Rabu, 14 Maret 2012

Fill In The Blanks, Peckerwood

THE 2010 FEDERAL CENSUS FOR THE SOUTHposted by The_Web_Joker THE 2000 FEDERAL CENSUS FOR THE SOUTHLast name: ________________First name: (Check appropriate box)(_) Billy-Bob(_) Billy-Joe(_) Billy-Ray(_) Billy-Sue(_) Billy-Mae(_) Billy-JackWhat does everyone call you?(_) Booger(_) Bubba(_) Junior(_) Sissy(_) Other___________________Age: ____ (if unsure, guess)Sex: ____ M _____ F _____ Not sureShoe Size: ____ Left ____ RightOccupation: (Check appropriate box)(_) Farmer(_) Mechanic(_) Hair Dresser(_) Unemployed(_) Dirty Politician(_) PreacherSpouse’s Name:_________________________2nd Spouse’s Name:______________________3rd Spouse’s Name:______________________Lover’s Name:___________________________Relationship with spouse: (Check appropriate box)(_) Sister(_) Brother(_) Aunt(_) Uncle(_) Cousin(_) Mother(_) Father(_) Son(_) Daughter(_) PetNumber of children living in household: _____Number of children living in shed: ______Number that are yours: ______Mother’s Name: _______________________(If not sure, leave blank)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? (Check appropriate box)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: ___Firearms you own and where you keep them:____ truck____ bedroom____ bathroom____ kitchen____ shedModel and year of your pickup: 196_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 ShotgunNumber of times you’ve seen a UFO:_____Number of times in the last 5 years you’ve seen Elvis:_____Number of times you’ve seen Elvis in a UFO:_____How often do you bathe:(_) Weekly(_) Monthly(_) Not ApplicableColor of eyes:Left______ Right_____Color of hair:(_) Blond(_) Black(_) Red(_) Brown(_) White(_) ClairolColor of teeth:(_) Yellow(_) Brownish-Yellow(_) Brown(_) Black(_) N/ABrand of chewing tobacco you prefer:(_)Red-ManHow far is your home from a paved road?(_) 1 mile(_) 2 miles(_) just a whoop-and-a-holler(_) road?

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