Asya Kamenkovich

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>TELL ME ABOUT YOURSELF - The Survey</i></b><input type='hidden' name='question1' value='TELL ME ABOUT YOURSELF - The Survey'><input type='hidden' name='type1' value='2'></td></tr><tr><td valign=top align=right>Name:</td><td align=left><b>Asya but you can call me Anastasia</b><input type='hidden' name='question2' value='Name%3A'><input type='hidden' name='type2' value='1'></td></tr><tr><td valign=top align=right>Birthday:</td><td align=left><b>November 30th, 1845 (hey I look pretty good for my age ;))</b><input type='hidden' name='question3' value='Birthday%3A'><input type='hidden' name='type3' value='1'></td></tr><tr><td valign=top align=right>Birthplace:</td><td align=left><b>Moscow the one that is the capital of Russia</b><input type='hidden' name='question4' value='Birthplace%3A'><input type='hidden' name='type4' value='1'></td></tr><tr><td valign=top align=right>Current Location:</td><td align=left><b>Slidell LA, are not you jelous!</b><input type='hidden' name='question5' value='Current Location%3A'><input type='hidden' name='type5' value='1'></td></tr><tr><td valign=top align=right>Eye Color:</td><td align=left><b>green</b><input type='hidden' name='question6' value='Eye Color%3A'><input type='hidden' name='type6' value='1'></td></tr><tr><td valign=top align=right>Hair Color:</td><td align=left><b>reddish brown</b><input type='hidden' name='question7' value='Hair Color%3A'><input type='hidden' name='type7' value='1'></td></tr><tr><td valign=top align=right>Height:</td><td align=left><b>5 foot 8</b><input type='hidden' name='question8' value='Height%3A'><input type='hidden' name='type8' value='1'></td></tr><tr><td valign=top align=right>Right Handed or Left Handed:</td><td align=left><b>right</b><input type='hidden' name='question9' value='Right Handed or Left Handed%3A'><input type='hidden' name='type9' value='1'></td></tr><tr><td valign=top align=right>Your Heritage:</td><td align=left><b>Mostly Russian</b><input type='hidden' name='question10' value='Your Heritage%3A'><input type='hidden' name='type10' value='1'></td></tr><tr><td valign=top align=right>The Shoes You Wore Today:</td><td align=left><b>stiletto boots, gotta stay classy in Slidell</b><input type='hidden' name='question11' value='The Shoes You Wore Today%3A'><input type='hidden' name='type11' value='1'></td></tr><tr><td valign=top align=right>Your Weakness:</td><td align=left><b>anything or anyone fun and exiting</b><input type='hidden' name='question12' value='Your Weakness%3A'><input type='hidden' name='type12' value='1'></td></tr><tr><td valign=top align=right>Your Fears:</td><td align=left><b>sure I will tell you, so u can use it against me later...</b><input type='hidden' name='question13' value='Your Fears%3A'><input type='hidden' name='type13' value='1'></td></tr><tr><td valign=top align=right>Your Perfect Pizza:</td><td align=left><b>thick crust, tons of cheese, mushrooms, brocolli, and more cheese</b><input type='hidden' name='question14' value='Your Perfect Pizza%3A'><input type='hidden' name='type14' value='1'></td></tr><tr><td valign=top align=right>Goal You Would Like To Achieve This Year:</td><td align=left><b>Rebuild New Orleans ;)</b><input type='hidden' name='question15' value='Goal You Would Like To Achieve This Year%3A'><input type='hidden' name='type15' value='1'></td></tr><tr><td valign=top align=right>Your Most Overused Phrase On an instant messenger:</td><td align=left><b>LOL</b><input type='hidden' name='question16' value='Your Most Overused Phrase On an instant messenger%3A'><input type='hidden' name='type16' value='1'></td></tr><tr><td valign=top align=right>Thoughts First Waking Up:</td><td align=left><b>who the hell are you? (LOL)</b><input type='hidden' name='question17' value='Thoughts First Waking Up%3A'><input type='hidden' name='type17' value='1'></td></tr><tr><td valign=top align=right>Your Best Physical Feature:</td><td align=left><b>cant choose one thing, I am just too HOT</b><input type='hidden' name='question18' value='Your Best Physical Feature%3A'><input type='hidden' name='type18' value='1'></td></tr><tr><td valign=top align=right>Your Bedtime:</td><td align=left><b>after 2am, I am nocturnal</b><input type='hidden' name='question19' value='Your Bedtime%3A'><input type='hidden' name='type19' value='1'></td></tr><tr><td valign=top align=right>Your Most Missed Memory:</td><td align=left><b>childhood, my grandpa, Moscow, Millsaps, friends that I lost contact with...