*Username -
Your name as you would like it to appear on your profile. You may use your first name, a nickname or a screen name. If someone has already selected your name we will add a number to it to make it unique.

*Password
*Confirm Password

*E-mail
*Confirm E-mail

*First Name
*Last Name

*Sex, I am a:
Gentleman seeking a long term relationship with a women
Woman seeking a long term relationship with a gentleman
Please note; We do not have alternative lifestyle categories as that would be outside of our area of expertise.

*Marital Status: never married divorced widowed legally separated
You must be single or legally separated to use this service!

*Ethnic origin: African Asian / Far East Asian / Subcontinent Caucasian Latin / Hispanic Middle Eastern Mixed race Native American Pacific Islander Other

More specifically my ancestors are: Examples; Irish, German, Persian, Chinese

*Birth Month *Day *Year
Your age will appear in your profile, but not your date of birth.

*Closest city or town
*State or Province (US & Canada only)
*Zip or postal code (for search purposes)
*Country
Your city, state/province and country will appear in your profile but Zip\Postal code will not.
The Responsible Singles questionnaire include a full list of countries, professionals Singles only USA & Canada

*Telephone Area Code
Many members like to search by area code.

Memberships: On the standard version of this form we will have a hidden field which will default to membership in the Responsible Singles service.

In other versions such as Christian Singles prospective members can choose the Christian service or the Responsible Singles service or both (questions below). In any event we will review the member's profile to determine which services they are actually eligible for.

Check the service(s) you wish to join.
Christian Singles
Responsible Singles

Education - Highest degree achieved and field of study will be included in your profile. Name of school, location and date graduated are used to verify your degree, they will not appear in your profile unless you include that information in the optional Additional Education Information text box below.

Highest Degree achieved Not specified High School Some college Associates Professional license or certification Bachelors Masters Doctorate
Field of study

Additional Education Information - You may include additional degrees, fields of study, licenses, certifications, professional, technical and military training. You may also state which school(s) you have attended.

Minimum Education Level I would consider meeting
Not specified High School Some college Associates Professional license or certification Bachelors Masters Doctorate

Are you a Business Owner? Yes No

Occupation - You may also list job title, your industry and/or tell about any businesses you own. Your answer could be as short as "RN" or up to 150 characters.

Eye color
Not specified Blue Black Brown Gray Green Hazel Other

Hair color
Not specified Auburn Auburn/gray Black Black/gray Bald/shaved Blonde Blonde/gray Brown Brown/gray Gray Red Red/gray Strawberry blonde White Other Changes from day to day Various DayGlo colors

Hair length, Facial Hair, Tattoos, Piercings - Hold down your Ctrl key or Command key (Mac) to select more than one.
No answer Buzz or Crew Cut Short hair Medium hair Long hair Very long hair Beard Goatee Mustache Sideburns 1 Tattoo 2-4 Tattoos Large Tattoos 1 Body Piercing 2-4 Body Piercings 5 or more Body Piercings

I describe my looks as:
No answer A little below average Average Above average A little nerdy Athletic Attractive Beautiful Beautiful on the inside Bohemian Bookish Boy next door Clean cut Cute Distinguished Drop dead gorgeous Elegant Exotic Feminine Girl next door GQ Handsome Ivy League Masculine Mature Muscular Pretty Rough around the edges Sexy Stylish Unique Very attractive Very beautiful Very handsome Very pretty Very sexy

Height, Weight, Smoking, Drinking, Marriage and (more) Children are optional questions, however they can be used as search criteria. If you do not answer one of these questions your profile will not appear in searches that use that particular question.

