Ann Posted April 5, 2007 Share Posted April 5, 2007 Last name: _________________ First name: (Check appropriate box) [_] 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_____Not sure Shoe Size: _____Left_____Right Occupation: [_] Farmer [_] Mechanic [_] Hair Dresser [_] Waitress [_] Unemployed [_] Dirty Politician Spouse's Name_________________________ 2nd Spouse's Name: _________________ 3rd Spouse's Name: _________________ Lover's Name: ________________________ 2nd Lover's Name: ___________________ Relationship to spouse: [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Son [_] Father [_] Daughter [_] Cousin [_] Pet Number of children living in household: _____ Number of children living in shed: _____ Number that are yours: _____ Mother's Name: ___________________ Father's Name: ___________________ (If not sure, leave blank) Education: 1 2 3 4 (Circle highest grade completed) Do you [_] own or [_] rent your mobile home? ___ Total number of vehicles that 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 Where your firearms are kept: [_] truck [_] kitchen [_] bedroom [_] bathroom [_] shed Model and year of your pickup: _______ 194_ Do you have a gun rack? [_] Yes [_] No; if no, please explain: _____________________ Newspapers/magazines you subscribe to: [_] National Enquirer [_] The Globe [_] TV Guide [_] Soap Opera Digest [_] Rifle and Shotgun ___ 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 Color of teeth: [_] Yellow [_] Brownish-Yellow [_] Brown [_] Black [_] N/A How many?_____ Brand of chewing tobacco you prefer: [_] Red-Man How far is your home from a paved road? [_] 200-400 miles [_] over 400 miles [_] what's a miles? Quote Link to comment Share on other sites More sharing options...
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