Jason's Kick ass Survey, or something

Please Fill Out My Survey!

Please fill out everything. Erase my picks, and fill in your own. Even if your #1 choice is not listed, choose your favorite of the options there. I can't use your selections unless you fill everything out. The comments slot is not for adding additions. I know that this survey may seem biast, and I won't shit you, it is very biast, but it is my survey, Thanks!
1)  Name:                   
2) Age:
3) Location:
4) E-Mail Address:
5) Homepage:

6) Gender: 7) How did you get here? 8) Favorite Movie: 9) Favorite Actor: 10) Favorite Actress: 11) Favorite Band: 12) Who is God?: 13) Comments:


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