Your first name:
Are you a boy or a girl?: Boy Girl
How old will you be on your next birthday (please use numerals):
Tell us about your parents:
Do you have a mom: Yes No
Do you have a dad: Yes No
Do you all live together?: Yes No
Which one do you spend the most time with: mom or dad
Equal amounts of time with them: No Yes
If you live with someone other than your parents tell us their name or what you call them?:
The color of my room is:
I live in a (type of place you live, house, apartment, condo, townhouse etc.):
If you have one or more pets please enter their names:
My pets are (dog,cat etc):
My favorite snack is:
I don’t have a pet, but I have a very special friend who’s first name is:
My friend is a: Boy Girl
I was born in (name of state and country you were born in):
I was born in the month of:
Who took care of me when I was small. (mom, dad, parents, grandparents, special friend, babysitter):
My favorite toy or stuffed animal is:
The first names of two of my friends are: and
I love to go to: with my family.
Things that you see during trip(farm animals, a waterfall,tall buildings etc.): , and
There are more people in my family. I call them: , , (grandma, grandpa, Aunt, Uncle, Cousin etc.).