Form
Date of assessment
First Name
Last Name
Sex:
Male
Female
Other
Age:
18-25
26-35
36-45
over 45
Attributes: I would say I am:
Interesting
Intelligent
Sexy
Unobjectionable
On a scale of 0 to 10, the number 7 is a(n):
0
2
4
6
8
10
This is an example page. It does nothing right now... We will add actions later when we cover events.
