Plez compleet this paper, best ya can.
Last name: ________________
First name:
_ Billy-Bob _ Bobby-Sue
_ Billy-Joe _ Bobby-Jo
_ Billy-Ray _ Bobby-Ann
_ Billy-Sue _ Bobby-Lee
_ Billy-Mae _ Bobby-Ellen
_ Billy-Jack _ Bobby-Beth Ann Sue
Age: ____ (if unsure, guess)
Sex: _M _F _None
Shoe Size: ____ Left ____ Right
Occupation:
_ Hair Dresser _ Waitress
_ Un-employed _ Dirty Politician
Spouse's Name: __________________________
2nd Spouse's Name: __________________________
3rd Spouse's Name: __________________________
Lover's Name: __________________________
2nd Lover's Name: __________________________
Relationship with spouse:
_ Sister _ Aunt
_ Brother _ Uncle
_ Mother _ Son
_ Father _ Daughter
_ Cousin _ Pet
Number of children living in household: ___
Number of children living in shed: ___
Number of children that are yours: ___
Mother's Name: _______________________
Father's Name: _______________________
Education: 1 2 3 4 (Circle highest grade completed)
If you obtained a higher education what was your major?
_ 5th grade _ 6th grade
Do you _ own or _ rent your mobile home?
Vehicles you own and where you keep them:
___ Total number of vehicles you own
___ Number of vehicles that still crank
___ Number of vehicles in front yard
___ Number of vehicles in back yard
___ Number of vehicles on cement blocks
Age you started drivin ______ (If over 10 are you are still
slow lerrnin ? _ Yes _ No)
Firearms you own and where you keep them:
____ truck ____ kitchen
____ bedroom ____ bathroom/outhouse
____ shed ____ pawnshop
Model and year of your pickup: _____________194_
Do you have a gun rack?
_ Yes _ No; If no, please explain:
Newspapers/magazines you subscribe to:
_ The National Enquirer _ The Globe
_ TV Guide _ Soap Opera Digest
_ Rifle and Shotgun _ Bassmasters
___ Number of times you've seen a UFO
___ Number of times you've seen Elvis
___ Number of times you've seen Elvis in a UFO
How often do you bathe:
_ Weekly
_ Monthly
_ Not Applicable
How many teeth in YOUR mouth? ___
Color of teeth:
_ Yellow _ Brownish-Yellow
_ Brown _ Black
_ N/A
Brand of chewing tobacco you prefer:
_ Red-Man _ Skoal
How far is your home from a paved road?
_ 1 mile
_ 2 miles
_ don't know