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LRBC Matching Questionnaire
First Name
Last Name
Email
Favorite Musical Performer or Composer
Movie Choice 1
- Select -
Action
Comedy
Drama
Family
Musical
Science Fiction
Cartoon Animation
Movie Choice 2
- Select -
Action
Comedy
Drama
Family
Musical
Science Fiction
Cartoon Animation
Movie Choice 3
- Select -
Action
Comedy
Drama
Family
Musical
Science Fiction
Cartoon Animation
Favorite Beverage
Never Done, Always Wanted To Do
Favorite Sport to Participate In
Favorite Sport to Watch
Favorite Player
Favorite Hobby
Would you rather be indoors or outdoors?
Indoors
Outdoors
Favorite School Subject
Least Favorite School Subject
Something You Are Good At
Something You Wish You Were Better At
Mentor/Mentee Preferences
Describe Mentor/Mentee
Choose your top three indoor activities
Watch a video/DVD
Watch TV
Listen to music
Organize my room
Read a book
Play a video game
Surf the internet
Computer programming
Go to a movie
Play card games
Play board games
Build a model (car, airplane, etc.)
Draw or paint a picture
Go shopping
Sleep
Dancing
Cooking
Talk on phone
Text
Other
Choose your top three outdoor activities
Go for a walk
Hanging out on the street
Go swimming
Go camping
Play a team sport (baseball, soccer, basketball)
Play an individual sport (tennis, golf, skateboarding, bike riding, running, cricket, ice-skating)
Attend a group activity
Go to the park
Go to the museum
Go to the botanical garden
Go to cultural center
Go on road trips
Photography
Go for a bike ride
Other
Choose your top three kinds of music
Country
Rap
Hip Hop
Classical
Rock and Roll
Classic Rock
Oldies
R&B
Calypso
Reggae
Soca
Zouk
Gospel/Inspirational
Other
Choose your top three kinds of food
American
Caribbean
West African
Chinese
Thai
Mexican
Hamburgers and hot dogs
Italian
Home style (pot roast, meat loaf, mashed potatoes)
Steak
Seafood
Peanut butter and jelly
Other
Submit Form
