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
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