivation
Competence motivation
Autonomy motivation
Recognition motivation
Security motivation
Growth motivation
Which of the following values are closest to you?
*
Pick up to 3
Personal values
Social values
Cultural values
Ethical values
Moral values
Spiritual values
Professional values
Environmental values
Economic values
Political values
Please describe your feelings toward:
*
Are you rather optimistic than pessimistic?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Do you prefer to cooperate, than compete?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
You are more of a conformist than a rebel?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Is Inclusiveness more consistent with your beliefs than Exclusiveness?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Do you show Indifference more often than Empathy?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Do you think Selfishness is more profitable than Altruism?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Is telling a lie more difficult for you than telling the truth?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
You see the world as unjust and feel that believing in justice is naive.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Are you more of an irresponsible person, than a responsible person?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Are you closer to Traditionalism than Modernism?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Are the ideas of Globalism more relevant to you than the ideas of Nationalism?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Laziness
*
On a scale from 1 to 10, with 1 being the least lazy and 10 being the laziest, how would you rate your level of laziness?
1
2
3
4
5
6
7
8
9
10
Sexual experience
*
On a scale from 1 to 10, please rate your sexual experience and overall sophistication in this field, with 1 indicating very limited experience and 10 indicating advanced levels with very few things left to try.
1
2
3
4
5
6
7
8
9
10
Seduction skills
*
On a scale of 1 to 10, with 1 indicating you have little to no knowledge or ability in seduction, and 10 representing an irresistible seduction prowess where no one could resist you, how would you rate your seduction skills?
1
2
3
4
5
6
7
8
9
10
Which skills have you achieved the greatest success in?
*
Technical Skills
Communication Skills
Interpersonal Skills
Problem-Solving Skills
Organizational Skills
Management Skills
Seduction Skills
Digital Skills
Creative Skills
Analytical Skills
Personal Development Skills
Mechanical Skills
Language Skills
Manipulation Skills
Cognitive Skills
What do you associate with the word 'Money'?
*
Pick up to 3
Exclusivity
Entrepreneurship
Shopping
Philanthropy
Luxury
Status
Inheritance
Success
Luck
Yachting
Vanity
Risks
Prenup
Freedom
Envy
Private Aviation
Responsibility
Power
Real Estate
Hedonism
Wealth
Hatred
What's your favorite color?
*
Red
Orange
Yellow
Green
Blue
Purple
Pink
Brown
Black
White
Gray
Beige
Turquoise
Cyan
Magenta
Indigo
Maroon
Navy
Teal
Lavender
Love is?
*
Pick up to 3
Jealousy
Happiness
Friendship
Marriage
Affection
Desperation
Tenderness
Loyalty
Trust
Embrace
Kids
Sacrifice
Unrequited
Manipulation
Heartache
Intimacy
Possessiveness
Pain
Rejection
Expenses
Romance
Passion
Conflict
Obsession
Commitment
Family
Disappointment
Warmth
Misunderstanding
Betrayal
Care
Infatuation
Sex
Vulnerability
Control
Dependency
Devotion
Connection
Sacrifice
Loss
Companionship
Heartbreak
Kindness
Expensive presents
Most painful feelings
*
Pick up to 3
Humiliation
Arthritis
Surgery Recovery
Anxiety
Fear
Betrayal
Childbirth
Toothache
Nerve Pain
Cluster Headaches
Regret
Burns
Rejection
Fractures
Kidney Stones
Grief
Migraines
Shingles
Despair
Shame
Wound
Appendicitis
Heartbreak
Loneliness
Gallstones
Guilt
Anguish
Depression
Hopelessness
Back Pain
Cancer Pain
What have you drank more than 10 times?
*
Pick up to 5
Non-Alcoholic Cocktails
Gin
Herbal Tea
Almond Milk
Rosé Wine
Single Malt Whiskey
Coconut Milk
Red Wine
Sparkling Water
Cappuccino
Premium Tequila
Herbal Energy Drinks
Cognac
Sherry
Colas
Kombucha
Cow's Milk
Tequila
Flavored Water
Oat Milk
Iced Tea
Cold Brew
Electrolyte Drinks
Cocktails
Vegetable Juices
Black Tea
Aged Rum
Small-Batch Bourbon
Vodka
Craft Beer
Whiskey
Soy Milk
Green Tea
Latte
Smoothies
Chai
Vermouth
Sake
Mead
Port
Bourbon
Protein Shakes
Lemon-Lime Sodas
Still Water
Ayahuasca
Beer
Espresso
Ginger Ale
White Wine
Grappa
Cider
Decaffeinated Coffee
Vintage Champagne
Brandy
Artisanal Wine
Liqueurs
Rum
Champagne
Blood
Fruit Juices
Armagnac
Root Beer
Caffeinated Energy Drinks
Fine Wine
Who do you consider to be a rich individual?
