The Church of Our Guy David Duchovny Visitor Survey

Please fill out my Survey

Please tell me your name: (Do not hit return)

And your email address:(Do not hit return)DO NOT FORGET THIS IF YOU WANT TO JOIN

M/F?(Do not hit return)

1) How old are you?

Under 18 years old
Between 19 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 45 years old

2) How often do you visit my page?

Every Day
Once per week
Once per month
Once per year

3) Would you like to join the Church of Our Guy David Duchovny?

Join
Would you like to join the Cofourguydd mailing list?

Join

What should the Church actually do?: (Do not hit return)

What would you like your Title in the Church to be?: (Do not hit return)

This page hosted by GeoCitiesGet your own Free Home Page