Valentines Survey Template

What Do Women Want... For Valentines Day?



   
 
What Do Women Want For Valentine's Day?
Find out by answering this short survey.
 
   
 
Are you...

 
Female
 
Male
 
   

Do men know what women want?
 
Yes
 
No
 
They will never know!
 
   
 
If you are female... Which of the following would you want the most from your significant other this Valentines Day?


If you are male... Which of the following do you think your significant other would want the most this Valentines Day?








 
Flowers
 
Candy
 
Romantic dinner
 
Jewelry
 
Lingerie
 
To hear "I Love You"
 
A kiss
 
Sex
 
Other (Please Specify)
   
 
   
 
How romantic do you expect this Valentines Day to be?
 
Very Romantic
 
Moderately Romantic
 
Not At All Romantic
 
   
 
Do you think Valentines Day is the best day of the year to get engaged?






 
Yes
 
No
 
Maybe
 
   
 

Which is the most important quality you look for when choosing a significant partner?










 
Good looks
 
Shared interests
 
Intelligence
 
Money
 
Humor
 
Sensitivity
 
Romance
 
Friendship
 
Other (Please Specify)
   
 
   
 
Are You
 
Single, without a significant other
 
Single, with a significant other
 
Committed
 
Married
 
Divorced
 
Widowed
 
   
 
What is your age?

 
Less than 18
 
18-24
 
25-29
 
30-39
 
40-49
 
50-59
 
60-69
 
70 or more
 
   
 
What state do you live in?
 
   
 
E-mail address:
   
 

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