*
Individuals who use their wealth to make a positive impact on society through philanthropic efforts or charitable donations.
Those who own valuable assets such as luxury homes, cars, yachts, or private jets.
Someone with significant assets, investments, or income that affords a luxurious lifestyle.
Individuals who prioritize experiences, relationships, and personal growth over material wealth.
People with influential positions in society, such as celebrities, politicians, or business moguls.
Those who hold power and influence due to their connections or social status.
People who prioritize giving back to their communities and supporting causes they believe in.
Individuals who have accumulated substantial wealth through business ventures, investments, or inheritance.
Those who lead fulfilling and meaningful lives, regardless of their financial status.
What type of cuisine do you find most satisfying?
*
Pick up to 3
Casual Dining
Vegetarian and Vegan Cuisine
Chinese Cuisine
Traditional Dishes
Molecular Gastronomy
Brazilian Cuisine
Mediterranean Cuisine
Italian Cuisine
Middle Eastern Cuisine
Korean Cuisine
Food Trucks
Mexican Cuisine
Fusion Cuisine
Japanese Cuisine
French Cuisine
Greek Cuisine
Healthy Cuisine
Fast Food
Spanish Cuisine
American Diners
Thai Cuisine
Italian Trattorias
Vietnamese Cuisine
Comfort Foods
High Cuisine
Family Recipes
American Cuisine
Bistros
Indian Cuisine
Ethnic Cuisine
Experimental Cuisine
Avant-garde Restaurants
Greatest mind of all time?
*
Charles Darwin - Biology, Evolutionary Theory
Edward Snowden - Whistleblowing, Privacy Advocacy
Tim Berners-Lee - Computer Science, Inventor of the World Wide Web
Kim Jong-un - Politics, Leadership (North Korea)
Albert Einstein - Theoretical Physics
Albert Einstein - Theoretical Physics
Malala Yousafzai - Education, Women's Rights Activism
Greta Thunberg - Climate Activism
Jair Bolsonaro - Politics, Leadership (Brazil)
Kamala Harris - Politics, Leadership, Civil Rights
Margaret Atwood - Literature, Feminism
Pope Francis - Religion, Humanitarianism
R. Kelly - Music Industry, Sexual Abuse Allegations
Nikola Tesla - Electrical Engineering, Physics
Isaac Newton - Physics, Mathematics
Jane Goodall - Primatology, Conservation
Marie Curie - Physics, Chemistry
Martin Shkreli - Pharmaceutical Industry, Securities Fraud
Mahatma Gandhi - Philosophy, Political Activism
Jordan Peterson - Psychology, Philosophy
Julian Assange - Whistleblowing, Journalism
Steve Jobs - Technology, Business
Leonhard Euler - Mathematics
Alex Jones - Conspiracy Theories, Media Personality
Keith Raniere - Self-Help Guru, Sex Trafficking Conviction
Virginia Woolf - Literature
Harvey Weinstein - Film Industry, #MeToo Movement
William Shakespeare - Literature
Galileo Galilei - Astronomy, Physics
Jacinda Ardern - Politics, Leadership, Crisis Management
Vladimir Putin - Politics, Leadership (Russia)
Jeff Bezos - Entrepreneurship, Business Innovation
Angela Merkel - Politics, Leadership
Frida Kahlo - Art
David Attenborough - Natural History, Environmental Conservation
Aristotle - Philosophy, Science
Rosalind Franklin - Molecular Biology, X-ray Crystallography
Bashar al-Assad - Politics, Leadership (Syria)
Barack Obama - Politics, Leadership, Civil Rights
Ada Lovelace - Computer Science, Mathematics
Neil deGrasse Tyson - Astrophysics, Science Communication
Johann Sebastian Bach - Music Composition
Leonardo da Vinci - Renaissance Art, Science, and Engineering
Stephen Hawking - Theoretical Physics, Cosmology
Yo-Yo Ma - Music, Cello Performance
Temple Grandin - Animal Science, Autism Advocacy
Beyoncé - Music, Entertainment, Activism
Donald Trump - Business, Real Estate Development, Politics
Elon Musk - Entrepreneurship, Technology, Space Exploration
Socrates - Philosophy
Who represents the evil?
