Please complete both sections of the questionnaire. Note: the following information is used only to generate the current value of your soul, we guarantee that none of your answers will be kept on file.
Section 1
Please answer the following questions
yes
or
no
:
question
yes
no
are you over 18 years of age?
are you a practising Christian?
Have you been baptised?
Have you ever given money to charity?
Have you ever given money to the homeless?
Have you engaged in sex before marriage?
Have you ever tried to contact the dead?
Have you ever consulted a mystic, medium, tarot reader or similar?
have you taken any of the following drugs? Heroin, Cocaine, Crack, LSD, PCP
Do you smoke?
are you a vegetarian?
do you drink more than the recommended weekly intake of alcohol (30 units for males, 21 for females)?
do you eat on a regular basis at any of the following food outlets: Macodnalds, KFC, Burger King, Pizza Hut, starbucks
do you think that you are overweight?
are you currently on a diet?
do you indulge in autoerotic practises?
have you ever owned vehicle with an engine capacity of 2.0 litres or greater?
have you ever stolen anything of value?
do you own a mobile phone?
do you own goods made by the following manufacturers:nike, sony, nokia, apple, microsoft?
have you ever been employed in any of the following occupations: estate/rental agent, advertising agency, car/life insurance company?
have you ever worked for a major record company?
do you read any of the following periodicals: Sun, Mail, Sport, Star, Mirror
do you watch any of the following news channels: Fox, MSNBC, CNN, SKY
are you member of blockbuster video?
do you download music and media from internet?
do you use internet chat rooms?
do you still buy music on vinyl?
©2002 We Want Your Soul incorporated. All rights reserved.
