1. What is your age? Under 18 Years Old 18 to 24 Years Old 25 to 30 Years Old 31 to 40 Years Old 41 to 50 Years Old 51 to 60 Years Old Over 60 Years Old2. What is your gender? Male Female3. What is your relationship status? No relationship currently Divorced, remarried or in a relationship Divorced, no current relationship Boy/girlfriend Engaged to be married Married4. If you are in a relationship currently, how is it going? Not in a relationship Going well Going poorly It has it's ups and downs5. What's your education status? Choose the highest one: Not in school, college degree Not in school, high school degree Not in school, no degree In high school currently In college currently In a vocational training program currently6. If you are in school, or when you were in school, how are/were your grades? Great Good Average Below average Poor7. What do you know about investing your money? Nothing I know some about investing, but I don't invest I know some about investing, and I have at least a retirement fund I know some about investing, and I'm building a portfolio I know a lot about investing and I have a strong portfolio8. How many pounds overweight are you? I'm underweight I'm about the right weight 10 to 25 26 to 50 51 to 100 Above 1009. Do you have any athletic talents? I'm athletic, but not so talented Yes, I'm athletic and can play a good game of [name of sport] I'm somewhat athletic and have decent talents I'm not very athletic, but I make an effort I'm not very athletic, period10. What is your living situation? Live with parents Live in a dorm or campus housing Rent Own a condo Own a home11. How often do you get to appreciate the finer things in life... travel, fine wine, broadway-style productions, elegant dining, and the like? Never Not often Sometimes Regularly12. What kind of occupation do you have? Manual labor Fast food, cashier, telephone operator Entry-level or part-time with potential to advance Full-time with decent pay and benefits Full-time with great pay and benefits Well-established doctor, lawyer, CEO, or the like13. How in debt are you currently, not counting mortage or school loans? Not in debt Less than $5,000 Less than $10,000 Less than $20,000 Less than $50,000 More than $50,00014. How many people would you say love you (count romantic, family and friend love)? None One Several Many Dozens15. How many languages can you speak? One Two Three or four Five or more16. How would you describe your circle of friends? Large, loyal and strong Large, loosely affiliated Small, loyal and strong Small, loosely affiliated17. How would you rate your own appearance? Beautiful/handsom Above average Average Below average Ghastly18. Are you well on your way to achieving your goals? Yes, I've already achieved important goals Yes, I'm on my way No, but I'm headed in the right direction No, I have some work to do Goals? What are those?19. How far have you traveled? A few towns over A few states over To another region of the continent To another continent To the other side of the world20. How do you spend your weekends? Working With friends and family Sleeping in and lazing around the house Strung out on drugs and alcohol21. Do you feel self-actualized? Yes Somewhat Just a smidgen No Huh?22. Are you charitable? Yes A little bit No23. What's the worst addiction you have? Caffeine Alcohol Drugs Internet Food Hobby or sport24. What is the best thing you write? Poetry Short stories Novels Letters/emails Blog entries Nothing25. Out of the following things, how many are you capable of? Cooking, playing a musical instrument, historical/geographic trivia, computers, handcrafts, drawing/painting, and hosting a party. All seven Five or six Three or four Two One None26. One last question. Do you FEEL like a winner or a loser? Winner Loser