Survey
Please fill out the questions:
First Name:
Last Name:
Home City/Town:
State:
Select your state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Grade:
Select your grade
Freshman
Sophomore
Junior
Senior
Which season do you like the best?
Spring
Summer
Fall
Winter
Which landscape do you like the best?
Mountain
Ocean
Forest
Desert
Cityscape
Which pets would you love to have? (Select all that interest you)
Tiger
Penguin
Dragon
Dolphin
Wolf
Unicorn
What desserts do you crave? (Check all that apply)
Brownies
Ice Cream
Cheesecake
Cookies
Donuts
Pie
Additional Comments: