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Medlir's Survey

All questions are optional, and for my personal knowledge only.

Please tell me your name/nickname:

1)  How old are you?
Under 13 years old.
13 to 18 years old.
19 to 24 years old.
25 to 34 years old.
35 to 44 years old.
45 to 54 years old.
55 to 64 years old.
65 to 74 years old.
75 or older.

2)  How many times have you visited my page?
Once
Twice
Thrice
I come here lots!

3)  On a scale of 1-5 with 1 being the best, what would you rate my site?
One
Two
Three
Four
Five

4)  Please tell me where you're from:


5)  Please tell me your ethnic background:


6)  Write anything else here! Comments appreciated!

     © Created by Medlir <medlir@mindless.com>