music layout @ HOT FreeLayouts.com
TELL ME ABOUT YOURSELF - The Survey..type='hidden' name='question1' value='TELL+ME+ABOUT+YOURSELF+-+The+Survey'..type='hidden' name='type1' value='2'
Name: Charlene..type='hidden' name='question2' value='Name%3A'..type='hidden' name='type2' value='1'
Birthday: march 23..type='hidden' name='question3' value='Birthday%3A'..type='hidden' name='type3' value='1'
Birthplace: bmore..type='hidden' name='question4' value='Birthplace%3A'..type='hidden' name='type4' value='1'
Current Location: bmore..type='hidden' name='question5' value='Current+Location%3A'..type='hidden' name='type5' value='1'
Eye Color:..type='hidden' name='question6' value='Eye+Color%3A'..type='hidden' name='type6' value=''
Hair Color: black..type='hidden' name='question7' value='Hair+Color%3A'..type='hidden' name='type7' value='1'
Height: 5'7..type='hidden' name='question8' value='Height%3A'..type='hidden' name='type8' value='1'
Right Handed or Left Handed: left..type='hidden' name='question9' value='Right+Handed+or+Left+Handed%3A'..type='hidden' name='type9' value='1'
Your Heritage: black?? lol..type='hidden' name='question10' value='Your+Heritage%3A'..type='hidden' name='type10' value='1'
The Shoes You Wore Today: jordans..type='hidden' name='question11' value='The+Shoes+You+Wore+Today%3A'..type='hidden' name='type11' value='1'
Your Weakness: ..type='hidden' name='question12' value='Your+Weakness%3A'..type='hidden' name='type12' value='1'
Your Fears: ..type='hidden' name='question13' value='Your+Fears%3A'..type='hidden' name='type13' value='1'
Your Perfect Pizza: pepperoni only..type='hidden' name='question14' value='Your+Perfect+Pizza%3A'..type='hidden' name='type14' value='1'
Goal You Would Like To Achieve This Year: get out of northwestern..type='hidden' name='question15' value='Goal+You+Would+Like+To+Achieve+This+Year%3A'..type='h idden' name='type15' value='1'
Your Most Overused Phrase On an instant messenger: brb..type='hidden' name='question16' value='Your+Most+Overused+Phrase+On+an+instant+messenger%3A' ..type='hidden' name='type16' value='1'
Thoughts First Waking Up: thank you jesus..type='hidden' name='question17' value='Thoughts+First+Waking+Up%3A'..type='hidden' name='type17' value='1'
Your Best Physical Feature: ..type='hidden' name='question18' value='Your+Best+Physical+Feature%3A'..type='hidden' name='type18' value='1'
Your Bedtime: whenever the lord closes my eyes lol..type='hidden' name='question19' value='Your+Bedtime%3A'..type='hidden' name='type19' value='1'
Your Most Missed Memory: when i got saved lol..type='hidden' name='question20' value='Your+Most+Missed+Memory%3A'..type='hidden' name='type20' value='1'
Pepsi or Coke: pepsi..type='hidden' name='question21' value='Pepsi+or+Coke%3A'..type='hidden' name='type21' value='1'
McDonalds or Burger King: burger king..type='hidden' name='question22' value='McDonalds+or+Burger+King%3A'..type='hidden' name='type22' value='1'
Single or Group Dates: single..type='hidden' name='question23' value='Single+or+Group+Dates%3A'..type='hidden' name='type23' value='1'
Lipton Ice Tea or Nestea: nestea..type='hidden' name='question24' value='Lipton+Ice+Tea+or+Nestea%3A'..type='hidden' name='type24' value='1'
Chocolate or Vanilla: cookies and cream..type='hidden' name='question25' value='Chocolate+or+Vanilla%3A'..type='hidden' name='type25' value='1'
Cappuccino or Coffee: cappuccino..type='hidden' name='question26' value='Cappuccino+or+Coffee%3A'..type='hidden' name='type26' value='1'
Do you Smoke: no..type='hidden' name='question27' value='Do+you+Smoke%3A'..type='hidden' name='type27' value='1'
Do you Swear: no..type='hidden' name='question28' value='Do+you+Swear%3A'..type='hidden' name='type28' value='1'
Do you Sing: yes..type='hidden' name='question29' value='Do+you+Sing%3A'..type='hidden' name='type29' value='1'
Do you Shower Daily: of course..type='hidden' name='question30' value='Do+you+Shower+Daily%3A'..type='hidden' name='type30' value='1'
Have you Been in Love: well.....type='hidden' name='question31' value='Have+you+Been+in+Love%3A'..type='hidden' name='type31' value='1'
Do you want to go to College: definately..type='hidden' name='question32' value='Do+you+want+to+go+to+College%3A'..type='hidden' name='type32' value='1'
Do you want to get Married: not sure..type='hidden' name='question33' value='Do+you+want+to+get+Married%3A'..type='hidden' name='type33' value='1'
Do you belive in yourself: lol yeah..type='hidden' name='question34' value='Do+you+belive+in+yourself%3A'..type='hidden' name='type34' value='1'
Do you get Motion Sickness: never..type='hidden' name='question35' value='Do+you+get+Motion+Sickness%3A'..type='hidden' name='type35' value='1'
Do you think you are Attractive: yeah lol..type='hidden' name='question36' value='Do+you+think+you+are+Attractive%3A'..type='hidden' name='type36' value='1'
Are you a Health Freak: in certain areas..type='hidden' name='question37' value='Are+you+a+Health+Freak%3A'..type='hidden' name='type37' value='1'
