Generic Survey

The Basics
Full Name Jeremiah Hall Palmer
You like it? Yep
Birthdate 1 DEC 1980
Height/Weight 5’10″/215
Eye Color Brown
Hair Color Brown
Can you…
Drive? Yep
Drive a manual? Yep
Touch your nose with your tongue? Nope
Cook? Yep
Dance? Nope
Sing? Nope
Sew? Nope
Speak another language? Nope
Have you ever…
Eaten sushi? Nope
Been in love? Yep
Skipped school? Yep
Made prank calls? Yep
Done illegal drugs? Nope
Stolen something worth more than ? Nope
Flashed someone? Nope
Been drunk? Yep
Eaten squid? Nope
Been to New York City? Nope
Been to London? Nope
Favorite
Drink Bud Ice
Soda Ale8
Food … several…
Restaurant … several…
Color don’t really have one
Artist Music? Painting? Performance?
Album 33RPM LPs
Website google
The Last
Person to hit you D
Person you wanted to hit D
Person you hugged D
Person you kissed D
Person you wanted to kiss you D
Country you’ve been in where I reside…
Car you’ve driven Freestar
Law you’ve broken I invoke my rights under the Fifth Amendment of the Constitution…
Thing you ate Frosted Mini Wheats
Thing you drank Milk
Thing you said I invoke my rights under the Fifth Amendment of the Constitution…
Book you read manual for Motorola L6
Show you watched Dr. Phil

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