</b><input type='hidden' name='question20' value='Your Most Missed Memory%3A'><input type='hidden' name='type20' value='1'></td></tr><tr><td valign=top align=right>Pepsi or Coke:</td><td align=left><b>neither</b><input type='hidden' name='question21' value='Pepsi or Coke%3A'><input type='hidden' name='type21' value='1'></td></tr><tr><td valign=top align=right>MacDonalds or Burger King:</td><td align=left><b>neither</b><input type='hidden' name='question22' value='MacDonalds or Burger King%3A'><input type='hidden' name='type22' value='1'></td></tr><tr><td valign=top align=right>Single or Group Dates:</td><td align=left><b>sure </b><input type='hidden' name='question23' value='Single or Group Dates%3A'><input type='hidden' name='type23' value='1'></td></tr><tr><td valign=top align=right>Lipton Ice Tea or Nestea:</td><td align=left><b>ewww too damn sweet</b><input type='hidden' name='question24' value='Lipton Ice Tea or Nestea%3A'><input type='hidden' name='type24' value='1'></td></tr><tr><td valign=top align=right>Chocolate or Vanilla:</td><td align=left><b>both</b><input type='hidden' name='question25' value='Chocolate or Vanilla%3A'><input type='hidden' name='type25' value='1'></td></tr><tr><td valign=top align=right>Cappuccino or Coffee:</td><td align=left><b>both</b><input type='hidden' name='question26' value='Cappuccino or Coffee%3A'><input type='hidden' name='type26' value='1'></td></tr><tr><td valign=top align=right>Do you Smoke:</td><td align=left><b>sometimes</b><input type='hidden' name='question27' value='Do you Smoke%3A'><input type='hidden' name='type27' value='1'></td></tr><tr><td valign=top align=right>Do you Swear:</td><td align=left><b>yes</b><input type='hidden' name='question28' value='Do you Swear%3A'><input type='hidden' name='type28' value='1'></td></tr><tr><td valign=top align=right>Do you Sing:</td><td align=left><b>when i am comsumed by a boring ass task</b><input type='hidden' name='question29' value='Do you Sing%3A'><input type='hidden' name='type29' value='1'></td></tr><tr><td valign=top align=right>Do you Shower Daily:</td><td align=left><b>yeah and at least once, gross question</b><input type='hidden' name='question30' value='Do you Shower Daily%3A'><input type='hidden' name='type30' value='1'></td></tr><tr><td valign=top align=right>Have you Been in Love:</td><td align=left><b>yes and both times ended with murder...</b><input type='hidden' name='question31' value='Have you Been in Love%3A'><input type='hidden' name='type31' value='1'></td></tr><tr><td valign=top align=right>Do you want to go to College:</td><td align=left><b>I allready spent 6 yrs in school, i do love school though</b><input type='hidden' name='question32' value='Do you want to go to College%3A'><input type='hidden' name='type32' value='1'></td></tr><tr><td valign=top align=right>Do you want to get Married:</td><td align=left><b>Are you proposing?</b><input type='hidden' name='question33' value='Do you want to get Married%3A'><input type='hidden' name='type33' value='1'></td></tr><tr><td valign=top align=right>Do you belive in yourself:</td><td align=left><b>yes</b><input type='hidden' name='question34' value='Do you belive in yourself%3A'><input type='hidden' name='type34' value='1'></td></tr><tr><td valign=top align=right>Do you get Motion Sickness:</td><td align=left><b>used to as a kid</b><input type='hidden' name='question35' value='Do you get Motion Sickness%3A'><input type='hidden' name='type35' value='1'></td></tr><tr><td valign=top align=right>Do you think you are Attractive:</td><td align=left><b>yes I am attracted to myself</b><input type='hidden' name='question36' value='Do you think you are Attractive%3A'><input