Tag Archives: questionnaire

boredom on a monday at 938am

2005.09.12 – 9:38 am PDT

TELL ME ABOUT YOURSELF - The Survey
Name: r0b
Birthday: 1980.09.30
Birthplace: anaheim, ca
Current Location: sierra vista
Eye Color: blue
Hair Color: brown
Height: 6′1″
Right Handed or Left Handed: right
Your Heritage: caucasian, russian jewish, german
The Shoes You Wore Today: adidas
Your Weakness: cute girls
Your Fears: back surgery
Your Perfect Pizza: loaded with everything
Goal You Would Like To Achieve This Year:
Your Most Overused Phrase On an instant messenger: ;p
Thoughts First Waking Up: what day is it?
Your Best Physical Feature: eyes
Your Bedtime: whenever i get tired enough to sleep
Your Most Missed Memory:
Pepsi or Coke: water
MacDonalds or Burger King: neither
Single or Group Dates:
Lipton Ice Tea or Nestea:
Chocolate or Vanilla: vanilla
Cappuccino or Coffee: capuchino
Do you Smoke: yes
Do you Swear: yes
Do you Sing: yes
Do you Shower Daily: yes
Have you Been in Love: nope
Do you want to go to College: maybe
Do you want to get Married: maybe
Do you belive in yourself: at times
Do you get Motion Sickness: very very rarely
Do you think you are Attractive: yes
Are you a Health Freak: nope
Do you get along with your Parents: yes
Do you like Thunderstorms: b000m! yes
Do you play an Instrument: drum machines count damnit!
In the past month have you Drank Alcohol: yes
In the past month have you Smoked: yes
In the past month have you been on Drugs: yes
In the past month have you gone on a Date: no
In the past month have you gone to a Mall: no
In the past month have you eaten a box of Oreos: no
In the past month have you eaten Sushi: no
In the past month have you been on Stage: no
In the past month have you been Dumped: no
In the past month have you gone Skinny Dipping: no
In the past month have you Stolen Anything: no
Ever been Drunk: yes
Ever been called a Tease: yes
Ever been Beaten up: yes
Ever Shoplifted: yes
How do you want to Die: sleep, or unexpected and quick
What do you want to be when you Grow Up:
What country would you most like to Visit: austrailia, or japan
In a Boy/Girl..
Favourite Eye Color: green
Favourite Hair Color: brunette
Short or Long Hair: either
Height: shorter than me, but i don’t care, i like shorties though
Weight: avg for height
Best Clothing Style:
Number of Drugs I have taken: oo
Number of CDs I own: oo
Number of Piercings: oo
Number of Tattoos: oo
Number of things in my Past I Regret: oo
CREATE YOUR OWN! - or - GET PAID TO TAKE SURVEYS!
By px | Posted in internet, personal | Also tagged | Comments (0)

Something to think about…

2004.05.20 – 1:12 pm PDT

I think I should work on some kind of questionnaire, or form for my blogger template. This template, would include questions about my current state.

Multiple Choice / Fill in the Blank Questions like;

Where are you currently feeling discomfort?

Neck

Shoulders

Back

Legs

By px | Posted in workers comp | Comments (0)

Bad Behavior has blocked 713 access attempts in the last 7 days.

>>>>>>> .r246