| **Breakfast** | |
|---|---|
| Eggs; Sunny side up, Scrambled or Hard boiled? | |
| Sausage or Bacon? | |
| Pancakes, Crêpes or Waffles? | |
| Croissant, Danish or Pain au Chocolat? | |
| Coffee, Juice, or Hot Chocolate? | |
| **Lunch** | |
| Pasta; Spaghetti, Tortellini, Lasagna, Ravioli, or Gnocchi? | |
| Pasta Sauce; Cheese, Tomato, or Meat? | |
| Soup; Mushroom, Tomato, Broccoli, Carrot, Vegetable, Chowder, or Other? | |
| With Soup; Crackers, Toast, Croutons, Bacon Bits or Baguette? | |
| Pizza; Cheese, Hawaiian, Pepperoni, Italian Sausage, Veggie, or Other? | |
| Pizza; Square Slice, Pointy Slice or Deep Dish? | |
| Sandwich; or white bread or brown? | |
| Toppings; Lettuce, Tomato, Onion, Peppers, Mushrooms,Mayo,Salt, or Other? | |
| Chinese; Springrolls or Eggrolls? | |
| Chinese; Sweet & Sour Pork, Crispy Sesame Beef, or General Tao Chicken? | |
| East Indian; Veggie Korma (curry) or Tandoori Chicken? | |
| **Dinner** | |
| Meat; Well done, Medium, or Rare? | |
| Mashed Potatoes or Baked? | |
| Salad Dressing; Vinaigrette, 1000 Island, Ranch, or Other? | |
| Cheese; Cheddar, Mozzarella, Havarti, Ricotta, Feta, Cottage, Brie, Soy, or Other? | |
| Milk; Regular Soy, Chocolate Soy, 1%, 2%, Skim, or Chocolate? | |
| Sushi; California Rolls, Spicy Salmon, Crab, Eel, Egg, Octopus, or Other? | |
| Sushi; Wasabi, Soysauce, Neither, or Both? | |
| **Fastfood** | |
| KFC; 2 piece combo, 3 piece combo, Family-Sized combo, or Chicken Club? | |
| KFC; Coleslaw, Potato Salad, or Macaroni Salad? | |
| Pop; Coke, Pepsi, Sprite, Rootbeer, 7-Up, Orange Crush, Cherry Coke, or Other? | |
| Burger King, In & Out, McDonald's, Harvey's, Hardee's, White Castle, A&W, or Other? | |
| Burger Toppings; Lettuce, Tomato, Ketchup, Mayo, Mustard, Mushrooms, Or All Dressed? | |
| Fries; Tater Tots, Poutine (if you're Canadian), Cheese Fries, Wedge, or Regular? | |
| Pie; Apple, Cherry, Lemon, Lime, Blueberry, Sugar, or Other? | |
| Pie; With or Without Ice Cream? | |
| Dessert; Ice Cream, Frozen Yoghurt, Gelato, or Jello? | |
| Dessert; Cake, Pie, Brownies, Cookies, or Fresh Fruit w. Whipping Cream? | |
| Popcorn; Buttery, Caramel, Strawberry, Or Plain Old Salted? | |
| **Your home*** | |
| House, Condo, Apartment, Trailer, or Other? | |
| Live alone, with Roomies, with Parents, or Other? | |
| Rent or Own? (if you Rent, how much do you pay?) | |
| Neighbourhood you live in; Poor, Middle Class, Wealthy, Artsy, Conservative? | |
| City Centre, Burbs, or Country? | |
| Do your area safe? | |
| At what age did you move out? If you haven't yet, at what age do you plan to? | |
| What was the hardest part about leaving home? | |
| Do you and your family still live in the same city or town? | |
| Your room; Messy, a bit Messy, Cleanish, or Meticulously Clean? | |
| **Getting Around** | |
| Walking, Bicycle, Rollerblades, Bus, Subway, Car, or Commuter Train? | |
| If you take public transit, how much is the fare? | |
| Tokens, Pass, or Tickets? | |
| Commuter Ritual (Coffee? Newspaper? Book?) | |
| Which Bus, Subway, or Train stop is nearest to you? | |
| Doughnut run; Glazed, Chocolate, Bavarian Cream, Crueller, or Jam Filled? | |
| Drivers License; Learners, Drivers or None? | |
| Do you own your own car? (what kind of car?) | |
| **School** | |
| Home schooled, Private, or Public? | |
| Your School; Uniform or No Uniform? | |
| Your School; Catholic, Jewish, or Secular? | |
| You; Preppy, Jock, Goth, Punk, Cheerleader, Loner, Nerd, Class Clown, or Other? | |
| What year did you Graduate? if you haven't yet, what year will you graduate? | |
| Discipline; Excellent Student, Good Student, Okay Student, or Abysmal Student? | |
| **Travel** | |
| Where have you travelled? (be specific; name specific cities) | |
| Have you flown before? if so, what's your favourite airline? | |
