DINNER FOR SIX

DINNER FOR SIX - DENVER ON-LINE PROFILE
Name					Start Date
Address					Renew Date
City					Zip Code
Cell Ph	HM
Wk Ph					Fax
E-Mail					2^nd E-mail
DOB			Gender		Marital Status
Profession?	Job Description
Driver License Number					Ok to put event fee on my CC?
Please start my membership fees out as *I understand if I want to change my membership fees, I need to notify DINNER FOR SIX* in writing (E-Mail) before the last business day of the month, otherwise if I'm on monthly dues I will be billed**
How often do you check email?
How did you hear about us?
What search engines & key words did you use?
What local publications do you read?
What radio stations do you listen to?
Where do you think we should advertise?
Please list a family/friend/work reference to be use in case of emergency or to locate you:
Name Relationship Phone Number
What are your AGE GROUP PREFERENCES (opposite sex)? (Check all that apply) 20-25 26-30 31-35 36-40 41-45 46-50 51-55 56+
*What types of Restaurant do you enjoy or are willing* to try? A "NO" MEANS - DON'T WANT TO EVEN TRY**
Generally I prefer Diet Restrictions
American		American Noueau Fusion			Cajun/Creole
Casual - Pizza/Bar Food		Chinese			Cuban
French / Swiss		Lite German/Russian			Greek/Mediterranean
Indian/Nepal/Tibetan		Italian			Japanese - Sushi
Japanese- Tempura		Mexican			Middle-East
Seafood		South American			SW/Tex-Mex
Steakhouses		Tapas Bar			Thai/Viet.
Vegetarian		Other Ethnic
List your favorite restaurants or restaurants you would like to recommend:
What Restaurants would you LIKE to try?
When are you available? Check all that apply, most dinners are Fridays and Saturdays.
Monday Dinner		Tuesday Dinner			Wednesday Dinner		Thursday Dinner
Friday Dinner		Saturday Dinner			Sunday Dinner		Sunday Brunch
*How often would you like to go out with DINNER FOR SIX?*
Are you available for short notice invitations (1-3 days)? What price range would you generally pay for an entree, not including liquor, tax & gratuity? *How often would you pay over $45 for a DINNER FOR SIX* dinner? What is your life-style preference? What are some of your KEY INTERESTS that you have done within the past 18 months?** (Check all that apply)
4-wheeling		Biking			Boating		Camping
Concerts		Dancing			Fishing/Hunting		Foreign Films
Golf Handicap		Hiking			Int'l Travel		Mountain/Sites
Museums/Galleries		Personal Growth			Reading		Regular Exercise
Skiing - Downhill		Skiing - Nordic			Snow Boarding		Spectator Sports
Tennis Level		Theater			Water Sports		Yoga
List Other Interests/Activities/Hobbies
What areas would you go to a DINNER FOR SIX? Yes - No (DEFINITE NO)
Arvada/WM/Broomfield			Aurora			Boulder
Central/Midtown/Uptown			Cherry Creek/Wash Park			DTC/S&W Aurora
Downtown/LoDo			E&SE Denver (City Limits)			Lakewood/Golden
N (Old Highlands)			SW Metro (SW Plaza/KC)			S Metro Engle/Littleton/HR
West Denver (City Limits)			Evergreen/Mountains
What types of movies do you enjoy?
Action		Adventure			Animation		Classics
Comedy		Drama			Historic		Horror
Romance		Sports			Sci-Fi
What are your musical tastes?
Alternative		Classical			Country Western		Easy Listening
Golden Oldies		Jazz			Opera		Pop
R & B		Rock
What type of Comedian do you enjoy? Dry Sarcastic Silly Slapstick Who makes you laugh?
Which of these GROUP EVENTS interest you?
Archeology				Avalanche		Biking
Broncos				Dance/Music Prod		Eating at the Dives
Hiking				Golf		Nuggets
Rafting				Rockies		Skiing / Nordic Pkg
Tennis				Theatre Prod		Other
How do you feel you function in new groups or situations? Facilitator Listener Outgoing Shy What type/kind of people do you get along with best? Artsy Athletic Down-to-earth Intellectual Tech What are your expectations and goals in joining Dinner for Six? Please be specific and remember we are not a dating service but a social dining club. Any additional notes or comments: Copyright © 1994-2005 Expanding Images LLC DBA Dinner for Six, Denver CO 80210 All rights reserved.