BRILLIANT! Bare my soul...
<form action='http://www.kwiz.biz/simplesurveys/do-survey.php' method='post' target='_new'>
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TELL ME ABOUT YOURSELF - The Survey<input type='hidden' name='question1' value='TELL+ME+ABOUT+YOURSELF+-+The+Survey'><input type='hidden' name='type1' value='2'> |
| Name: |
Q-ell Antonio Betton<input type='hidden' name='question2' value='Name%3A'><input type='hidden' name='type2' value='1'> |
| Birthday: |
17th April 1967<input type='hidden' name='question3' value='Birthday%3A'><input type='hidden' name='type3' value='1'> |
| Birthplace: |
London, England<input type='hidden' name='question4' value='Birthplace%3A'><input type='hidden' name='type4' value='1'> |
| Current Location: |
London<input type='hidden' name='question5' value='Current+Location%3A'><input type='hidden' name='type5' value='1'> |
| Eye Color: |
Brown<input type='hidden' name='question6' value='Eye+Color%3A'><input type='hidden' name='type6' value='1'> |
| Hair Color: |
none/black<input type='hidden' name='question7' value='Hair+Color%3A'><input type='hidden' name='type7' value='1'> |
| Height: |
5' 10' <input type='hidden' name='question8' value='Height%3A'><input type='hidden' name='type8' value='1'> |
| Right Handed or Left Handed: |
left<input type='hidden' name='question9' value='Right+Handed+or+Left+Handed%3A'><input type='hidden' name='type9' value='1'> |
| Your Heritage: |
west indian - mother Barbados father Guyana<input type='hidden' name='question10' value='Your+Heritage%3A'><input type='hidden' name='type10' value='1'> |
| The Shoes You Wore Today: |
trainers<input type='hidden' name='question11' value='The+Shoes+You+Wore+Today%3A'><input type='hidden' name='type11' value='1'> |
| Your Weakness: |
chocolate<input type='hidden' name='question12' value='Your+Weakness%3A'><input type='hidden' name='type12' value='1'> |
| Your Fears: |
unfufilled potential<input type='hidden' name='question13' value='Your+Fears%3A'><input type='hidden' name='type13' value='1'> |
| Your Perfect Pizza: |
not a pizza freak but...bbq chicken<input type='hidden' name='question14' value='Your+Perfect+Pizza%3A'><input type='hidden' name='type14' value='1'> |
| Goal You Would Like To Achieve This Year: |
run faster 100m sub 12sec<input type='hidden' name='question15' value='Goal+You+Would+Like+To+Achieve+This+Year%3A'><input type='hidden' name='type15' value='1'> |
| Your Most Overused Phrase On an instant messenger: |
...<input type='hidden' name='question16' value='Your+Most+Overused+Phrase+On+an+instant+messenger%3A'><input type='hidden' name='type16' value='1'> |
| Thoughts First Waking Up: |
uh...!<input type='hidden' name='question17' value='Thoughts+First+Waking+Up%3A'><input type='hidden' name='type17' value='1'> |
| Your Best Physical Feature: |
legs<input type='hidden' name='question18' value='Your+Best+Physical+Feature%3A'><input type='hidden' name='type18' value='1'> |
| Your Bedtime: |
11pm-2am<input type='hidden' name='question19' value='Your+Bedtime%3A'><input type='hidden' name='type19' value='1'> |
| Your Most Missed Memory: |
clubbing in the early nineties<input type='hidden' name='question20' value='Your+Most+Missed+Memory%3A'><input type='hidden' name='type20' value='1'> |
| Pepsi or Coke: |
neither<input type='hidden' name='question21' value='Pepsi+or+Coke%3A'><input type='hidden' name='type21' value='1'> |
| MacDonalds or Burger King: |
Mc D<input type='hidden' name='question22' value='MacDonalds+or+Burger+King%3A'><input type='hidden' name='type22' value='1'> |
| Single or Group Dates: |
Single<input type='hidden' name='question23' value='Single+or+Group+Dates%3A'><input type='hidden' name='type23' value='1'> |
| Lipton Ice Tea or Nestea: |