| Flying Rituals? (book, ipod, sleeping, etc..) | |
| In flight meal; Chicken, Beef, Pasta, Vegetarian/Vegan, Oriental, or Kid's? | |
| Which class do you usually take; First, Business, or Economy? | |
| Have you ever flown First Class? or been Upgraded? | |
| Have you been on a train before? If so, which? (subways don't count) | |
| Have you been on a ferry before? If so, which? | |
| Have you been on a cruise before? If so, which? | |
| Do you get motion sick? | |
| Hotel; which sort of room do you usually stay in; Suite, Premium, Regular? | |
| Have you travelled on your own before? (alone; that means no friends, no parents) | |
| **At what age did you...** | |
| Learn to tie your shoes? | |
| Learn to walk? (if you're unsure, ask your parents) | |
| Learn about sex? | |
| Have your first real kiss? | |
| If you're not a virgin; have sex for the first time? | |
| If you're married; when? | |
| If you had kids; when? | |
| **Mental and Physical Wellbeing** | |
| Are you seeing a shrink? | |
| Are you on any medications? | |
| Birth Control; Condoms, Depo-Provera, the Pill, Vesectomy, or Hysterectomy? | |
| Smoke, Drink, Do Illegal Drugs? (if so, which?) | |
| If you smoke; have you any intention of quitting? | |
| Is your diet Low-fat, Reasonably Low-fat, or High-fat? (be honest) | |
| Which body type are you; Anorexic, Skinny, Regular, Athletic, Pudgy, or Obese? | |
| Do you follow trend diets such as Low-Carb or Atkins? | |
| **Relationships** | |
| Casual, Short-Term, or Long-Term? | |
| Are you an open & honest individual or do you stew in your feelings? | |
| Is your relationship such, that if you wanted to candidly discuss sex , you could? | |
| How do you cope with breakups? (Häagen-Dazs? A Box of Tissues? Revenge?) | |
| Straight, Bi-Curious, Straight-Curious, Lesbian, or Gay? | |
| What kind of guy/girl do you look for; Rebel, Puritan, Brainiac, Athlete, or Other? | |
| **Holidays and Religion** | |
| Christmas, Hannukah, Kwanzah, or Neither? | |
| Christian, Catholic, Shinto, Buddhist, Wiccan, Qwaker, Agnostic, or Atheist? | |
| When you buy presents, are they extravagant, reasonable, or cheapskate? | |
| What was the BEST present you've ever received? | |
| Easter; Cadbury Eggs, Kinder Surprise, Jellybeans, or Peeps? | |
| Do you take Valentines day seriously? If so, how do you celebrate? | |
| Halloween; what is the worst thing you've gotten trick-or-treating? | |
| **Hot topics** | |
| Pro-choice or Pro-life? | |
| Pro-gay marriage or against? | |
| If your daughter or son were gay, how would you respond? | |
| If your daughter decided to have an abortion, how would you respond? | |
| Are you generally intolerant of those different from yourself? | |
| **Blogging** | |
| Do you blog? if so, when did you start? | |
| What kind of blog; picture blog, personal blog, culinary blog, political blog? | |
| How many people on your friend's list? | |
| **MySpace** | |
| What's your MySpace address? | |
| **Chatting** | |
| Which do you use; MSN, Yahoo, AIM Messenger, and/or Other? | |
| What is your username? | |
| Does webspeak annoy you? (ie. ROFL, LOL, "Peepz", "H8TRZ") | |
| Do you spend more time chatting than hanging out in real life? | |
| Do you frequent specific chatrooms? | |
| **Death** | |
| Burial or Cremation? | |
| Funeral; Lavish or Simple? Cremation; Urn or Ashes thrown someplace you loved? | |
| What do you believe happens after death? | |
| Have you seen a dead body before (human)? | |
| How would you ideally like to die? | |
| **YouTube** | |
| Who are your favourite YouTubers? (ie. The WineKone, Renetto, WilliamSledd?) | |
| Do you yourself YouTube? If so, what's your YouTube addy? | |
Survey Template:
|
Nobody has commented on this survey yet. Feel free to add your own comment below. Only registered members can post comments. |