*
Osama bin Laden - Founder of al-Qaeda, mastermind behind the September 11 attacks
Satan - In Christian theology, Satan is commonly portrayed as the embodiment of evil, temptation, and rebellion against God
Robert Mugabe - Former President of Zimbabwe, accused of human rights abuses, corruption, and economic mismanagement
Attila the Hun - Leader of the Huns, known for his military campaigns
Bashar al-Assad - President of Syria, accused of human rights abuses and war crimes during the Syrian Civil War
Joseph Stalin - Dictator, Leader of the Soviet Union
Fenrir - Norse mythology; a monstrous wolf prophesied to bring about Ragnarok, the end of the world.
Ahriman - Zoroastrianism; the evil spirit of darkness and destruction, opposing the god of light, Ahura Mazda.
Sauron - J.R.R. Tolkien's Middle-earth mythology; the dark lord and main antagonist in "The Lord of the Rings."
Genghis Khan - Mongol Conqueror
Rodrigo Duterte - President of the Philippines, known for his controversial war on drugs and human rights violations
Kim Jong-un - Supreme Leader of North Korea, known for human rights abuses and nuclear provocations
Vlad the Impaler - Inspiration for Count Dracula, known for his cruelty
Medusa - Greek mythology; a Gorgon with snakes for hair whose gaze turns people to stone.
Darth Vader - Fictional Sith Lord from the "Star Wars" franchise
Nero - Roman Emperor known for his cruelty and persecution of Christians
Jeffrey Epstein - convicted sex offender, accused of sexually abusing and trafficking underage girls.
Ivan the Terrible - Tsar of Russia known for his brutal reign
Hannibal Lecter - Fictional serial killer and cannibal from "The Silence of the Lambs"
Cerberus - Greek mythology; the three-headed dog guarding the entrance to the Underworld.
Jack the Ripper - Infamous unidentified serial killer in Victorian London
Vladimir Putin - Politics, Leadership (Russia)
Caligula - Roman Emperor known for his tyranny and extravagance
Cthulhu - H.P. Lovecraft's Cthulhu Mythos; a cosmic entity of immense power and malevolence.
Hera - Greek mythology; queen of the gods and known for her jealousy and wrath towards Zeus' lovers and illegitimate children.
Martin Shkreli - Former pharmaceutical executive, convicted of securities fraud, known for price-gouging life-saving drugs and controversial behavior
Joseph Kony - Leader of the Lord's Resistance Army (LRA), accused of war crimes and crimes against humanity in Central Africa
Morgoth - J.R.R. Tolkien's Middle-earth mythology; Sauron's master and the original dark lord.
Hades - Greek mythology; the god of the Underworld, often portrayed as a sinister figure.
Donald Trump - Business, Real Estate Development, Politics
Nicolás Maduro - President of Venezuela, accused of authoritarianism, corruption, and human rights abuses
Abu Bakr al-Baghdadi - Former leader of ISIS (Islamic State of Iraq and Syria), responsible for numerous terrorist attacks and atrocities
Loki - Norse mythology; the trickster god who often causes chaos and mischief.
Lord Voldemort - Fictional dark wizard from the "Harry Potter" series
Ted Bundy - American serial killer and rapist
Adolf Hitler - Dictator, Leader of Nazi Germany during World War II
Charles Manson - Leader of the Manson Family cult, orchestrator of murders
Bernard "Bernie" Madoff - American financier who perpetrated one of the largest Ponzi schemes in history.
Judas Iscariot is a figure from the New Testament of the Bible, known for his betrayal of Jesus Christ.
What Lifts you up?
*
Offering Mentorship and Guidance
Connecting with Loved Ones
Endorphin Elixir
Hosting Networking Events
Celebrating Achievements
Good Sex
Hosting Inspirational Events
Spending Time Outdoors
Providing Financial Assistance
Harmony Hangouts
Enjoying Favorite Foods
Pampering Yourself
Recreational Drug Usage
Engaging in Acts of Kindness
Alcohol Consumption
Giving and/or Receiving Gifts
Creating Safe Spaces for Expression
Watching a Feel-Good Movie
Indulging in a Hobby
Exploring New Places
Diamond Therapy
Practicing Gratitude
Providing Supportive Feedback
Engaging in Physical Activity
Listening to Music
Promoting Diversity and Equity
Creating Inclusive Spaces
Taking a Relaxing Bath
What is your blood type?
