http://aspenbum87.livejournal.com/ aspenbum87 - LiveJournal.com Tue, 26 Sep 2006 18:15:27 GMT LiveJournal / LiveJournal.com aspenbum87 11245436 personal http://aspenbum87.livejournal.com/348.html Tue, 26 Sep 2006 18:15:27 GMT http://aspenbum87.livejournal.com/348.html <form action="http://www.kwiz.biz/simplesurveys/do-survey.php" method="post" target="_new"><table border="1" bordercolor="#efefef" cellspacing="0"><tr><td valign="top" align="center" colspan="2"><b><i>The Important Stuff</i></b><input type="hidden" name="question1" value="The+Important+Stuff"><input type="hidden" name="type1" value="2"></td></tr><tr><td valign="top" align="right">Age:</td><td align="left"><b>19</b><input type="hidden" name="question2" value="Age%3A"><input type="hidden" name="type2" value="1"></td></tr><tr><td valign="top" align="right">Weight: </td><td align="left"><b>115</b><input type="hidden" name="question3" value="Weight%3A+"><input type="hidden" name="type3" value="1"></td></tr><tr><td valign="top" align="right">Heighest Weight: </td><td align="left"><b>155</b><input type="hidden" name="question4" value="Heighest+Weight%3A+"><input type="hidden" name="type4" value="1"></td></tr><tr><td valign="top" align="right">Lowest Weight: </td><td align="left"><b>100</b><input type="hidden" name="question5" value="Lowest+Weight%3A+"><input type="hidden" name="type5" value="1"></td></tr><tr><td valign="top" align="right">Current Weight: </td><td align="left"><b>115</b><input type="hidden" name="question6" value="Current+Weight%3A+"><input type="hidden" name="type6" value="1"></td></tr><tr><td valign="top" align="right">Goal Weight : </td><td align="left"><b>100</b><input type="hidden" name="question7" value="Goal+Weight+%3A+"><input type="hidden" name="type7" value="1"></td></tr><tr><td valign="top" align="right">Fave food : </td><td align="left"><b>nothing </b><input type="hidden" name="question8" value="Fave+food+%3A+"><input type="hidden" name="type8" value="1"></td></tr><tr><td valign="top" align="right">Fave Drink : </td><td align="left"><b>water</b><input type="hidden" name="question9" value="Fave+Drink+%3A+"><input type="hidden" name="type9" value="1"></td></tr><tr><td valign="top" align="right">Fave Exercise : </td><td align="left"><b>snowboarding</b><input type="hidden" name="question10" value="Fave+Exercise+%3A+"><input type="hidden" name="type10" value="1"></td></tr><tr><td valign="top" align="right">Thinspo : </td><td align="left"><b></b><input type="hidden" name="question11" value="Thinspo+%3A+"><input type="hidden" name="type11" value="1"></td></tr><tr><td valign="top" align="right">Where do you slip up?</td><td align="left"><b></b><input type="hidden" name="question12" value="Where+do+you+slip+up%3F"><input type="hidden" name="type12" value="1"></td></tr><tr><td valign="top" align="right">When did it start?</td><td align="left"><b>couple of years ago</b><input type="hidden" name="question13" value="When+did+it+start%3F"><input type="hidden" name="type13" value="1"></td></tr><tr><td valign="top" align="right">Why did it start?</td><td align="left"><b>bc i was fat and still am!!</b><input type="hidden" name="question14" value="Why+did+it+start%3F"><input type="hidden" name="type14" value="1"></td></tr><tr><td valign="top" align="right">Does Anyone know?</td><td align="left"><b>ppl have an idea i think but i dunno</b><input type="hidden" name="question15" value="Does+Anyone+know%3F"><input type="hidden" name="type15" value="1"></td></tr><tr><td valign="top" align="right">Do you want help?</td><td align="left"><b>nope i have complete control and i dont have a prob</b><input type="hidden" name="question16" value="Do+you+want+help%3F"><input type="hidden" name="type16" value="1"></td></tr><tr><td valign="top" align="right">Diet pills?