Candy's Corner Senseless Census
In order for us to anticipate the needs of our customers, please complete the
following census to the best of your ability. Thank you.
First Name
M.I.
Last Name
E-Mail Address
Telephone Number
(U.S. Only)
What planet R U from?
Dunno
Earth
Jupiter
Mars
Mercury
Neptune
Pluto
Saturn
Venus
Age
0-9 (Still Cute)
Old Enough
Not Old Enough
Pre-Teen
Teenager
20-Something
30-Something
40-Something
50-Something
60-Something
70-Something
80-Something
90-Something
100+And Proud of It!
Computer Ability
Illiterate
Somewhat Good
Expert
What's a Computer?
None of Your Business
Challenged
Tell me Something I Won't Forget
Would you like to receive annoying ads generated by your response to this census?
NO WAY!
Cool! YES
You Must Be Insane!
Don't BUG me!
If so, please enter credit card number:
Please send your census right away!
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