<formaction="http://www.kwiz.biz/simplesurveys/do-survey.php"method="post"target="_new"><tableborder="1"bordercolor="#efefef"cellspacing="0"><tr><tdalign="center"colspan="2"valign="top"><b><i>The \\\\</i></b><inputname="question1"type="hidden"value="The+%5C%5C%5C%5C%5C%5C%5C%5C"/><inputname="type1"type="hidden"value="2"/></td></tr><tr><tdalign="right"valign="top">Last Cigarette:</td><tdalign="left"><b>A Djarum Black, months ago (barfalicious c.c)</b><inputname="question2"type="hidden"value="Last+Cigarette%3A"/><inputname="type2"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Alcoholic Drink:</td><tdalign="left"><b>I have an alcohol based tincture.. but champagne at my grad party thing.</b><inputname="question3"type="hidden"value="Last+Alcoholic+Drink%3A"/><inputname="type3"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Car Ride:</td><tdalign="left"><b>Back from the movie a bit ago.</b><inputname="question4"type="hidden"value="Last+Car+Ride%3A"/><inputname="type4"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Kiss:</td><tdalign="left"><b>Moondoggy, yesterday.</b><inputname="question5"type="hidden"value="Last+Kiss%3A"/><inputname="type5"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Good Cry:</td><tdalign="left"><b>I don't keep track.</b><inputname="question6"type="hidden"value="Last+Good+Cry%3A"/><inputname="type6"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Library Book:</td><tdalign="left"><b>Lie... briar.. eeeeee? Um.. a book on Gay Rights for a speech.</b><inputname="question7"type="hidden"value="Last+Library+Book%3A"/><inputname="type7"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last book bought:</td><tdalign="left"><b>Um.. hmm.. </b><inputname="question8"type="hidden"value="Last+book+bought%3A"/><inputname="type8"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Book Read:</td><tdalign="left"><b>Finished: The Five People You Meet in Heaven; Working on: Hyperion</b><inputname="question9"type="hidden"value="Last+Book+Read%3A"/><inputname="type9"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Movie Seen in Theatres:</td><tdalign="left"><b>Spiderman 2</b><inputname="question10"type="hidden"value="Last+Movie+Seen+in+Theatres%3A"/><inputname="type10"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Movie Rented:</td><tdalign="left"><b>Dreamcatcher</b><inputname="question11"type="hidden"value="Last+Movie+Rented%3A"/><inputname="type11"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Cuss Word Uttered:</td><tdalign="left"><b>Fuck..?</b><inputname="question12"type="hidden"value="Last+Cuss+Word+Uttered%3A"/><inputname="type12"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Beverage Drank:</td><tdalign="left"><b>Desert tea.</b><inputname="question13"type="hidden"value="Last+Beverage+Drank%3A"/><inputname="type13"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Food Consumed:</td><tdalign="left"><b>Soft pretzel with cheese.</b><inputname="question14"type="hidden"value="Last+Food+Consumed%3A"/><inputname="type14"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Crush:</td><tdalign="left"><b>I have several at once. No, I won't list them.</b><inputname="question15"type="hidden"value="Last+Crush%3A"/><inputname="type15"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last Phone Call:</td><tdalign="left"><b>Georgiana called for my mom..?</b><inputname="question16"type="hidden"value="Last+Phone+Call%3A"/><inputname="type16"type="hidden"value="1"/></td></tr><tr><tdalign="right"valign="top">Last TV Show Watched:</td><tdalign="left"><b>Tee... veee?</b><inputname="question17"type="hidden"value="Last+TV+Show+Watched%3A"/><inputname="type17"type="hidden"value=