yuk!<input type='hidden' name='question24' value='Lipton+Ice+Tea+or+Nestea%3A'><input type='hidden' name='type24' value='1'> |
| Chocolate or Vanilla: |
Chocolate<input type='hidden' name='question25' value='Chocolate+or+Vanilla%3A'><input type='hidden' name='type25' value='1'> |
| Cappuccino or Coffee: |
still yuk<input type='hidden' name='question26' value='Cappuccino+or+Coffee%3A'><input type='hidden' name='type26' value='1'> |
| Do you Smoke: |
no<input type='hidden' name='question27' value='Do+you+Smoke%3A'><input type='hidden' name='type27' value='1'> |
| Do you Swear: |
doesn't everybody?<input type='hidden' name='question28' value='Do+you+Swear%3A'><input type='hidden' name='type28' value='1'> |
| Do you Sing: |
badly<input type='hidden' name='question29' value='Do+you+Sing%3A'><input type='hidden' name='type29' value='1'> |
| Do you Shower Daily: |
bath<input type='hidden' name='question30' value='Do+you+Shower+Daily%3A'><input type='hidden' name='type30' value='1'> |
| Have you Been in Love: |
yes<input type='hidden' name='question31' value='Have+you+Been+in+Love%3A'><input type='hidden' name='type31' value='1'> |
| Do you want to go to College: |
yes<input type='hidden' name='question32' value='Do+you+want+to+go+to+College%3A'><input type='hidden' name='type32' value='1'> |
| Do you want to get Married: |
yes<input type='hidden' name='question33' value='Do+you+want+to+get+Married%3A'><input type='hidden' name='type33' value='1'> |
| Do you belive in yourself: |
yes<input type='hidden' name='question34' value='Do+you+belive+in+yourself%3A'><input type='hidden' name='type34' value='1'> |
| Do you get Motion Sickness: |
no<input type='hidden' name='question35' value='Do+you+get+Motion+Sickness%3A'><input type='hidden' name='type35' value='1'> |
| Do you think you are Attractive: |
I'm a guy...of course!<input type='hidden' name='question36' value='Do+you+think+you+are+Attractive%3A'><input type='hidden' name='type36' value='1'> |
| Are you a Health Freak: |
a little bit<input type='hidden' name='question37' value='Are+you+a+Health+Freak%3A'><input type='hidden' name='type37' value='1'> |
| Do you get along with your Parents: |
i do.<input type='hidden' name='question38' value='Do+you+get+along+with+your+Parents%3A'><input type='hidden' name='type38' value='1'> |
| Do you like Thunderstorms: |
yep<input type='hidden' name='question39' value='Do+you+like+Thunderstorms%3A'><input type='hidden' name='type39' value='1'> |
| Do you play an Instrument: |
bongos count?<input type='hidden' name='question40' value='Do+you+play+an+Instrument%3A'><input type='hidden' name='type40' value='1'> |
| In the past month have you Drank Alcohol: |
yes<input type='hidden' name='question41' value='In+the+past+month+have+you+Drank+Alcohol%3A'><input type='hidden' name='type41' value='1'> |
| In the past month have you Smoked: |
no<input type='hidden' name='question42' value='In+the+past+month+have+you+Smoked%3A'><input type='hidden' name='type42' value='1'> |
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In the past month have you been on Drugs:<input type='hidden' name='question43' value='In+the+past+month+have+you+been+on+Drugs%3A'><input type='hidden' name='type43' value=''> |
| In the past month have you eaten a box of Oreos: |
no<input type='hidden' name='question46' value='In+the+past+month+have+you+eaten+a+box+of+Oreos%3A'><input type='hidden' name='type46' value='1'> |
| In the past month have you eaten Sushi: |
back to yuk<input type='hidden' name='question47' value='In+the+past+month+have+you+eaten+Sushi%3A'><input type='hidden' name='type47' value='1'> |
| In the past month have you been on Stage: |
