Amzaing Survey

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Captcha ^✻ What is 9 + 3?

First Mother's Brother's Name ^✻ Mr Esq

What was the name of your mother's #1 brother?

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	poor	average	good	excellent
question one	question one - poor	question one - average	question one - good	question one - excellent
question two	question two - poor	question two - average	question two - good	question two - excellent
question three	question three - poor	question three - average	question three - good	question three - excellent

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