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SideshowRob
10-20-2006, 07:51 PM
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:
>[_] Farmer [_] Mechanic
>[_] 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
>[_] Best friend's wife
>
>Relationship with lover:
>[_] Sister [_] Aunt
>[_] Brother [_] Uncle
>[_] Mother [_] Son
>[_] Father [_] Daughter
>[_] Cousin [_] Pet
>[_] Best friend's wife
>
>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
>
>
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