*
I don't know
A Positive (A+)
A Negative (A-)
B Positive (B+)
B Negative (B-)
AB Positive (AB+)
AB Negative (AB-)
O Positive (O+)
O Negative (O-)
Do you have any current health conditions or medical diagnoses?
*
No
Yes
Are you currently taking any medications, supplements, or herbal remedies?
*
No
Yes
Do you have any allergies, including to medications, foods, or environmental factors?
*
No
Yes
I'm not sure
Have you ever seen a mental health professional or taken medication for a mental health issue?
*
No
Yes
Have you ever had any surgeries or major medical procedures?
*
No
Yes
Do you have any chronic conditions, such as hypertension, asthma, or arthritis?
*
No
Yes
Have you ever had any serious infections or contagious diseases?
*
No
Yes
Are you up to date on your vaccinations?
*
Yes
No
I am against vaccines
Do you have any reproductive health issues, such as problems with menstruation, fertility, or sexual health?
*
No
Yes
Do you have any mental health conditions, such as depression, anxiety, or bipolar disorder?
*
No
Yes
I'm not sure
Do you have any issues with sleep, such as insomnia or sleep apnea?
*
No
Yes
Are you currently experiencing any pain or discomfort?
*
No
Yes
Have you had any significant illnesses or medical conditions in the past?
*
No
Yes
Have you ever been hospitalized for any reason?
*
No
Yes
When was your last physical exam or health screening?
*
Last week
A month ago
Three months ago
Six months ago
A year ago
I don't remember
Have you had any recent blood tests or imaging studies?
*
Yes
No
Have you been exposed to any environmental hazards, such as chemicals or radiation?
*
Yes
No
Have you been exposed to any environmental hazards, such as chemicals or radiation?
*
Yes
No
Do you smoke or use tobacco products?
*
Yes
No
How often do you consume alcohol?
*
I do not drink alcohol
Once a day
Multiple times a day
Once a week
Multiple times a week
Once a month
Multiple times a months
Only on occasion
Way too much
Do you use recreational drugs?
*
Yes
No
How often do you exercise?
*
I don't exercise
Once a day
Once a week
Multiple times a week
Once a month
Multiple times a months
Way too much
What is your typical diet like?
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I eat everything
Mediterranean Diet
Ketogenic (Keto) Diet
Paleo Diet
Vegan Diet
Vegetarian Diet
Low-Carb Diet
DASH Diet
Cocaine and Booze
Gluten-Free Diet
Whole30 Diet
Intermittent Fasting
Flexitarian Diet
Zone Diet
Coffee and Cigarettes
Atkins Diet
South Beach Diet
Raw Food Diet
Pescatarian Diet
Ozempic and Diet Soda
Macrobiotic Diet
WW Diet
Do you have a family history of mental health issues?
*
No
Yes
I don't know
Do you have a family history of cardiovascular diseases, such as heart disease or stroke?
*
No
Yes
I don't know
Is there a history of diabetes in your family?
*
No
Yes
I don't know
Do any types of cancer run in your family?
*
No
Yes
I don't know
Do you have a family history of genetic disorders, such as cystic fibrosis or sickle cell anemia?
*
No
Yes
I don't know
Is there a history of neurological diseases in your family, like Alzheimer's or Parkinson's?
*
No
Yes
I don't know
Do autoimmune diseases, such as rheumatoid arthritis or lupus, run in your family?
*
No
Yes
I don't know
Is there a family history of respiratory diseases, like asthma or chronic obstructive pulmonary disease (COPD)?
*
No
Yes
I don't know
Do kidney diseases, such as polycystic kidney disease, occur in your family?
*
No
Yes
I don't know
Is there a history of gastrointestinal diseases in your family, like Crohn's disease or ulcerative colitis?
*
No
Yes
I don't know
Do blood disorders, such as hemophilia or thalassemia, run in your family?
*
No
Yes
I don't know
Is there a family history of endocrine disorders, such as thyroid disease or adrenal gland disorders?
*
No
Yes
I don't know
Do vision or hearing disorders, like glaucoma or early-onset deafness, run in your family?
*
No
Yes
I don't know
Is there a family history of bone and joint disorders, such as osteoporosis or osteoarthritis?
*
No
Yes
I don't know
Is there a history of alcohol abuse in your family?
*
No
Yes
I don't know
Do you have a family history of drug abuse or addiction?
*
No
Yes
I don't know
Subtitle
*
Write a short description (up to 500 letters) that will compliment a headline and extend understanding of who you are
Tell your story
*
- Please share what makes you special and different from others. A well-written story can help you stand out and attract someone who appreciates your uniqueness.
