Kids Time Capsule Questionnaire
Capture your memories, favorites, and dreams to open in the future!
Your Full Name
*
First Name
Last Name
How old are you?
*
Today's Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your favorite color?
*
Please Select
Red
Blue
Green
Yellow
Purple
Pink
Orange
Other
Who are your best friends?
What are your favorite hobbies or activities?
Drawing
Reading
Playing Sports
Music
Dancing
Gaming
Other
What do you want to be when you grow up?
What is something you are proud of?
Write a message to your future self
How do you feel today?
Not so good
1
2
3
4
Amazing!
5
1 is Not so good, 5 is Amazing!
Upload a photo or a drawing of yourself or something important to you
Upload a File
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