Address:
1.) Do you have prior expirence of walking?
(A) If Yes, explain:
(B) If No, please explain why not:
2.) Can you get along with anyone? ___ (YES) ___ (NO)
3.) Can you talk about your day, espcially embarrassing moments? ___ (YES) ___ (NO)
4.) Could you provide your own transportation to my house and back home? (You are not required to take me or "Elizabeth" home with you) ___ (YES) ___ (NO)
5.) How far do you think you can walk? (in miles)
6.) Name five of your closest friends and put their phone numbers, please.
A.)
B.)
C.)
D.)
E.)
7.) Do you watch "Sue Johanson" on the Oxygen Channel. ___ (YES) ___ (NO)
If "yes" please put what you think of the show:
8.) Can you make jokes? ___ (YES) ___ (NO)
If "yes" please make a joke out of a burning barrel, frog, and a pond.
9.) How late can you stay out at night?
10.) Rate these things from 1 to 10. Ten being best:
Humor:
Friendship Relationships:
Dating Relationships:
Physical Condition:
11.) Current Age:
12.) Is there anything that would prohibit you from walking everynight from 8 p.m. to midnight?
___(YES) ___(NO) If "yes" please specify:
13.) Sex: ___ MALE ___ FEMALE (*May be excused not to answer this.)
14.) Have you ever heard of Edward BoJangles? If so, tell us about what you've heard:
15.) Birthday?
16.) Internet access?
17.) E-mail:
18.) Last time you did something you thought was stupid:
19.) Now turn it into a joke. (Ex. You fell down the steps and had to clean the house. You say something like-- I cleaned the steps so fast going down, I would make Martha Stewart jealous!)
20.) Do you watch any Soap Operas or read for fun?
21.) If we couldn't walk one night, what would you suppose we do?
22.) What type of music do you listen to?
Describe your taste in music:
23.) Who do you have a crush on? ("Ew eww tell me, I won't tell anyone!")
24.) What does this quote mean to you: "Ew eww tell me, I won't tell anyone!")
25.) Are you mature to handel serious situations and be able to joke around at the same time?!