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Questions marked with a * are required Exit Survey
 
 
* How much do I like sushi
Love It
Hate it
 
 
 
* Please rank the following in order of interest:
Soccer
Reading
School
Brandon
 
 
 
* What are my chicks/chickens names?
 
Larry
 
Cheetah
 
Lois
 
Stretch
 
Murdering Hen
 
Susan
 
Chicken
 
Dog

 
 
 
* What states have I been to?
 
 
 
* What are my thoughts on Mrs. Greene?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
* What is my birthday?
MonthDayYear
  
 
 
* Please rate the flavors of ice cream according to my preference
Row 3
Row 4
Row 5