no<input type='hidden' name='question48' value='In+the+past+month+have+you+been+on+Stage%3A'><input type='hidden' name='type48' value='1'> |
| In the past month have you been Dumped: |
nope<input type='hidden' name='question49' value='In+the+past+month+have+you+been+Dumped%3A'><input type='hidden' name='type49' value='1'> |
| In the past month have you gone Skinny Dipping: |
nah<input type='hidden' name='question50' value='In+the+past+month+have+you+gone+Skinny+Dipping%3A'><input type='hidden' name='type50' value='1'> |
| In the past month have you Stolen Anything: |
no<input type='hidden' name='question51' value='In+the+past+month+have+you+Stolen+Anything%3A'><input type='hidden' name='type51' value='1'> |
| Ever been Drunk: |
of course<input type='hidden' name='question52' value='Ever+been+Drunk%3A'><input type='hidden' name='type52' value='1'> |
| Ever been called a Tease: |
no<input type='hidden' name='question53' value='Ever+been+called+a+Tease%3A'><input type='hidden' name='type53' value='1'> |
| Ever been Beaten up: |
yes - in the ring<input type='hidden' name='question54' value='Ever+been+Beaten+up%3A'><input type='hidden' name='type54' value='1'> |
| Ever Shoplifted: |
yes as a child, got caught and cried!<input type='hidden' name='question55' value='Ever+Shoplifted%3A'><input type='hidden' name='type55' value='1'> |
| How do you want to Die: |
I want to cum then go...<input type='hidden' name='question56' value='How+do+you+want+to+Die%3A'><input type='hidden' name='type56' value='1'> |
| What do you want to be when you Grow Up: |
accomplished<input type='hidden' name='question57' value='What+do+you+want+to+be+when+you+Grow+Up%3A'><input type='hidden' name='type57' value='1'> |
| What country would you most like to Visit: |
USA<input type='hidden' name='question58' value='What+country+would+you+most+like+to+Visit%3A'><input type='hidden' name='type58' value='1'> |
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In a Boy/Girl..<input type='hidden' name='question59' value='In+a+Boy%2FGirl..'><input type='hidden' name='type59' value='2'> |
| Favourite Eye Color: |
brown<input type='hidden' name='question60' value='Favourite+Eye+Color%3A'><input type='hidden' name='type60' value='1'> |
| Favourite Hair Color: |
brunette/black<input type='hidden' name='question61' value='Favourite+Hair+Color%3A'><input type='hidden' name='type61' value='1'> |
| Short or Long Hair: |
their length is their business..<input type='hidden' name='question62' value='Short+or+Long+Hair%3A'><input type='hidden' name='type62' value='1'> |
| Height: |
between my chest and my nose.<input type='hidden' name='question63' value='Height%3A'><input type='hidden' name='type63' value='1'> |
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Weight:<input type='hidden' name='question64' value='Weight%3A'><input type='hidden' name='type64' value='value'> |
| Number of Drugs I have taken: |
zero<input type='hidden' name='question66' value='Number+of+Drugs+I+have+taken%3A'><input type='hidden' name='type66' value='1'> |
| Number of CDs I own: |
if I knew that I would have to much time on my hands<input type='hidden' name='question68' value='Number+of+CDs+I+own%3A'><input type='hidden' name='type68' value='1'> |
| Number of Piercings: |
none<input type='hidden' name='question69' value='Number+of+Piercings%3A'><input type='hidden' name='type69' value='1'> |
| Number of Tattoos: |
none<input type='hidden' name='question70' value='Number+of+Tattoos%3A'><input type='hidden' name='type70' value='1'> |
| Number of things in my Past I Regret: |
nothing major. what can I do about it now?<input type='hidden' name='question71' value='Number+of+things+in+my+Past+I+Regret%3A'><input type='hidden' name='type71' value='1'> |
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