Dec 12 2008
Official Cheektowaga Survey
Name:______________________________
Address: ___________________________
Parish: _______ Volunteer Fire District: __________
Bowling average der (check only one dere)
[ ] 200-225
[ ] 226-250
[ ] 251-275
[ ] 276-300
[ ] above 300
Vehicle dat you own der (check all dat apply)
[ ] Dodge Aries
[ ] Plymouth Acclaim
[ ] Dodge Aspen
[ ] Plymouth Duster
[ ] Dodge Dart
[ ] Plymouth Reliant
[ ] Dodge Shadow
[ ] Plymouth Sundance
[ ] Dodge Spirit
[ ] Plymouth Volare
Vehicle equipped with what der (check all dat apply)
[ ] Light bar on roof
[ ] Scanner
[ ] Motorola 2-way radio
[ ] Bowling ball bag
[ ] Bingo blotters
[ ] Blesset Mother statue
[ ] Infant Jesus statue
[ ] St. Jude statue
[ ] Bobbing head Bills figurine
[ ] Volunteer fire department emblem on grille
Ornaments on your lawn der (check all dat apply)
[ ] Deer
[ ] Deer family
[ ] Flower – plastic spinning
[ ] Gnome
[ ] Goose
[ ] Goose planter
[ ] Lawn jockey (colert)
[ ] Little Bo Peep
[ ] Little Bo Peep wit da sheep
[ ] Orb (shiny)
[ ] Pink flamingo
[ ] Pink flamingo wit da spinningwinks
[ ] Shrine – Blesset Mother
[ ] Shrine – Infant of Prauge
[ ] Shrine – Buffalo Bills
[ ] Silhouette – dog jumping up tree
Religion (check only one der)
[ ] Polish National Catlik
[ ] Roman Catlik
[ ] Non-practisink Catlik
[ ] Buffalo Bills fan
[ ] Volunteer fireman
Bumper stickers:
[ ] “Pray the Rosary”
[ ] “Franczyk for Congress”
[ ] “Gorski for County Executive”
[ ] “I Love my Reliant”
[ ] “Airport Lanes 300 Club”
[ ] Anytink relatink to da Bills
[ ] “Volunteer Firemen do it With More Hose”
Define da following:
1. dupa
2. 7-10 split
3. lawn fete
4. pierogi
5. Dyngus Day
6 fish fry
7. crick
8. spaghetti dinner
9. third round draft pick
10. five alarmer
Favorite recreation:
[ ] Polka dancing
[ ] Bingo
[ ] Goink to da Townpark dere and lookink at da ladies’ dupas.
[ ] Saturday mass
[ ] Suntay mass
[ ] Watchink da Mother Angelica Show on da EWTN channel dere
[ ] Fireman’s Olympics
[ ] Tailgate party in da Rich Stadium parking lot
Where do you have relatives der? (check all that apply)
[ ] In da city near Sycamore (why haven’t dey mooft der?)
[ ] In da city on de olt East Side der, by Brudvay ant Fillmore
[ ] In da city in St. John Kanty’s Parish der
[ ] In da city in Kaisertown der
[ ] In da city in Lovejoy der
[ ] In da city in Black Rock der
[ ] Chickatawaga der
[ ] Sloan der
[ ] Depew der
[ ] Lancaster der (boy, dey must be really rich der)
[ ] Nort Tanawanda der
[ ] Lackawanna der
[ ] Warsaw der (Polant, not da town in Wyomink Cahnty der)
[ ] Gdansk der
[ ] Krakow der
[ ] Elsewhere in da olt country der
Sign here der _________________________
