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Balancing Survey

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First let's get some very basic information about you:


First Name: Male     Female Age:
Your E-mail in case you wish a copy of the survey:


This survey is designed to assess your current states of balance.  So, please be very nervous and lie as much as you think you can get away with to convince yourself you have it all together.


A quick note on the technical requirements from your part.  The survey works trough cookies and uses sessions.  While neither should hamper your experience, please enable those if your web browser asks for permission to continue.  Enough said!   Lets get startedword about the technical aspects of the survey.  




Alternatively you can download the survey and print it later at your convenience by clicking here.