Name:

Email:

City & State:

Where you grew up:

Ethnicity:

What is your earliest memory of a Chinese restaurant?
When was it and how old were you? (This can be approximate.) You might also include: how the restaurant looked & smelled; its name & location; what you ate; who you were with; &c.

Do you have a favorite Chinese restaurant now?
What is its name & where is it?

What did you most recently eat
in (or from) a Chinese restaurant?

Any additional comments:

I give Indigo Som permission to publish my response in her artwork:
YES/NO

Indigo Som has permission to publish my name along with my response:
YES/NO