type='hidden' name='type36' value='1'></td></tr><tr><td valign=top align=right>Are you a Health Freak:</td><td align=left><b>nah i get bored of things to easily to be an anything freak</b><input type='hidden' name='question37' value='Are you a Health Freak%3A'><input type='hidden' name='type37' value='1'></td></tr><tr><td valign=top align=right>Do you get along with your Parents:</td><td align=left><b>most of the time</b><input type='hidden' name='question38' value='Do you get along with your Parents%3A'><input type='hidden' name='type38' value='1'></td></tr><tr><td valign=top align=right>Do you like Thunderstorms:</td><td align=left><b>yes they are cool, but not when they precede Katrina </b><input type='hidden' name='question39' value='Do you like Thunderstorms%3A'><input type='hidden' name='type39' value='1'></td></tr><tr><td valign=top align=right>Do you play an Instrument:</td><td align=left><b>no</b><input type='hidden' name='question40' value='Do you play an Instrument%3A'><input type='hidden' name='type40' value='1'></td></tr><tr><td valign=top align=right>In the past month have you Drank Alcohol:</td><td align=left><b>yes</b><input type='hidden' name='question41' value='In the past month have you Drank Alcohol%3A'><input type='hidden' name='type41' value='1'></td></tr><tr><td valign=top align=right>In the past month have you Smoked:</td><td align=left><b>yes</b><input type='hidden' name='question42' value='In the past month have you Smoked%3A'><input type='hidden' name='type42' value='1'></td></tr><tr><td valign=top align=right>In the past month have you been on Drugs:</td><td align=left><b>no</b><input type='hidden' name='question43' value='In the past month have you been on Drugs%3A'><input type='hidden' name='type43' value='1'></td></tr><tr><td valign=top align=right>In the past month have you gone on a Date:</td><td align=left><b>yes</b><input type='hidden' name='question44' value='In the past month have you gone on a Date%3A'><input type='hidden' name='type44' value='1'></td></tr><tr><td valign=top align=right>In the past month have you gone to a Mall:</td><td align=left><b>I brave the drive to NO for that, I am a fighter</b><input type='hidden' name='question45' value='In the past month have you gone to a Mall%3A'><input type='hidden' name='type45' value='1'></td></tr><tr><td valign=top align=right>In the past month have you eaten a box of Oreos:</td><td align=left><b>no</b><input type='hidden' name='question46' value='In the past month have you eaten a box of Oreos%3A'><input type='hidden' name='type46' value='1'></td></tr><tr><td valign=top align=right>In the past month have you eaten Sushi:</td><td align=left><b>no! life sucks</b><input type='hidden' name='question47' value='In the past month have you eaten Sushi%3A'><input type='hidden' name='type47' value='1'></td></tr><tr><td valign=top align=right>In the past month have you been on Stage:</td><td align=left><b>yes!</b><input type='hidden' name='question48' value='In the past month have you been on Stage%3A'><input type='hidden' name='type48' value='1'></td></tr><tr><td valign=top align=right>In the past month have you been Dumped:</td><td align=left><b>nope never been</b><input type='hidden' name='question49' value='In the past month have you been Dumped%3A'><input type='hidden' name='type49' value='1'></td></tr><tr><td valign=top align=right>In the past month have you gone Skinny Dipping:</td><td align=left><b>kinda chilly outside</b><input type='hidden' name='question50' value='In the past month have you gone Skinny Dipping%3A'><input type='hidden' name='type50' value='1'></td></tr><tr><td valign=top align=right>In the past month have you Stolen Anything:</td><td align=left><b>no</b><input type='hidden' name='question51' value='In the past month have you Stolen Anything%3A'><input type='hidden' name='type51' value='1'></td></tr><tr><td valign=top align=right>Ever been Drunk:</td><td align=left><b>yes...