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* 1. Name

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* 2. What grade are you in?

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* 3. How old are you?

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* 4. What Lemonade Day city are you participating with? 

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* 5. School/Organization

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* 6. Teacher/Group Leader Name

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* 7. Do you have your own money?

I don't have my own money Yes, my parents give me some Yes, I make my own money by selling or doing stuff
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* 8. How do you want to make money in the future?

I don't know yet I want to get a job and work for someone I want to create a job myself or start a business
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* 9. Does anyone in your family have their own business?

I don't know No, no one in my family has their own business Yes, someone in my family has a business
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* 10. If you can spend $5 to start a business and MAYBE earn $25, will you try?

No, I want to keep my $5 safe Yes, but only if I can get my $5 back Yes, even if I lose my $5
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* 11. If you had to build a house for a puppy, how would you do it?

I would do it all by myself I would do it with my friend I would need help from my family
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* 12. Do you like making new things?

No, I'm not really creative It's ok for me Yes, I'm full of good ideas
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