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form action='http://www.kwiz.biz/simplesurveys/do-survey.php' method='post' target='_new'
TELL ME ABOUT YOURSELF - The Survey
Name: caleb alsup
Birthday: august 18
Birthplace:
Current Location: Benton,Ar
Eye Color: blue
Hair Color: blonde
Height: 5'4
Right Handed or Left Handed: left handed
Your Heritage: french and irish
The Shoes You Wore Today: boots
Your Weakness:
Your Fears:
Your Perfect Pizza: hambuger
Goal You Would Like To Achieve This Year: quit smoking
Your Most Overused Phrase On an instant messenger: don't have one
Thoughts First Waking Up: oh shit
Your Best Physical Feature: my eyes
Your Bedtime: 1 am
Your Most Missed Memory: can't remember
Pepsi or Coke: pepsi
MacDonalds or Burger King: burger king
Single or Group Dates: single
Lipton Ice Tea or Nestea: nestea
Chocolate or Vanilla: both
Cappuccino or Coffee: cappuccino
Do you Smoke: yes
Do you Swear: yes
Do you Sing: sometimes
Do you Shower Daily: yes
Have you Been in Love: yes
Do you want to go to College: yes
Do you want to get Married: i am
Do you belive in yourself: yes
Do you get Motion Sickness: no
Do you think you are Attractive: yes
Are you a Health Freak: no
Do you get along with your Parents: sometimes
Do you like Thunderstorms: yes
Do you play an Instrument: no
In the past month have you Drank Alcohol: yes
In the past month have you Smoked: yes
In the past month have you been on Drugs: no
In the past month have you gone on a Date:
In the past month have you gone to a Mall: no
In the past month have you eaten a box of Oreos: yes
In the past month have you eaten Sushi: no
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: yes
Ever been called a Tease: yes
Ever been Beaten up: no
Ever Shoplifted: no
How do you want to Die: in my sleep
What do you want to be when you Grow Up: anything i can be
What country would you most like to Visit: germany
In a Boy/Girl..
Favourite Eye Color: blue
Favourite Hair Color: blonde or brown
Short or Long Hair: long
Height: 5'4
Weight: 125
Best Clothing Style:
Number of Drugs I have taken:
Number of CDs I own: to many
Number of Piercings: 2
Number of Tattoos: none
Number of things in my Past I Regret: alot

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