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...
waka nai !
Any last remark.
Now for the next step.