Cuddling Application Form

Fill out this Cuddling Application Form.

Questions for Cuddling Application Form

1.

Name

The answer should be a text input.
2.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
3.

Date of Birth

The answer should be a date input.
4.

Height

The answer should be a number input.
5.

Weight

The answer should be a number input.
6.

Phone Number

The answer should be a phone number.
7.

Email

The answer should be a email input.
8.

Address

The answer should be a text input.
9.

City

The answer should be a text input.
10.

State

The answer should be a text input.
11.

Zipcode

The answer should be a number input.
12.

Accepted nick name

The answer should be a text input.
13.

Rate the importance

The answer should be a single choice:
  1. Hand-holding
  2. Warmth
  3. Closeness
  4. Comfort
14.

Cuddle Outfit (preferred)

The answer should be a text input.
15.

Cuddle Position(preferred)

The answer should be a text input.

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