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Table Manners Survey

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Do you watch TV when eating?

a)

Always

b)

Sometimes

c)

Never

2.

Do you chew with your mouth open?

a)

Always

b)

Sometimes

c)

Never

3.

When do you start eating?

a)

When the oldest starts

b)

When I get my food.

c)

When the host starts.

d)

When the youngest starts.

4.

Do you play with a cell phone or Ipad when eating?

a)

Always

b)

Sometimes

c)

Never

5.

When elders are talking, do you interrupt them?

a)

Often

b)

Sometimes

c)

Never

6.

Do you say "Excuse me" when you burp or sneeze?

a)

Always

b)

Sometimes

c)

Never

7.

Do you say "Please" or "May I" when you want to take something from someone?

a)

Always

b)

Sometimes

c)

Never

8.

Do you put your elbow on the table when eating?

a)

Always

b)

Sometimes

c)

Never

9.

Do you play with your food?

a)

Always

b)

Sometimes

c)

Never

10.

Do you double dip your food?

a)

Always

b)

Sometimes

c)

Never