What daughter of mine would you like to date?
I'm a pervert, Both
Your First Name
Date of Birth mm/dd/yy
Highest School Grade completed
Name of the College you attended if any
License Plate #
Name of your Dentist
Name of your Doctor
(and please let him know we
want info on your history and to release all info to us on request)
Do you have one male and one female parent
If no, explain
How long have your parents been married
I'm too dumb to know!
They are not Married
Less than a week
Less than a month
Less than a year
1 to 5 years
5 to 10 years
10 to 20 years
over 20 years
Please check all that apply to you:
Do you own a van?
A truck with oversized tires?
Any body piercing?
If you have any piercing, where
If you have any tattoos, where and of what
In ten words or less what does "LATE"
mean to you?
In ten words or less what does "Don't touch
my daughter" mean to you?
In ten words or less what does "ABSTINENCE"
mean to you?
What church do you attend?
When would be the best time to interview your Parents?
What do you want to be IF you grow up?
If you were shot, where wouldn't you want to be hit?
What bone would you not what to have broken?
What don't you want us to ask you about?
When you meet a girl, what is the first thing you notice about her?
Smart Are You?
Worlds Easiest Quiz
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