- Sharing personal stories can create a sense of connection and intimacy with potential matches. By opening up, you can spark curiosity and interest in others.
- Embrace the importance of being genuine and authentic in your storytelling. Remember that authenticity is attractive and can lead to meaningful connections.
- Share intriguing anecdotes or experiences that leave room for curiosity and further conversation. But leaving a little mystery can make you more intriguing to others.
- Highlight positive aspects of you and your life experiences. A positive and upbeat story can attract like-minded individuals who share similar outlooks.
- You're not alone in this process and we are here to provide our support or feedback if needed. Please contact us if you have any questions at dating@uhnwidata.com
Campaign starting date
*
Choose your preferred start date for your ad campaign. *Minimum start date is 3 days from request submission.
MM
DD
YYYY
Frankness
*
On a scale of 1 to 10, how sincerely did you answer the questions in this questionnaire?
1
2
3
4
5
6
7
8
9
10
Imagine you are in a group project and you realize one of your teammates has made a significant error that could affect the entire project’s outcome. What would you most likely do?
*
Ignore the error and hope no one else notices.
Correct the error quietly without mentioning it to anyone.
Blame the error on someone else if questioned.
Discuss the error with the team and work together to correct it.
Privately inform the person who made the error and help them fix it.
Thoughtfulness
*
On a scale of 1 to 10, how much consideration did you give to your responses when answering the questions in this questionnaire?
1
2
3
4
5
6
7
8
9
10
Ideal Self
*
What percentage of your responses do you think were influenced by your "Ideal Self," where you aimed to present yourself in a more favorable light than reality?
5%
10%
15%
20%
25%
30%
40%
50%
Over 50%
Congruence
*
How closely do you think the image of yourself, based on the analysis of your answers, will match your actual embodiment?
1
2
3
4
5
6
7
8
9
10
Complexity
*
On a scale of 1 to 10, how challenging/difficult did you find it to answer these questions?
1
2
3
4
5
6
7
8
9
10
Boringness
*
On a scale of 1 to 10, how burdensome or annoying was it for you to answer these questions?
1
2
3
4
5
6
7
8
9
10
Information to the applicant
*
UHNWI data is a group of companies worldwide acting in the field of digital content distribution, data management, data collection, data mining, data intelligence, data protection, and data storage.
We are always looking for new information which may be valuable for our members. If you believe you have the necessary skills and physical characteristics, please feel free to submit your application.
We will do a first screening based on the information supplied by you and, should we deem it interesting to go further, we will notify you via email you've provided in a form. Please consider that, in case you are under the age of 18, your application will be rejected and payment will not be refunded.
We will utilise the information, the photographs and the personal data provided by you for the sole scope of a preliminary evaluation of your potential as a possible dating match for some of the members of the BBB network. It is important you give us true and complete information in order to allow us to do such an evaluation. In particular, please verify you are legally in a position to provide us with the photos you are annexing herewith and that no third party (the photographer or others) may object to this.
Your personal data will be stored in the US and will be treated electronically or physically for the purposes indicated above. The storage and the treatment of your data will last for the period that is reasonably necessary in order to do the evaluation described above.
I read and I accept
Permission to Share Personal Information
*
I understand and agree that upon submission of this form and subsequent publishing of my information on the BBB platform (that is not compulsory) you will be entitled to transfer my data to third parties with whom you have a contractual relationship (active BBB network members), so they will have access to my personal information which I voluntarily provided in this registration form.
I give my consent to the processing of personal data.
Permission to make contact
*
I understand and agree that upon submitting this form and publishing my information in the dating section of the BBB platform, I may receive direct communication from BBB members via email and/or SMS (if I choose this option in the form) or from the BBB platform communication management team expressing their interest in contacting me.
I give my consent
Rick of information disclosure
*
I acknowledge that despite the BBB platform administration's diligent efforts to safeguard personal data and the strict prohibitions against members disclosing information outside the platform, there remains a potential risk of information leakage. Nevertheless, I voluntarily choose to post my information and agree not to seek financial compensation from the platform administration or BBB network members in the event of such incidents.
I agree
Criminal records
*
Confirm that you have not committed, been convicted of, or pled no contest to a felony or indictable offense (or crime of similar severity), a sex crime, or any crime involving human trafficking, drug trafficking, violence, or threats of violence.
I confirm
Terms of Service and Privacy Policy
*
I agree
Type your full name as an alternative to a formal signature.
*