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QUESTIONNAIRE FOR AGES 3–7

*Please record your child’s answers and send them to us!*

What is your name?


Where do you live?
How old are you?

Please have your child answer one (or both!) of these questions:

• How do you feel about your next birthday and how old you’re going to be?
• What does it feel like to be (your age)? Are there any surprising things about your age?

Please have your child answer questions, one (or more!) of these questions:

• What do you want to be when you grow up? (And what age will that be?)
• What makes you happy?
• What is your wish for the world?

*By answering this survey you are agreeing to be included in this book and we reserve the right to
make any edits we deem necessary in the interest of the book and or in order to make sure the book is
age appropriate. We reserve the right to make any edits we deem necessary in the interest of this book.

For children 18 and under, we kindly ask that their parents sign this questionnaire in order to give us
their consent for having their children participate in the project.

Please sign here _______________________

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