X Survey

Put an x in the appropriate response according to you.

You are
[ ] short, under 5'2
[ ] 5'2 -5'6"
[ ] 5'7" - 6'0
[ ] tall 6'1 and up

SHOES/SANDALS SIZE
[ ] 3-5
[ ] 6-8
[ ] 9-11
[ ] 12-14
[ ] 15-17

NATURALLY
[ ] blonde
[ ] redhead
[ ] brunette
[ ] dirty blonde/brownish
[ ] dark brown
[ ] black

[ ] blue-eyed
[ ] brown-eyed
[ ] green-eyed
[ ] hazel eyed
[ ] gold/gray-eyed
[ ] silver/gray- eyed
[ ] blue/green-eyed
[ ] blue/gray-eyed
[ ] they change colors

[ ] glasses
[ ] contacts
[ ] neither
[ ] both

[ ] short hair
[ ] medium
[ ] medium-to long hair
[ ] long hair

[ ] braces
[ ] retainer
[ ] invisalign

Your favorite color(s) are?
[ ] red
[ ] khaki
[ ] pink
[ ] hot pink
[ ] yellow
[ ] black
[ ] green
[ ] lime green
[ ] blue
[ ] white
[ ] turquoise
[ ] silver
[ ] teal
[ ] purple
[ ] brown
[ ] orange
[ ] grey
[ ] maroon
[ ] gold
[ ] clear
[ ] all
[ ] don't really care

Some things you've done?
[ ] ice skating
[ ] hiking
[ ] kayaking
[ ] rafting
[ ] water skiing
[ ] camping
[ ] horseback riding
[ ] surfing and skim/wake boarding
[ ] snowboarding
[ ] skiing
[ ] skateboarding
[ ] cheerleading
[ ] lacrosse
[ ] street hockey
[ ] gymnastics
[ ] martial arts
[ ] bmx
[ ] baton twirling

Your personality is sometimes...
[ ] talkative
[ ] shy
[ ] funny
[ ] serious
[ ] laid back
[ ] b**chy/a**hole-ish
[ ] strict
[ ] hyper
[ ] weird
[ ] ditzy
[ ] sarcastic
[ ] slow

you can't stand listening to?
[ ] pop
[ ] country
[ ] christian
[ ] classical
[ ] techno
[ ] oldies
[ ] opera
[ ] reggae
[ ] emo
[ ] 80's
[ ] disco
[ ] rap
[ ] rock
[ ] punk
[ ] screamo

The pets you have had?
[ ] cat
[ ] dog
[ ] lizard
[ ] rat/mouse
[ ] ferret (mongoose)
[ ] bunny
[ ] fish
[ ] duck
[ ] horse
[ ] bird
[ ] frog
[ ] hermit crab
[ ] prarie dog
[ ] none
[ ] turtle
[ ] hamster
[ ] snake
[ ] gerbil
[ ] guinea pig
[ ] pig(let)
[ ] goat
[ ] chinchilla
[ ] tarantula
[ ] geese

Clothing Brands you like?
[ ] Delia's
[ ] American Eagle
[ ] Hollister
[ ] The Buckle
[ ] Abercrombie & Fitch
[ ] Target
[ ] Wal-mart
[ ] Wet Seal
[ ] O'neil
[ ] PacSun
[ ] Forever 21
[ ] Charlotte Russe
[ ] Aeropostale
[ ] Dickies
[ ] Quicksilver/Roxy
[ ] Anchor Blue
[ ] Guess
[ ] Lucky
[ ] Champs
[ ] Arden B
[ ] Salvation army/goodwill
[ ] Old Navy
[ ] Bebe
[ ] Burberry
[ ] Don't Care

Shoe Brands YOU CURRENTLY OWN?
[ ] Nike
[ ] Adidas
[ ] Reebok
[ ] Etnies
[ ] Converse
[ ] K Swiss
[ ] Steve Madden
[ ] Vans
[ ] New Balance
[ ] LEI
[ ] Payless
[ ] DC

States I have been to:
[ ] Alabama
[ ] Alaska
[ ] Arizona
[ ] Arkansas
[ ] California
[ ] Colorado
[ ] Connecticut
[ ] Delaware
[ ] Florida
[ ] Georgia
[ ] Hawaii
[ ] Idaho
[ ] Illinois
[ ] Indiana
[ ] Iowa
[ ] Kansas
[ ] Kentucky
[ ] Louisiana
[ ] Maine
[ ] Maryland
[ ] Massachusetts
[ ] Michigan
[ ] Minnesota
[ ] Mississippi
[ ] Missouri
[ ] Montana
[ ] Nebraska
[ ] Nevada
[ ] New Hampshire
[ ] New Jersey
[ ] New Mexico
[ ] New York
[ ] North Carolina
[ ] North Dakota
[ ] Ohio
[ ] Oklahoma
[ ] Oregon
[ ] Pennsylvania
[ ] Rhode Island
[ ] South Carolina
[ ] South Dakota
[ ] Tennessee
[ ] Texas
[ ] Utah
[ ] Vermont
[ ] Virginia
[ ] Washington
[ ] Washington D.C.
[ ] West Virginia
[ ] Wisconsin
[ ] Wyoming

Your Confessions:
[ ] im afraid of the quiet
[ ] I am really ticklish
[ ] I'm afraid of the dark
[ ] I've collected comic books
[ ] I shut others out when I'm sad
[ ] I open up to others easily
[ ] I read the news
[ ] I love Disney movies
[ ] I am a sucker for eyes
[ ] I don't kill bugs
[ ] I have "x"s in my screen name
[ ] I bake well
[ ] I have worn pajamas to class
[ ] I love Martha Stewart
[ ] I am guilty of tYpInG lIkE tHiS
[ ] I am self-conscious
[ ] I love to laugh
[ ] I drink alcohol
[ ] I smoke cigarette
[ ] I can't swallow pills
[ ] I bite my nails
[ ] I want your mom
[ ] I play computer games when I'm bored
[ ] Gotten lost in the city
[ ] Gone out in public in your pajamas
[ ] Made out in an elevator
[ ] Been skydiving
[ ] Been bungee jumping
[ ] Bitten someone
[ ] Dressed up like a guy/girl
[ ] egged a house/car
[ ] Crashed into a car
[ ] Been fired
[ ] Been skinny dipping

Have you ever...
[ ] stolen a sign
[ ] danced in the rain
[ ] Seen a shooting star
[ ] proposed to anyone
[ ] Gotten stitches
[ ] Eaten Sushi
[ ] Gotten the chicken pox
[ ] Ridden in a taxi
[ ] Been on a cruise ship
[ ] Driven over 400 miles in one day
[ ] Been on a Plane by yourself
[ ] had surgery
[ ] seen a movie more than 3 times in the theater
[ ] been on stage
[ ] peed somewhere other than a toilet
[ ] gotten a black eye
[ ] memorized all the dialogue in a movie
[ ] watched an entire baseball game on tv

Do you like...
[ ] old movies
[ ] musicals
[ ] blasting music in your car
[ ] foreign food
[ ] anime
[ ] christmas time
[ ] donuts
[ ] animals
[ ] coffee
[ ] tea

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