Height
Not specified < 4'10 - 147cm 4' 10 - 147cm 4' 11 - 150cm 5' 0" - 152cm 5' 1" - 155cm 5' 2" - 157cm 5' 3" - 160cm 5' 4" - 163cm 5' 5" - 165cm 5' 6" - 168cm 5' 7" - 170cm 5' 8" - 173cm 5' 9" - 175cm 5' 10" - 178cm 5' 11" - 180cm 6' 0" - 183cm 6' 1" - 185cm 6' 2" - 188cm 6' 3" - 190cm 6' 4" - 193cm 6' 5" - 196cm 6' 6" - 198cm 6' 7" - 201cm 6' 8" - 203cm > 6' 8" - 203cm

Weight; relative to height
Not specified Skinny Slim Average Slightly above average Athletic Proportional Heavy Quite heavy

Drinking; Select the answer most closely describes your drinking pattern
No answer I do not drink Very Infrequent; less than 1 time per month Infrequent; less than 1 time per week Light; no more than 2 drinks twice in a week Light Frequent; no more than 2 drinks several times a week Moderate; no more than 3 drinks, up to 3 times a week Average; no more than 4 drinks, up to 4 times a week Regular; no more than 6 drinks, up to 5 times a week Heavy; 6 or more drinks, 5 or more times per week

Partner's drinking; Select the answer that most closely describes your view
No answer Not an issue with me I don't mind if my partner drinks I don't mind if my partner drinks in moderation My partner should not drink much more than me My partner should not drink more than me My partner should drink very little, if at all My partner should not drink! Please no alcoholics!

Do you Smoke?
No answer I do not smoke Light < 1 pack per week Moderate< 1 pack per day Regular 1 or more packs per day Occasional cigar or pipe Regular cigar or pipe Trying to quit

Would you consider dating a smoker?
No answer Yes No Maybe Yes, if they're trying to quit Perhaps a light smoker Perhaps a moderate smoker

Assuming you find the right person, do you want to marry?
No answer Yes Yes, but I want to wait a few years Probably Probably, but I want to wait a few years Maybe Maybe in a few years Doubtful No

Do you want (more) children?
No answer Yes Yes, but I want to wait a few years Probably Probably, but I want to wait a few years Maybe Maybe in a few years Doubtful No

How many (more) ?
Not specified 1 1-2 2 2-3 3-4 5 or more

How many children do you have?
Not specified 0 1 2 3 4 5 6 or more

How many of your children are at home?
Not specified 0 1 2 3 4 5 6 or more

Are they at home full-time or part time?
Not applicable Full time Part time 1 full time, other(s) part time 2 full time, other(s) part time 3 full time, other(s) part time 4+ full time other(s) part time

Would you consider a relationship with someone who has children at home?
No answer Yes Probably Maybe Doubtful No

What Age Range will you consider meeting? Being open minded about age will help you find people who meet your other criteria!
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 to 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

I would consider meeting persons who currently reside:
in All Areas in the USA in Canada within 30 miles - 48km within 60 miles - 97km within 100 miles - 161km within 200 miles - 322km within 500 miles - 804km within 1,000 miles - 1,609km within 2,000 miles - 3218km

Your Income level - This of course is an optional question. If you do not answer your profile will not appear in searches that use income as a criteria.
Not specified below 20,000 20,000 - 30,000 30,000 - 40,000 40,000 - 50,000 50,000 - 65,000 65,000 - 80,000 80,000 - 100,000 100,000 - 150,000 150,000 - 250,000 250,000 - 500,000 500,000 - 1,000,000 1,000,000 +

Military Service
Not specified None Canadian Air Force Canadian Army Canadian Navy US Air Force US Army US Marines US Navy Other

Military Status
Not specified Not applicable Active Duty Active Reserves Inactive Reserves Retired

Current or Retired Rank

"Your Religion" and "Importance of Religion & Spirituality" are optional questions, but they can be used as search criteria. If you do not answer your profile will not be listed in searches that use "Religion" or "Importance of Religion & Spirituality" as a criteria.

Your Religion or religious beliefs
Not specified Not religious Spiritual - unaffiliated Atheist Agnostic Baha'i Buddhist Catholic Christian - Protestant Confucianism Eastern Orthodox Hindu Islam Judaism - Reform Judaism - Conservative Judaism - Orthodox Jewish by birth - not religious LDS (Mormon) or RLDS Metaphysical Pagan Religious Science Shinto Sikhism Taoist Unitarian Wiccan Other

Your denomination or other religion not listed above

Importance of Religion and Spirituality
No answer Religion & spirituality are Very Important to me. Religion & spirituality are Important to me. Religion & spirituality are Fairly Important to me. Religion & spirituality are Not Very Important to me. Religion & spirituality have No Importance to me. Spirituality is Very Important to me, but religion is not. Spirituality is Important to me, but religion is not. Spirituality is Fairly Important to me, but religion is not.

