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Name:
Birthday:
Birthplace:
Current Location:
Eye Color:
Hair Color:
Height:
Right Handed or Left Handed:
Female or Male:
Your Heritage:
The Shoes You Wore Today:
Your Weakness:
Your Fears:
Your Perfect Pizza:
Goal You Would Like To Achieve This Year:
Your Most Overused Phrase On an instant messenger:
Thoughts First Waking Up:
Your Best Physical Feature:
Your Bedtime:
Your Most Missed Memory:
Pepsi or Coke:
Mc Donalds or Burger King:
Single or Group Dates:
Lipton Ice Tea or Nestea:
Chocolate or Vanilla:
Cappuccino or Coffee:
Do you Smoke:
Do you Swear:
Do you Sing:
Do you Shower Daily:
Have you Been in Love:
Do you want to go to College:
Do you want to get Married:
Do you belive in yourself:
Do you get Motion Sickness:
Do you think you are Attractive:
Are you a Health Freak:
Do you get along with your Parents:
Do you like Thunderstorms:
Do you like hurricanes:
Do you play an Instrument:
In the past month have you Drank Alcohol:
In the past month have you Smoked:
In the past month have you gone on a Date:
In the past month have you gone to a Mall:
In the past month have you eaten a box of Oreos:
In the past month have you eaten Sushi:
In the past month have you been on Stage:
In the past month have you been Dumped:
In the past month have you gone Skinny Dipping:
In the past month have you Stolen Anything:
Ever been Drunk:
Ever been called a Tease:
Ever been Beaten up:
Ever Shoplifted:
How do you want to Die:
What do you want to be when you Grow Up:
What country would you most like to Visit:
In a Boy/Girl.....
Favorite Eye Color:
Favorite Hair Color:
Short or Long Hair:
Height:
Weight:
Best Clothing Style:
Number of Drugs I have taken:
Simple things.....
Number of Drugs I have taken:
Number of CDs you own:
Number of Piercings:
Number of Tattoos:
Number of things in my Past I Regret:
Number of Boy/Girl friends u ever have:
Do you like boys or girls:
Do u like this survey:

Output Format



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