Y2K Questionnaire
Your name:
Your age:
Are you ready for Y2K?
Home
Yes
No
Almost
Work
Yes
No
Almost
Which of the following do you consider ready for Y2K?
My Bank
My Grocery
My Church
My School
Do you believe Y2K will affect transportation?
Yes
No
Which of the following items will you need to have extra amounts just prior to January 1, 2000?
Groceries
Money
Gasoline
Water
Thank you for participating in this Y2K Readiness Survey.
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