Basic Level Questionnaire

Basic Package Prediction Questionnaire

First Name: Last Name: Email Address: Date of Birth: Time of Birth: Location of Birth: Five Favorite Numbers: Choose a Powerball Number (1–26): Your Favorite or Lucky Date: Most Significant Day in Your Life: Have You Won the Lottery Before? Yes No If Yes, What Date? How Much Did You Win? Spouse or Partner’s Birth Date: Children’s Birth Dates (separate by commas): Parents’ Birth Dates: Grandparents’ Birth Dates: Do You Frequently Notice Repeating Numbers? (e.g. 111, 333) I have read and agree to the privacy policy, terms of service, legal disclaimer, and AI-Specific Disclosure stating that all predictions are for entertainment only.

✅ Thank you! Your responses have been submitted. Please check your results page shortly.