</td><td align="left"><b>yep</b><input type="hidden" name="question17" value="Diet+pills%3F"><input type="hidden" name="type17" value="1"></td></tr><tr><td valign="top" align="right">fave binge food:</td><td align="left"><b>soup bc its easy to purge</b><input type="hidden" name="question18" value="fave+binge+food%3A"><input type="hidden" name="type18" value="1"></td></tr><tr><td valign="top" align="right">Fave dieting food:</td><td align="left"><b>something easy to purge</b><input type="hidden" name="question19" value="Fave+dieting+food%3A"><input type="hidden" name="type19" value="1"></td></tr><tr><td valign="top" align="right">How many cals do you consume a day?</td><td align="left"><b>under 150</b><input type="hidden" name="question20" value="How+many+cals+do+you+consume+a+day%3F"><input type="hidden" name="type20" value="1"></td></tr><tr><td valign="top" align="right">What tips do you use to lose weight?</td><td align="left"><b>not eating and if so just puke it up</b><input type="hidden" name="question21" value="What+tips+do+you+use+to+lose+weight%3F"><input type="hidden" name="type21" value="1"></td></tr><tr><td valign="top" align="right">What do you see when you look in the mirror?</td><td align="left"><b>fat even though im at the lower side of 100lbs</b><input type="hidden" name="question22" value="What+do+you+see+when+you+look+in+the+mirror%3F"><input type="hidden" name="type22" value="1"></td></tr><tr><td valign="top" align="right">Are you in a relationship?</td><td align="left"><b>yep</b><input type="hidden" name="question23" value="Are+you+in+a+relationship%3F"><input type="hidden" name="type23" value="1"></td></tr><tr><td valign="top" align="right">If so, Do they pressure you to be thin?</td><td align="left"><b>nope</b><input type="hidden" name="question24" value="If+so%2C+Do+they+pressure+you+to+be+thin%3F"><input type="hidden" name="type24" value="1"></td></tr><tr><td valign="top" align="right">Are you the fat or thin one out of your friends?</td><td align="left"><b>yep</b><input type="hidden" name="question25" value="Are+you+the+fat+or+thin+one+out+of+your+friends%3F"><input type="hidden" name="type25" value="1"></td></tr><tr><td valign="top" align="right">Are you depressed?</td><td align="left"><b>sometimes</b><input type="hidden" name="question26" value="Are+you+depressed%3F"><input type="hidden" name="type26" value="1"></td></tr><tr><td valign="top" align="right">Do you self harm?</td><td align="left"><b>nope</b><input type="hidden" name="question27" value="Do+you+self+harm%3F"><input type="hidden" name="type27" value="1"></td></tr><tr><td valign="top" align="right">Ever tried to commit suicide?</td><td align="left"><b>thats personal</b><input type="hidden" name="question28" value="Ever+tried+to+commit+suicide%3F"><input type="hidden" name="type28" value="1"></td></tr><tr><td valign="top" align="right">Ever been to a psychologist??</td><td align="left"><b>personal</b><input type="hidden" name="question29" value="Ever+been+to+a+psychologist%3F%3F"><input type="hidden" name="type29" value="1"></td></tr><tr><td valign="top" align="right">Fave song?</td><td align="left"><b>so many dont really know</b><input type="hidden" name="question30" value="Fave+song%3F"><input type="hidden" name="type30" value="1"></td></tr><tr><td colspan="2" align="center"><input type="submit" value="Take This Survey"><br><a href="http://www.kwiz.biz/simplesurveys/create-survey.php">CREATE YOUR OWN!</a> - or - <a href="http://www.kwiz.biz/simplesurveys/paid-surveys.php">GET PAID TO TAKE SURVEYS!</a></td></tr></form></table> http://aspenbum87.livejournal.com/348.html none none tired public 0