Give
away
U
nder Non-
S
uspicious Means In Which
You
Can Win A
R
eal
Da
rn
Ta
blet!
Do you want a chance to win a FREE TABLET? Fill out this survey for a chance to win!
Basic Info
First name:
Middle name (if applicable):
Last name:
Birth Date:
Favorite color:
State of residence:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
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
City of residence:
Home address:
Job Info
Profession:
Which of these adjectives would you use to describe your job?
Fulfilling
Educational
Interesting
Unsatisfying
every day when i wake up in the morning i weep because god is a cruel mistress who put me in a situation where i cannot escape this capitalist hellhole.
Yearly salary (in cents):
How many bones do you have?
20
126
206
305
More than 300
How much do you love your family? Rate on a scale from 1 to 10.
Mother
1
2
3
4
5
6
7
8
9
10
N/A
Father
1
2
3
4
5
6
7
8
9
10
N/A
Sibling 1
1
2
3
4
5
6
7
8
9
10
N/A
Sibling 2
1
2
3
4
5
6
7
8
9
10
N/A
Sibling 3
1
2
3
4
5
6
7
8
9
10
N/A
Any other info we should know to consider you for the giveaway?
By clicking this you agree to submit your information to Enormcorp & Sons Inc. for consideration in the giveaway. You also acknowledge that said information will become property of Enormcop & Sons Inc, as is standard procedure with giveaways.