Hero Questionnaire

Name ________________________
1. Are you a man or woman? _______________________
2. When were you born? (month/day/year) ?
____________________________ age__________
3. Where were you born?____________________________
4. What is your occupation? ________________________
5. Where have you lived? ________________________________
_________________________________________________________
6. How do you know the student who considers you a hero?
_________________________________________________________
_________________________________________________________
7. If you could pick one person to be your hero, who would it
be and why? ____________________________________________
_________________________________________________________