Name
Part I: Biographical Data
1. Age:
2. Sex: (male or female)
3. Religion:
4. Marital status (please circle): single dating engaged married divorced
5. Class or year:
6. Number of brothers: Number of sisters:
Part II: Evaluative Section
1. At what age would you prefer to marry?
2. What age difference would you prefer between you and your spouse? years Whom would you prefer to be older (please circle): self spouse
3. Please evaluate the following factors in choosing a mate. If you consider it
indispensable, give it………………….3 points important, but not indispensable……...2 points desirable, but not very important……..1 point irrelevant or unimportant……………..0 points
1) _______ (1) Good cook and housekeeper _______ (2) Pleasing disposition _______ (3) Sociability _______ (4) Similar educational background _______ (5) Refinement, neatness _______ (6) Good financial prospect _______ (7) Chastity (no previous experience in sexual intercourse) _______ (8) Dependable character _______ (9) Emotional stability & maturity _______ (10) Desire for home and children _______ (11) Favorable social status or rating _______ (12) Good looks _______ (13) Similar religious background _______ (14) Ambition & industriousness _______ (15) Similar political background _______ (16) Mutual attraction—love _______ (17) Good health _______ (18) Education & intelligence
Age: Sex: M F Married: yes no
Preferences Concerning Potential Mates
Instructions. Below are listed a set of characteristics that might be present in a potential mate or marriage partner. Please rank them on their desirability in someone you might marry. Give a “1” to the most desirable characteristic in a