Sample Questionnaire

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For the child to answer:

What is your first name?

What do you look like?

How old are you?

Do you have brothers or sisters?  How many?  Are you the oldest, middle or youngest?

Do you have a pet?  What kind and what is the pets’ name?

What is your favorite color?

What is your favorite food?

What is your favorite game?

Where do you live?  (city and country)

What is your favorite thing about where you live?

What do you wish you could change/make better or make different?

What is your favorite subject in school?

What do you do on your summer vacation?

Where is the best place you have ever been?

If you could tell other kids about your home/country, what would you tell them?

Why do you like living there?

If you could go anywhere in the world, where would you like to go?  Why?

Do you play an instrument?  If so what kind?

Do you have a favorite song?

Does it get hot and cold where you live?  Which is your favorite?

What is your favorite thing to do?

Would you draw or take a picture to share with other kids to show something about where you live?


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