How old are you?

  5-6
  7-10
  11-13
  14-16
  17-18
  19+

Do you still have a babysitter?

  No
  When I'm home alone for a long time
  Yes

Do you know the times tables?

  Completly
  Somewhat
  I've heard of them
  No

How manny Languages do you speak

  1
  2
  3 or more

Who packs your lunch.

  Parent/Guardian
  The lady who works in the cafeteria
  Myself
  I don't eat lunch

Do you have any of the following disorders: ADD, ADHD, ODD, or OCD

  More than one
  One
  None

Do you now or have you ever required medication to function normally?

  I do now and I have for a long time
  I do now, but only recently
  I don't now, but I used to
  I don't Now No'er have I ever

What class were you brought up in?

  Upper
  Upper Middle
  Lower Middle
  Lower

Do you require special education plans?

  I do now and have for a while
  I do now, but only recently
  I don't, but I used to
  I don't no'er have I ever