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  >> Survey Form >> Community >> ID #1080598  |   Show DetailsPrinter Friendly Page Tell A Friend
Do you like your birth name?
Do you like the name you were given?
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Avg Rating: (15)
          This survey begs the question:Do you like the birth name you were given? If you do not like it, what would you change it to?
"Do you like your birth name?" Questions
Multiple submissions allowed / (R) denotes a required field.

1.   Field will ask male or female (R)

        Male
        Female

2.   Field will ask age range (R)

        Under 18
        18-24
        25-35
        36-40
        41-50
        51-60
        61+

3.   Do you like your birth name? (R)

        Yes
        No

4.   If the answer to the previous question is no, what would you change your name to?

     

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