The Survey
Answer the questions:
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Name
Last Name, Middle Initial, First Name
Birth Date *
MM
/
DD
/
YYYY
What is the curent time in your location? *
Time
:
What is the current weather in your location? *
Do you like potatoes?
Clear selection
Which of the following have you done today?
You can mark more than one
Which of the follwing have you tried before?
You can mark more than one
What shoe brand do you prefer?
What fast food restaurant is the best?
How would you rate the quality of the following photo?
Bad
Amazing
Clear selection
Rate the drinks
What is that?
Horrible
Bad
Good-ish
Wonderful
Magical
Simply Amazing
Kool Aid
Coca-Cola
Coffee
Water
Potato Juice
Clear selection
Dancing Potato?
Submit
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