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Name to be called in public: Name

Name to be called in private

Preferred body type

☐Apple
☐Banana
☐Pear
☐Hourglass

Preferred body weights

☐Slender
☐Average
☐Plus size

Preferred hair color:

☐Black
☐Brown
☐Blond
☐Auburn
☐Red
☐Grey
☐White

Preferred eye color:

☐Amber
☐Blue
☐Brown
☐Gray
☐Green
☐Hazel

☐ - unchecked box

☒ - checked box

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