please fill out completely
name
surname
address
postal code
domicile
e-mail address
sex
date of birth
place of birth
nationality
occupation
weight in kilo's
length in meters
shoesize
glasses
eye colour
hair colour
skills
special marks
income per month
capital
money in wallet
hobbys
favourite food
favourite book
favourite music
favourite colour
favourite number
political party
religion
sexual preference
good habit
bad habit
frustration
irritation
tv hours per week
alc. refreshments per week
how happy are you
what do you think about yourself
how satisfied are you with your looks
how do you see your future
which trademark toothpaste do you use
how often a week do you do it
comment
place
date
codenaam