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<!START BZOINK.COM POLL CODE><center><form method="POST" action="http://www.bzoink.com/P8143/compile/A_Broken_Heart.html"><table style="font-size:12px;font-family:Arial;" cellspacing="0"><tr><td colspan="2" style="text-align:center;background-color:#0072bc;color:#fff;font-size:12px;font-family:Arial;font-weight:bold;border-top:3px solid #00aef0;border-bottom:5px solid #00aef0;padding: 5px;"><a href="http://www.bzoink.com/P8143/A_Broken_Heart.html" title="A Broken Heart" style="color:#fff;">A Broken Heart</a><br /><small>Created by <a href="http://www.bzoink.com/~mindy72387" title="mindy72387's Profile" style="color:#fff;">mindy72387</a> and has 15303 votes on <a href="http://www.bzoink.com" title="Bzoink Free Fun Polls" style="color:#fff;">Bzoink</a></small></td></tr><tr><td colspan="2" valign="top" style="text-align:center;background-color:#e0f3fa;color:#000;padding:5px 2px;border-bottom:2px solid #00aef0;"><b>Have you ever had your heart broken by someone you loved?</b></td></tr><tr><td valign="top" style="width:10%;text-align:right;background-color:#e0f3fa;color:#000;padding:0px 2px;border:1px solid #00aef0;border-top:0px;border-left:0px;"><input type="radio" name="vote" value="1" id="bzp81431" /></td><td style="background-color:#a6e4fc;color:#000;padding:0px 5px;text-align:left;"><label for="bzp81431">yes, once</label></td></tr><tr><td valign="top" style="width:10%;text-align:right;background-color:#e0f3fa;color:#000;padding:0px 2px;border:1px solid #00aef0;border-top:0px;border-left:0px;"><input type="radio" name="vote" value="2" id="bzp81432" /></td><td style="background-color:#a6e4fc;color:#000;padding:0px 5px;text-align:left;"><label for="bzp81432">yes, more than once</label></td></tr><tr><td valign="top" style="width:10%;text-align:right;background-color:#e0f3fa;color:#000;padding:0px 2px;border:1px solid #00aef0;border-top:0px;border-left:0px;"><input type="radio" name="vote" value="3" id="bzp81433" /></td><td style="background-color:#a6e4fc;color:#000;padding:0px 5px;text-align:left;"><label for="bzp81433">yes, right now my heart is broken</label></td></tr><tr><td valign="top" style="width:10%;text-align:right;background-color:#e0f3fa;color:#000;padding:0px 2px;border:1px solid #00aef0;border-top:0px;border-left:0px;"><input type="radio" name="vote" value="4" id="bzp81434" /></td><td style="background-color:#a6e4fc;color:#000;padding:0px 5px;text-align:left;"><label for="bzp81434">no</label></td></tr><tr><td valign="top" style="width:10%;text-align:right;background-color:#e0f3fa;color:#000;padding:0px 2px;border:1px solid #00aef0;border-top:0px;border-left:0px;"><input type="radio" name="vote" value="5" id="bzp81435" /></td><td style="background-color:#a6e4fc;color:#000;padding:0px 5px;text-align:left;"><label for="bzp81435">no, but I broke someones heart</label></td></tr><tr><td colspan="2" style="text-align:center;background-color:#0072bc;color:#fff;font-size:12px;font-family:Arial;font-weight:bold;border-top:4px solid #00aef0;border-bottom:3px solid #00aef0;padding: 5px;font-size:11px;"><input type="submit" name="submit" value="Cast Vote" /><br />You've been totally <a href="http://www.bzoink.com" title="Bzoink" style="color:#fff;">Bzoink*d</a>!<br /><a href="http://www.bzoink.com/P8143/results/A_Broken_Heart.html" title="A Broken Heart" style="color:#fff;">View Poll Results</a> | <a href="http://www.bzoink.com/polls/search.php" title="Search Polls" style="color:#fff;">Search Polls</a> | <a href="http://www.bzoink.com/polls/create.php" title="Create a Poll" style="color:#fff;">Create a Poll</a></td></tr></table></form></center><!END BZOINK.COM SURVEY CODE>

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