I attend services
Not specified Every week Regularly Often Fairly often Occasionally Rarely I do not attend services

When you click on a check box the answer will appear in the text box where you can edit the answer if you wish. You may prefer to write your own answer, you may also select more than one of than one answer. Answers are limited to XXXX. These questions are optional, however they are easy to answer and they will help you find the right partner.

Religion: Check one or more of answers, you can edit in the text box below or write a brief answer.
I am a Christian fundamentalist
I am a "Born Again" Christian
I am a conservative Catholic
I am a liberal Catholic
I am Spiritual but not religious
My personal beliefs do not coincide with any of the major religions
I believe in God, but have little interest in religion
I am not a religious person
I do not know if God exists
I do not believe in God
I practice my religion regularly
I pray regularly
I meditate regularly
I practice my religion occasionally
I pray occasionally
I meditate occasionally

The religious beliefs and practices of my potential partner should be:
Very similar to mine
Similar to mine
Somewhat similar to mine
Not very important to me
Of no importance to me
Must believe in God
Must have strong religious faith
Must be spiritual, religious affiliation is not important
I could not be with someone who is not religious
I could not be with someone who is very religious
Must not believe in God

Type of Relationship(s) Preferred: You can pick more than one and/or edit
Strictly just friends -
Serious relationship, equal parts friendship & romance -
Friendship leading to romance -
Passionate romantic affair -
Friendship leading to a committed relationship -
Passionate romantic affair leading to a committed relationship -
Friendship leading to a committed relationship & marriage -
Committed long term relationship -
Friendship & romance leading to marriage & family -
Committed long term relationship leading to marriage -
Casual relationship, equal parts friendship & romance -
Committed long term relationship leading to marriage & family -

I would consider meeting persons who are:
All Backgrounds -
African -
Asian / Far East -
Asian / Subcontinent -
Caucasian -
Latin/Hispanic -
Middle Eastern -
Mixed race -
Native American -
Pacific Islander -

Your favorite types of music:
Alternative -
Big Band -
Classical -
Country -
Current Pop -
Easy Listening -
Folk -
Hip Hop -
Hippie Jam Bands -
Jazz -
New Age -
Oldies -

Your Political Affiliation(s)
Democrat
Republican
Reform
Libertarian
Green
independent
liberal
moderate
conservative
other

Children
I can't stand to be around children
I do not like to be around children
I can occasionally tolerate children
I occasionally like to be around children
I like to be around children some of the time
I like to be around children fairly often
I like to be around children often
I like to be around children a lot
I like to be around children most of the time

Competition
I don't like competition, I believe it causes more harm than good
I usually don't care for competition
Fun competition is O.K., but I don't like serious competition
I enjoy fun competition, but I don't get too serious
I like competition, but I don't worry about winning and losing
I like to compete and win, but I don't mind losing
I am quite competitive, I like to win and dislike losing
I am very competitive, I love to win and dislike losing
I am extremely competitive, I love to win and hate to lose

Activity Level - I generally prefer a _____ activity level. This refers to the overall pace of your preferred lifestyle. State the activity level you prefer over a long period of time.
Very relaxed - very slow paced
Quite relaxed - slow paced
Relaxed - slow paced
Relaxed - moderate pace
Active - moderate pace
Active - fairly fast paced
Quite active - fast pace
Very active - fast pace
Very active - very fast pace

Party Animal?
I am extremely straight laced
I am conservative at parties
I am fairly conservative at parties
I enjoy myself, but I never get rowdy
I have fun, but seldom get rowdy
I have fun and occasionally get a little wild
I tend to get a little wild & crazy
I often get wild and crazy
I am a total party animal

