Assignment 015
Forms Controls - Duplicate
Gender :
Female
Male
Date of birth :
January
Febuary
March
April
May
June
July
Augest
September
October
November
December
/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Occupation :
City :
Country :
United States
Canada
Mexico
Spain
England
Australia
Bahamas
France
Denmark
Germany
Ireland
Japan
China
Brazil
Russia
Region :
California
Arizona
Washington
Calorado
Texas
Maine
New York
Mississippi
Louisianna
South Carolina
North Carolina
Hawaii
Alaska
Nevada
Arkansas
Zip/Postal Code :
Ethnicity :
No Answer
Asian
Black/African Decent
East Indian
Latino/Hispanic
Middle Eastern
Native American
Pacific Islander
White/Cacasion
Other
Body Type :
No Answer
Slim/Slender
Average
Some Extra Baggage
More To Love!
Body Builder
Height :
1
2
3
4
5
6
7
8
9
Feet
1
2
3
4
5
6
7
8
9
10
11
Inches
No Answer
I am here for :
Dating
Serious Relationships
Friends
Networking