Information Request
Floor Lamp. (blue and pink)
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Back
Next
Are you a homosexualL
Yes
No
Back
Next
If answered No, please explain/defend yourself.
Back
Next
Name a celebrity.
Back
Next
What do you hate about this lamp?
Back
Next
What is something you have always wanted to do?
Back
Next
Where will this lamp live if it's in your hands?
Back
Next
What Human/Civil Right would you give up to save all the other Human/Civil rights?
Back
Next
Which of the following would you most like to have?
A strange bannana
A nine-foot twig
One macaroni shell (dry)
A purse that does not work
Submit
Should be Empty: