Here is a form I created using HTML

Type in your name or alias:

Where are you from?

Type in the city and state you where you were born:

What is your birth order?
firstborn
middleborn
lastborn
only

water fountain or bubbler, you decide...

Do you call it:
a "water fountain"
or a "bubbler?"

Do you call it:
"pop"
or "soda?"

Have you ever been to Europe?
yes
no

If so, What is your favorite country in Europe?

Does anyone in the world know the "correct" next line to the song, "Blinded by the light?"
yes
no

I love it when a plan comes together.

Who is your favorite member of the A-team?
Murdock
B.A. Baracus
Face
Col. Hannibal Smith

Olympics

What is your favorite event in the summer Olympics?

What is your favorite event in the winter Olympics?

'To be, or not to be - that is the question;
Whether 'tis nobler in the mind to suffer
The slings and arrows of outrageous fortune,
Or to take arms against a sea of troubles,
And by opposing end them?'

Spoken By:
Brutus in 'Julius Caesar'
Falstaff in 'King Henry the Fifth'
Hamlet in 'Hamlet'
Puck in 'A Midsummer Nights Dream'

Which of the following are true? Check all that apply:
Compliments of Bill Nye the Science Guy --

To escape a black hole, you'd have to move faster than 186,451 miles per SECOND.
If you took all of the salt from the oceans, it would cover the Earth with a salt layer 15 stories high.
The South Pole has no sunshine 182 days every year.
Yuma, Arizona gets 4,000 hours of sunshine every year.

Where no man has gone before... In the name of the Captain James T. Kirk, what does the T. stand for?
Choose one:


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