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To Submit Your Own Poll Question Just Fill Out the Form Below

**Please Note** that alot of people will submit questions so we won't be able to use everybody's questions

A) First Name (or nickname):
B) City: (optional)
C) State/Province: (optional)
D) Country: (optional)
E) Show / Celeb:
F) Poll Question:
G) Answer Option 1:
H) Answer Option 2:
I) Answer Option 3:
J) Answer Option 4: (optional)
K) Answer Option 5: (optional)