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what is you favorite color?
 
red
 
green
 
blue
 
other
 
 
 
What is your date of birth?
 
 
 
how satisfied are you and music?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
 
Comments/Suggestions: What is your favorite food?
   
 
 
 
do you love to watch movies?
 
yes
 
no
 
maybe
 
 
 
Please rank (1-4) the following in order of interest:
Skiing
Snowboarding
Biking
other
 
 
 
Comments/Suggestions: do you have brother(s) or sister(s) if not then type in none or no, if so how many
   
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
(pick one) witch holiday do you like the most?
 
Christmas
 
Thanksgiving
 
Halloween
 
Easter
 
Valentines day
 
 
 
How are you satisfied in this survey?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied