Name:
Age:
Address:
Home
towm:
Desired
base town:
Desired
aircraft type:
Health
related questions:
How
do you feel now?
Super
Fine
OK
Not so well
I am dying
So excited
Have
you ever had or have/any of your relative have:
cancer
diabetes
paralysis
cow
car
scooter
loan
psychiatric problems
ugly nose
big head
kolera
plague
ebola
alcoholism
syphilis/gonorrhea/STDs
HIV
exhibitionistic behavior
working madness
How
many times a day do you masturbate?
Not at all
Many times
If
you answered Not at all, you are probably lying. How many
hours a day you do it?
hours / day
Have
you ever received:
X-Ray treatment
G-Ray treatment
Physical treatment
Psychiatric treament
Beating
Pussy
Prick
Have
you ever played a role in porn film?
Yes
No
If you answered Yes, what is the name of the movie?
Are
you smoking?
Yes
No
If
you answered previous question Yes, what are you smoking?
cicarettes
cigars
pipe
water pipe
hasis
peat
Do
you drink alcohol?
Yes
No
Do
you take care of your personal hygiene?
Yes
No
If
you answered Yes, how often do you wash yourself?
every day
every week
every month
every year
Questions
for men applicants only:
Do
you go for women often?
Yes
No
If
you answered No, what is the reason?
I am gay in a closet
I am openly gay
I am married but secretly
Do
you have big tool down there?
Yes, the size is
cm
No, the size is
cm
Questions
for female applicants only:
Do
you use bra?
Yes
No
If
you answered yes, what size?
Do
you share your 'thing' openly?
Yes, you can have it
No, I save it
If
you answered yes, what is your contact info?
Home
address/Hotel address:
Room
number:
day
and time when possible to meet:
Feel
free to describe yourself for us, why should we select
you?
When
you are ready with this questionnaire, click Send it button.
That's it.
And
remember - Don't call us, we call you.