Social Preference
I don't care to socialize, I like to keep just a few friends
I don't socialize a lot, I like to keep a small circle of friends
I am a bit reticent; I keep a fairly small circle of friends
I somewhat active socially, with a moderate number of friends
I am fairly active socially, with a moderate number of friends
I am active socially, with a good number of friends
I am quite active socially, with a good number of friends
I am very active socially, with lots of friends
I must always be meeting new people, and have lots of friends

Communication style
I am very quiet
I am quiet and reticent
I think a long time before speaking
I am fairly open, but think carefully before speaking
I communicate openly, but think before speaking
I usually say what's on my mind
I am quite free in my communication
I always speak my mind
I basically think out loud

Clothes & Grooming
Clothes & grooming are not important to me
Clothes & grooming are not important, just be clean
Clothes & grooming are not very important, just be clean & presentable
Clothes & grooming are not too important, just be clean & neat
Clothes & grooming are important, but there is no need to spend lots of time & money
Good clothes & grooming are quite important
Good clothes & careful grooming are very important
Fine clothes & meticulous grooming are very important
Very fine clothes and impeccable grooming are essential

Work
What? Me work?
I try to avoid work
Work is not very important, I just want to collect a paycheck
Work is fairly important, I avoid going over 40 hrs per week
Work is important, but I don't let it run my life
Work is quite important, I sometimes work over 40 hrs. per wk.
Work is very important, I work a lot, but try not to be excessive
Work is very important, I work a lot to guarantee success
Work is my top priority, I work long hours, success is essential
I'm retired
I'm retired and I like it
I'm retired, but I like to work part time
I'm retired, but I keep busy

Financial Security
Is of no importance to me
Is of little importance to me
Good, but not very important
Somewhat important
Important, but not necessary
Quite important to have some security
Good financial security is very important
Good financial security is essential
Great financial security is essential

Partners Income - My prospective partner should have
Partner's income is NOT important
Partner's income is not very important
Some income
Average or above income
Fairly close to my income or above
Equal to or higher than my income
$20,000 or above annual income
$30,000 or above annual income
$50,000 or above annual income
$70,000 or above annual income
6 figure income
Lots of money

Neatness
I love my big mess
I have better things to do than housework, and it shows
I occasionally straighten things up
I keep things fairly clean and neat
I keep things clean and neat most of the time
My residence is always clean and neat
I'm always ready for the Good Housekeeping photographers

Pets - Check your answer and List your pets in the text box
Example: I love most pets, I have 2 cats, 1 dog & 1 bird
I hate all pets
I generally don't like pets
Some pets are tolerable
Some pets are ok
I like some pets
I like other peoples' pets
I like most pets
I love most pets
I love almost all pets
I must have at least 5 pets

Almost done!

Responsible Singles Profile - Part 3

This page will cover your best attributes and the attributes you seek in a partner, your favorite activities, your priorities, plus several essay questions. All questions on this page are optional, however answering most of the questions will help you attract a partner with the shared interests and values you need for a lasting relationship.

List 5-10 of Your Best Attributes - You may write a list, a brief paragraph or copy and paste from our Attribute Suggestion list below.

List 5-10 of the most important Attributes of Your New Partner - You may write a list, a brief paragraph or copy and paste from our Attribute Suggestion list above.

Sports and Outdoor Recreation - Check the sports and activities you participate in, they will appear in the text box below. Cut & paste in the text box to arrange the activities in the order of your most frequent participation. You may also add any sports or outdoor activities not listed here and/or write additional comments.

Favorite Indoor Activities - These can be hobbies, recreation, games, all forms of entertainment, travel, membership associations, church, community activities, classes, seminars etc. Check the activities you participate in, they will appear in the text box below. Cut & paste in the text box to arrange the activities in the order of your most frequent participation. You may also add any sports or outdoor activities not listed here and/or write additional comments.

Current Priorities - Perhaps our most difficult question. It is optional but please give it a try.

