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Enter your First Name
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City
Occupation
Age
Relationship Status
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Single/Never Married
Divorced
Widowed
Legally Separated
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What age range are you looking to date?
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75+
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Enter Your Last Name
Phone
Zip
Estimated Annual Income
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$25,000 - $35,000
$35,000 - $50,000
$50,000 - $100,000
$100,000 +
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Highest Level of Education
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High School
Some College
Associate's Degree
Graduate Degree
Ph. D/Postdoctoral
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Relationship Goal
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Casual Dating
Steady/Long-term relationship
Marriage
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To?
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Which of the following ways have you tried meeting people? (check all that apply)
Friends
Bars/Nightclubs
Video dating service
Social groups
Online personals
Work
Singles events
School
Chance
Matchmaking service
Church/synagogue
Other
What is the single biggest thing that's been missing in the people you have been meeting?
How did you hear about New Jersey Singles?
Anything else you would like us to know?
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