I want to find my partner 1 of 18 Contact Details Essential information so the agency can identify and contact the applicant. Full name * Email address * Phone number * General Information Date of birth Nationality Address Postcode Do you have access to a computer? Yes No Personal Information Weight Height Hair colour Eye colour Religion Catholic No religion Other If other, please specify Are you practising? Yes No More or less Family Situation Do you have siblings? Yes No How many siblings? How is your relationship with your siblings? Do you have parents? Yes No How is your relationship with your parents? Observations Marital Status Marital status * Single Divorced Widowed Divorce in progress If married before, for how long? How is your relationship with your ex? How long have you been alone? Did you get married? Yes No Marriage type Church Civil registry In the future, do you still plan to get married? Yes No Maybe Observations Children and Future Family Do you have children? Yes No How many children? Do they live with you? Do you have contact with them? How is your relationship with your children? Does any child have a health problem? Yes No If yes, please specify Do you intend to have children in the future? Yes No Maybe Observations Health and Habits Do you have any health problem? No Yes If yes, please specify Do you take any medication? No Yes If yes, please specify Do you have any food allergy? Yes No If yes, please specify Do you smoke? No Yes Socially How many cigarettes per day? Do you consume alcoholic drinks? No Socially Regularly Housing and Transport Housing situation Own home with mortgage/charges Own home without mortgage/charges Rented Family Friends Other situation If other, please specify Living at this address since Type of housing House Apartment Do you have a means of transport? Yes No Observations Leisure and Hobbies Select all that apply. What do you like doing in your free time? Cycling Singing Sport Beach Motorbike riding Cinema Photography Restaurants Staying at home Cooking Gymnastics Theatre Art Culture Reading Handicrafts Embroidery Dancing Museums Travelling DIY Decoration Browsing the internet Countryside Drawing Walking Animals, Languages and Profession Do you like animals? Yes No Do you have animals at home? Yes No Observations Which languages do you speak? Work schedule Days off Do you like what you do? Personality Select the adjectives that best define you. Adjectives that best define you Active Dedicated Humorous Religious Adaptable Sporty Independent Responsible Cheerful Determined Intelligent Romantic Friendly Dynamic Interested Sensitive Kind Polite Loyal Sincere Homely Elegant Open-minded Dreamer Communicative Spontaneous Musical Shy Warm-hearted Extroverted Optimistic Calm Creative Faithful Organised Careful Flexible Thoughtful Books Select the types of books you like to read. What type of books do you like to read? Self-help Esoteric Magazines Comics Newspapers Novels Classics Plays Suspense Cooking Poetry Horror Crosswords Other Films Select the types of films you like to watch. What type of films do you like? Action Animation Comedy Drama Science fiction War Children’s films Musicals Crime Romance Suspense Horror Music Select the types of music you appreciate. What type of music do you appreciate? Classical Contemporary Electronic Fado Forró Gothic Jazz Latin Medieval Metal Modern Pop Portuguese Rock Romantic Other Television, Virtues and Flaws What type of television programmes do you like? Art and culture Sport News Game shows Documentaries Soap operas General culture Other What is your greatest flaw? What is your greatest virtue? Information About Your Ideal Partner Marital status Single Divorced Widowed Indifferent Minimum age Maximum age Physical build Slim Normal A few extra kilos Indifferent Nationality Portuguese Indifferent Other If other, please specify Catholic Yes No Indifferent Practising Yes No Indifferent Other religion Ideal Partner Habits and Description Should they have a car? Yes Indifferent Should they have children? Yes No Indifferent Observations about children Should they smoke? Yes No Occasionally Indifferent Observations about smoking Should they consume alcoholic drinks? No Socially Observations about alcohol How would you describe your ideal partner? Confirmation How did you hear about Mi Amore? I confirm that the information submitted in this form is true and I consent to being contacted regarding this application. * I agree Previous Next Submit