List the following Life Priorities in order of importance to you. Leave out any priorities that are not applicable to you or not currently important to you. Drag & paste to get the priorities in the right order. Indicate ties with parenthesis.

Example answer; Relationships romance - Spirituality - (Career - Financial security) - Children, future, - Friends, - Recreation & sports - Parents - (Political social issues - Prestige recognition)

Career -
Children, current -
Children, future -
Creativity, the arts -
Financial security -
Friends -
Knowledge/education -
Parents -
Prestige, recognition -
Siblings, extended family-
Political, social issues -
Recreation & sports -
Relationships, romance -
Self improvement -
Spirituality -

Optional Essay Questions - We don't expect everyone to answer all six essay questions, two or three would be fine, or perhaps just answer About Myself and/or write a Postscript. These questions give you an opportunity to express your self as an unique individual. Answer are limited to XXXXX.

About Myself: You can talk about many different things such as your personal history, personality, family, career, education, goals, religious, political or philosophical beliefs, best attributes, favorite activities, hobbies, sports, recreation etc.

The partner and/or relationship I would like to have: Describe the type of person you would like to and/or the relationship you would like to have. WARNING: Do not write a list of demands or requirements, that would be a huge turn off!

Most significant religious experience and/or favorite scripture:

Turn ons

Turn offs

Post Script: Anything else that you would like to include

*Profile Status
Featured - Your profile will be featured in our new sample profile section we are developing for prospective members. Your excellent profile will help us recruit professionals who want to meet you!
Members Only - Your profile will been seen only by other members of our service.
Unlisted - Other members will not be able to see your profile until you send them a message. You will not receive First Messages from other members because they will not be able to find your profile.

Terms and Conditions and Background Check Authorization

Terms and Conditions: This is a legal agreement between XXX and you, the applicant. The words "I", "you" and "applicant" refer to you. Eligibility - Members of this service must be at least 18 years old, Members must be at least 18 years of age, single or legally separated (living apart, divorce proceeds initiated) and be sincerely seeking a long-term monogamous relationship. I certify that I meet the eligibility requirements above. Length of Membership - This membership will remain in effect for as long as you remain single or legally separated and you notify Responsible Singles of changes in your E-mail address and abide by the terms of this agreement. You may discontinue your membership at any time or place your membership "on Hold" at any time. Responsible Singles may discontinue your membership if Responsible Singles has reason to believe that you have violated the terms of this agreement. Hold - I agree to place my membership "on hold" when I enter a committed relationship, or an engagement and discontinue my membership upon marriage. Accuracy of Information - I certify that the information I provide in this application and profile is truthful and accurate. Release of Liability - I recognize that Responsible Singles cannot guarantee the accuracy of the information provided by its members, including marital status, and that Responsible Singles cannot control the behavior of its members, and that there is a remote possibility that information that I provide to Responsible Singles may be stolen from Responsible Singles and used in ways harmful to me. I therefore agree to hold Responsible Singles and its employees, owners officers, agents and subcontractors blameless and not liable for any loss or injury I might suffer due to my participation in the dating service(s) provided by responsible Singles and XXXXX. Conduct - I agree to treat all persons I meet and communicate with through this service with respect and honesty. I agree not to post personal contact information such as e-mail addresses, mailing addresses, phone & fax numbers, URLs on my profile. I agree not to post or transmit any inaccurate, abusive, obscene, threatening, harassing, racially offensive, sexually offensive or illegal material or messages, or any material or message that infringes or violates another party's rights (including, but not limited to, intellectual property rights, and rights of privacy and publicity) through this service. I agree not to post any pictures other than pictures of myself. Any picture that I post will not contain nudity or obscene gestures. I agree not engage in advertising to, or solicitation of, other members to buy or sell any products or services through this service. Refunds - Credits are nonrefundable. This contract is is made pursuant to the laws of the state of Colorado and both parties agree......

*I have read and accept the terms and conditions and background check authorization above.

You are done! - We will very quickly send a Confirmation E-mail with a Link to Member Log on. We encourage you to start using your membership immediately!

Thank you! ResponsibleSingles.Net