</b><input type='hidden' name='question52' value='Ever been Drunk%3A'><input type='hidden' name='type52' value='1'></td></tr><tr><td valign=top align=right>Ever been called a Tease:</td><td align=left><b>Yeah! </b><input type='hidden' name='question53' value='Ever been called a Tease%3A'><input type='hidden' name='type53' value='1'></td></tr><tr><td valign=top align=right>Ever been Beaten up:</td><td align=left><b>no</b><input type='hidden' name='question54' value='Ever been Beaten up%3A'><input type='hidden' name='type54' value='1'></td></tr><tr><td valign=top align=right>Ever Shoplifted:</td><td align=left><b>nope</b><input type='hidden' name='question55' value='Ever Shoplifted%3A'><input type='hidden' name='type55' value='1'></td></tr><tr><td valign=top align=right>How do you want to Die:</td><td align=left><b>I dont want to die</b><input type='hidden' name='question56' value='How do you want to Die%3A'><input type='hidden' name='type56' value='1'></td></tr><tr><td valign=top align=right>What do you want to be when you Grow Up:</td><td align=left><b>i want to rule the world</b><input type='hidden' name='question57' value='What do you want to be when you Grow Up%3A'><input type='hidden' name='type57' value='1'></td></tr><tr><td valign=top align=right>What country would you most like to Visit:</td><td align=left><b>Amsterdam!!!!!!!! ( I know it is a city, so Holland then)</b><input type='hidden' name='question58' value='What country would you most like to Visit%3A'><input type='hidden' name='type58' value='1'></td></tr><tr><td valign=top align=center colspan=2><b><i>In a Boy/Girl..</i></b><input type='hidden' name='question59' value='In a Boy%2FGirl..'><input type='hidden' name='type59' value='2'></td></tr><tr><td valign=top align=right>Favourite Eye Color:</td><td align=left><b>any color not picky there...how about green?</b><input type='hidden' name='question60' value='Favourite Eye Color%3A'><input type='hidden' name='type60' value='1'></td></tr><tr><td valign=top align=right>Favourite Hair Color:</td><td align=left><b>same thing</b><input type='hidden' name='question61' value='Favourite Hair Color%3A'><input type='hidden' name='type61' value='1'></td></tr><tr><td valign=top align=right>Short or Long Hair:</td><td align=left><b>short</b><input type='hidden' name='question62' value='Short or Long Hair%3A'><input type='hidden' name='type62' value='1'></td></tr><tr><td valign=top align=right>Height:</td><td align=left><b>well taller then me, but not too tall</b><input type='hidden' name='question63' value='Height%3A'><input type='hidden' name='type63' value='1'></td></tr><tr><td valign=top align=right>Weight:</td><td align=left><b>average</b><input type='hidden' name='question64' value='Weight%3A'><input type='hidden' name='type64' value='1'></td></tr><tr><td valign=top align=right>Best Clothing Style:</td><td align=left><b>oooh classy but rugged at the same time</b><input type='hidden' name='question65' value='Best Clothing Style%3A'><input type='hidden' name='type65' value='1'></td></tr><tr><td valign=top align=right>Number of Drugs I have taken:</td><td align=left><b>i thought these were boy questions....does advil count?</b><input type='hidden' name='question66' value='Number of Drugs I have taken%3A'><input type='hidden' name='type66' value='1'></td></tr><tr><td valign=top align=right>Number of CD</td><td align=left><b>only listen to tapes</b><input type='hidden' name='question68' value='Number of CD'><input type='hidden' name='type68' value='1'></td></tr><tr><td valign=top align=right>Number of Piercings:</td><td align=left><b>2..i know boring</b><input type='hidden' name='question69' value='Number of Piercings%3A'><input type='hidden' name='type69' value='1'></td></tr><tr><td valign=top align=right>Number of Tattoos:</td><td align=left><b>none....</b><input type='hidden' name='question70' value='Number of Tattoos%3A'><input type='hidden' name='type70' value='1'></td></tr><tr><td valign=top align=right>Number of things in my Past I Regret:</td><td align=left><b>no point in regret if u cant change them...</b><input type='hidden' name='question71' value='Number of things in my Past I Regret%3A'><input type='hidden' name='type71' 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>