What is your mom's name? Do you have any disabilities? Do you have plans to have children in the future? What religious holidays do you celebrate? Are you married, divorced, separated, or widowed? What childcare arrangements have you made? What name title do you prefer (Mr./Mrs./Ms.)? What is your medical history? Is this your married name or your maiden name? What are your medical conditions? Do you live with your parents? Have you ever spent the night in jail? Have you ever been arrested? Are you related to _____? Are you a U.S. citizen? How many days were you sick last year? What year did you graduate high school? What is your father’s salary? Do you have a boyfriend or girlfriend? Are your parents U.S. citizens? How old are you? Do you attend church regularly? What do your parents do for a living? What is your religious affiliation? On what date did you acquire U.S. citizenship? How do you define success? What are your greatest strengths? What year were you born? What religion do you practice? What is your mom's name? Do you have any disabilities? Do you have plans to have children in the future? What religious holidays do you celebrate? Are you married, divorced, separated, or widowed? What childcare arrangements have you made? What name title do you prefer (Mr./Mrs./Ms.)? What is your medical history? Is this your married name or your maiden name? What are your medical conditions? Do you live with your parents? Have you ever spent the night in jail? Have you ever been arrested? Are you related to _____? Are you a U.S. citizen? How many days were you sick last year? What year did you graduate high school? What is your father’s salary? Do you have a boyfriend or girlfriend? Are your parents U.S. citizens? How old are you? Do you attend church regularly? What do your parents do for a living? What is your religious affiliation? On what date did you acquire U.S. citizenship? How do you define success? What are your greatest strengths? What year were you born? What religion do you practice?
(Print)
What is your mom's name?
Do you have any disabilities?
Do you have plans to have children in the future?
What religious holidays do you celebrate?
Are you married, divorced, separated, or widowed?
What childcare arrangements have you made?
What name title do you prefer (Mr./Mrs./Ms.)?
What is your medical history?
Is this your married name or your maiden name?
What are your medical conditions?
Do you live with your parents?
Have you ever spent the night in jail?
Have you ever been arrested?
Are you related to _____?
Are you a U.S. citizen?
How many days were you sick last year?
What year did you graduate high school?
What is your father’s salary?
Do you have a boyfriend or girlfriend?
Are your parents U.S. citizens?
How old are you?
Do you attend church regularly?
What do your parents do for a living?
What is your religious affiliation?
On what date did you acquire U.S. citizenship?
How do you define success?
What are your greatest strengths?
What year were you born?
What religion do you practice?
