The Important Stuff
Weight: 75kg (dnt knw lbs sorry)disgusting i know
</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>5"9</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>65kg</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>75kg</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>50kg below</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>sweets</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/ diet pepsi</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>runnig/weights</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>mischa barton, models, jessica alba</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>everywere</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>14</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>COZ IM FATT</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>maybe 2 </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</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>hell yeah</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>cookie dough</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>water</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>??? to many =(</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>water, running, smoking</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>UGLY FATTY</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>yup</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>definitly</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>FATTY</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>yea</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>nope</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>no but bf tried to make me</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>big girls dont cry-fergie</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