Name:

Age: Under 15 Between 15 and 30 Over 30

Gender: Male Female Other

Where you go/went to school:

Favorite Subject in school: Math Language Arts Science Social Studies

Your grades in school: A-Bs B-Cs C-Ds D-Fs

Choose a Color: Blue Red Purple

Favorite food:

Favorite author:

Star Wars or Star Trek: Star Wars Star Trek

How do you feel right now: