Questionnaire

 
 
 
Name 

 
Address

 
 
Questions  1 - 5     Simple
Age under 7 over 100 other
Sex male female other
Telephone user yes no beep beep
Can you read ? yes no eh ?
Can you read this ? yes no mochiron !

 
Questions 6  - 10    Technical
Can you use a computer ? yes no a what ?
Do you ever use the internet ? yes no yein
Do you ever wash your hands ? yes no niemals!
Can you blow your nose ? yes no huh !
Are sticky cats sticky to stick up ? yes no tokidoki !

 
Questions 11  - 15    Profound
Have you a pink dog ? yes no maybe
Does your pinkie ever talk ? yes no secret !
Repeat the above question. yeah neah top secret !
Sex M F Y
What colour is the night ? white red other

 
Questions 16  - 19    Odd
Is 57874663 an odd number ? yes no sometimes
Is 8 an odd odd number ? yes no maybe
Is even 3 an odd even number ? yes no always
Have you answered truefully ? yes well... hah hah !

 
 
 
 
 
Any last remark.

 
 
Now for the next step.