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Section 1 - The Basics
This is what I want you to do for my birthday. Fill out this survey. Only 3 things are required. The rest is all what you're comfortable telling me.
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* Indicates required question
Your Name
*
Your answer
Your Birthday
*
MM
/
DD
/
YYYY
Your Email
*
Your answer
Your Twitter Handle
Your answer
Your Phone #
Your answer
Your Address
Your answer
Your Gender
Your answer
Your Sexual Identity
Your answer
What do you do for a living
Your answer
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