CSR ︻┳テ=一

form action='http://www.kwiz.biz/simplesurveys/do-survey.php' method='post' target='_new'
TELL ME ABOUT YOURSELF - The Survey
Name: aLoNzO ..rightBirthday:
Birthplace: bIg bAd ChUcO tOwN
Current Location: eL pAsO
Eye Color: dArK bRoWn
Hair Color: bRoWn
Height: 5'6''
Right Handed or Left Handed: rIgHt
Your Heritage: mExIcAn
The Shoes You Wore Today: pUmAs
Your Weakness: tRuStInG
Your Fears: dIeInG
Your Perfect Pizza: pEpErOnNi
Goal You Would Like To Achieve This Year: gEt mY CrEdItS
Your Most Overused Phrase On an instant messenger: j/K
Thoughts First Waking Up: iS iT tImE aLrEaDy??
Your Best Physical Feature: aBs
Your Bedtime: wHeNeVeR iM SlEePy
Your Most Missed Memory: BeInG lItTlE
Pepsi or Coke: cOkE
MacDonalds or Burger King: bUrGeR kInG
Single or Group Dates: gRoUp
Lipton Ice Tea or Nestea: nEsTeA
Chocolate or Vanilla: cHoCoLaTe
Cappuccino or Coffee: cOfFeE
Do you Smoke: nO
Do you Swear: sUmTiMez
Do you Sing: yEaH
Do you Shower Daily: oF cOuRzE
Have you Been in Love: yEz
Do you want to go to College: yEz
Do you want to get Married: yEz
Do you belive in yourself: sUmTiMez
Do you get Motion Sickness: nO
Do you think you are Attractive: nOt ReAlLy
Are you a Health Freak: nO
Do you get along with your Parents: yEz
Do you like Thunderstorms: yEz
Do you play an Instrument: nope
In the past month have you Drank Alcohol: yEz
In the past month have you Smoked: nO
In the past month have you been on Drugs: nO
In the past month have you gone on a Date: yEz
In the past month have you gone to a Mall: yEz
In the past month have you eaten a box of Oreos: yEz
In the past month have you eaten Sushi: nO, i ThInK tHaTz NaZtY
In the past month have you been on Stage: nO
In the past month have you been Dumped: nO
In the past month have you gone Skinny Dipping: nO
In the past month have you Stolen Anything: nO
Ever been Drunk: ........
Ever been called a Tease: nO
Ever been Beaten up: nO
Ever Shoplifted: nO
How do you want to Die: aSlEeP/ fAsT
What do you want to be when you Grow Up: a DaD j/K iM gOiNg To JoIn tHe NaVy
What country would you most like to Visit: fRaNcE
In a Boy/Girl..
Favourite Eye Color: hAzEl
Favourite Hair Color: bLaCk
Short or Long Hair: lOnG
Height: sHoRtEr ThAn Me
Weight: aVeRaGe
Best Clothing Style: pRePpY
Number of Drugs I have taken: *nOnE*
Number of CDs I own: tOo MaNy To CoUnT
Number of Piercings: fOuR
Number of Tattoos: nOnE
Number of things in my Past I Regret: tHeRe'S tOo MaNy tHiNgZ

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