Do you get along with your Parents: yes..... i guess..type='hidden' name='question38' value='Do+you+get+along+with+your+Parents%3A'..type='hidden' name='type38' value='1'
Do you like Thunderstorms: yes..type='hidden' name='question39' value='Do+you+like+Thunderstorms%3A'..type='hidden' name='type39' value='1'
Do you play an Instrument: yes..type='hidden' name='question40' value='Do+you+play+an+Instrument%3A'..type='hidden' name='type40' value='1'
In the past month have you Drank Alcohol: no..type='hidden' name='question41' value='In+the+past+month+have+you+Drank+Alcohol%3A'..type='h idden' name='type41' value='1'
In the past month have you Smoked: no..type='hidden' name='question42' value='In+the+past+month+have+you+Smoked%3A'..type='hidden' name='type42' value='1'
In the past month have you been on Drugs: no..type='hidden' name='question43' value='In+the+past+month+have+you+been+on+Drugs%3A'..type='h idden' name='type43' value='1'
In the past month have you gone on a Date: yes..type='hidden' name='question44' value='In+the+past+month+have+you+gone+on+a+Date%3A'..type=' hidden' name='type44' value='1'
In the past month have you gone to a Mall: yup..type='hidden' name='question45' value='In+the+past+month+have+you+gone+to+a+Mall%3A'..type=' hidden' name='type45' value='1'
In the past month have you eaten a box of Oreos: no..type='hidden' name='question46' value='In+the+past+month+have+you+eaten+a+box+of+Oreos%3A'.. type='hidden' name='type46' value='1'
In the past month have you eaten Sushi: yuck..type='hidden' name='question47' value='In+the+past+month+have+you+eaten+Sushi%3A'..type='hid den' name='type47' value='1'
In the past month have you been on Stage: yes..type='hidden' name='question48' value='In+the+past+month+have+you+been+on+Stage%3A'..type='h idden' name='type48' value='1'
In the past month have you been Dumped: lol no..type='hidden' name='question49' value='In+the+past+month+have+you+been+Dumped%3A'..type='hid den' name='type49' value='1'
In the past month have you gone Skinny Dipping: no..type='hidden' name='question50' value='In+the+past+month+have+you+gone+Skinny+Dipping%3A'..t ype='hidden' name='type50' value='1'
In the past month have you Stolen Anything: does candy count?..type='hidden' name='question51' value='In+the+past+month+have+you+Stolen+Anything%3A'..type= 'hidden' name='type51' value='1'
Ever been Drunk: yes..type='hidden' name='question52' value='Ever+been+Drunk%3A'..type='hidden' name='type52' value='1'
Ever been called a Tease: yes..type='hidden' name='question53' value='Ever+been+called+a+Tease%3A'..type='hidden' name='type53' value='1'
Ever been Beaten up: lol no..type='hidden' name='question54' value='Ever+been+Beaten+up%3A'..type='hidden' name='type54' value='1'
Ever Shoplifted: in bath and body works..type='hidden' name='question55' value='Ever+Shoplifted%3A'..type='hidden' name='type55' value='1'
How do you want to Die: sleep..type='hidden' name='question56' value='How+do+you+want+to+Die%3A'..type='hidden' name='type56' value='1'
What do you want to be when you Grow Up: acountant..type='hidden' name='question57' value='What+do+you+want+to+be+when+you+Grow+Up%3A'..type='hi dden' name='type57' value='1'
What country would you most like to Visit: honolulu..type='hidden' name='question58' value='What+country+would+you+most+like+to+Visit%3A'..type=' hidden' name='type58' value='1'
In a Boy/Girl....type='hidden' name='question59' value='In+a+Boy%2FGirl..'..type='hidden' name='type59' value='2'
Favourite Eye Color: n/a..type='hidden' name='question60' value='Favourite+Eye+Color%3A'..type='hidden' name='type60' value='1'
Favourite Hair Color: n/a..type='hidden' name='question61' value='Favourite+Hair+Color%3A'..type='hidden' name='type61' value='1'
Short or Long Hair: n/a..type='hidden' name='question62' value='Short+or+Long+Hair%3A'..type='hidden' name='type62' value='1'
Height: n/a..type='hidden' name='question63' value='Height%3A'..type='hidden' name='type63' value='1'
Weight: n/a..type='hidden' name='question64' value='Weight%3A'..type='hidden' name='type64' value='1'
Best Clothing Style: ummm......type='hidden' name='question65' value='Best+Clothing+Style%3A'..type='hidden' name='type65' value='1'
Number of Drugs I have taken: 3..type='hidden' name='question66' value='Number+of+Drugs+I+have+taken%3A'..type='hidden' name='type66' value='1'
Number of CDs I own: never counted them..type='hidden' name='question68' value='Number+of+CDs+I+own%3A'..type='hidden' name='type68' value='1'
Number of Piercings: 3..type='hidden' name='question69' value='Number+of+Piercings%3A'..type='hidden' name='type69' value='1'
Number of Tattoos: 0..type='hidden' name='question70' value='Number+of+Tattoos%3A'..type='hidden' name='type70' value='1'
Number of things in my Past I Regret: ..........type='hidden' name='question71' value='Number+of+things+in+my+Past+I+Regret%3A'..type='hidde n' name='type71' value='1'
..type='submit' value='Take This Survey'
CREATE YOUR OWN! - or - GET PAID TO TAKE SURVEYS!
Click Here to get this from pYzam.com!
