A Quick Survey

Welcome to my quick survey. Please fill out the following form to the best of your abilities. And thanks for visiting my site.

Use Submit To submit your results.


Name:

Sex: Male Female

Personal Information:
I am a:
Democrat
Republican
Other
My occupation is best described as:
Student
Urban Professional
Blue collar
If someone held a gun to my head, I would vote for:
Vote for Dole
Vote for Clinton
Vote for Buchanan
Vote for Quimby
Rather die