Email Address
The Email field is required.
(this is the email that your registered with)

Contractor Name
(max length = 25) The Contractor field is required.

ZipCode

Work Life Balance Subject
(how do you want to balance your work life ?) The Subject or Statement field is required.

Comments for Work Life Balance
(comments assist in the balance process) I think I deserve a better chance at a life the I can enjoy with more free time. Since I have to work regardless, then maybe I can find a better option of how I want to work going forward. The Details / Comment field is required.

What is your Age ?
leave this field blank if your not comfortable answering
(to be around people your comfortable with) - choose an option - 18-24 25-29 30-34 35-39 40-44 45-49 50-59 60+

What kind of Relationship are you in ?
leave this field blank if your not comfortable answering
(choose to be around people that understand) - choose an option - Focused Single Dating Involved Married Divorced Widowed

Choose your Ethnicity
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(to be around people that accept you) - choose an option - Asian African-American Caribbean African Native-American Latino Japanese Middle-Eastern White Russian Australian Eskimo Canadian East-Indian South-American Hawaiian Other

Choose your Body Type
leave this field blank if your not comfortable answering
(choose people that are comfortable with you) - choose an option - Female-petite Female-lean/thin Female-toned Female-medium Female-healthy Female-BBW Other Male-lean/thin Male-medium Male-toned Male-muscular Male-large-frame

What is your Height ?
leave this field blank if your not comfortable answering
(to be around people that accept you) - choose an option - Short 4*2** 4*4** 4*6** 4*8** 4*10** 5*0** 5*2** 5*4** 5*6** 5*8** 5*10** 6*0** 6*2** 6*4** 6*6** 6*8** 7*0** Tall

How many children do you have ?
leave this field blank if your not comfortable answering
(find people that accept you and your children) - choose an option - None 1 2 3 4 5 6 Big Family Just Pets

Do you drink Alcohol ?
leave this field blank if your not comfortable answering
(to associate with people that accept you) - choose an option - No Holidays Casually Dinner-wine All-the-time

Do you smoke Cigarettes ?
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(to associate with people that accept you) - choose an option - No Quit Huh Sometimes All-the-time Cigars

What is your Religion ?
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(to be around people that accept your religion) - choose an option - Catholic Jewish Mormon Lutheran Baptist Methodist AME Muslim Hindu Holiness-Church Episcopalean Budhist Athiest Other

What is your current Hairstyle ?
leave this field blank if your not comfortable answering
(be around people that accept your appearance) - choose an option - Short Medium Long Natural Bald Braids Other

Do you have any Tattoos ?
leave this field blank if your not comfortable answering
(be around people that understand) - choose an option - No Huh Yes 1 there 2 here & there A Few... Whole Bunch