Natural Hair Color:
[ ] Brown - $100
[x] Blonde - $50
[ ] Black - $15
[ ] Bald - $5
[ ] Other-$75

100

Eye Color:
[ ] Brown - $1
[x] Green - $75
[ ] Blue $50
[ ] Hazel $100
[ ] Other - $15

125

Height:
[ ] Over 7' - $200
[ ] 6'8" to 7' - $175
[x] 6'0" to 6'7" - $150
[ ] 5'5" to 5'11" - $75
[ ]4'9" to 5'4" - $45
[ ] Under 4'9 - $45

275

Age:
[ ] 31 to 40 - $100
[ ] 26 to 30 - $75
[ ] 21 to 25 - $50
[ ] 19 to 20 - $25
[x] 0 to 18 - $100

375

Birth Order:
[ ] Twins or more than twins - $300
[ ]First Born - $300
[ ] Only Child - $250
[ ] second born - $150
[ ] Middle child-$100
[x] Last Born - $100
[ ] third born - $100
[ ] fourth born - $100
[ ] fifth born - $100

475

Drink?
[ ] No - $400
[ ] Only Holidays - $250
[x] Sometimes - $215
[ ] YES - $200
[ ] Only weekends - $350
[ ] Every other day - $50
[ ] Once a day - $15
[ ] I live from the bottle -$Bankrupt$

690

Vision?
[ ] perfect vision -$300
[ ] need or have glasses/contacts but dont wear them - $200
[ ] No correction $100
[ ] Glasses - $50
[x] contacts - $25
[ ] Surgical correction - $1

715

Car(s) Color:
[ ] Pink - $2,000
[ ] Maroon - $800
[ ] Gold - $700
[ ] Gray - $600
[ ] Blue - $900
[ ] Obsdian - $800
[ ] White - $475
[ ] Red - $400
[ ] Green- $350
[ ] Silver $300
[ ] Purple- $250
[ ] Metallic - $200
[ ] Yellow - $100
[ ] Primer - $75
[ ] Tan- $20
[ ] Rusted - $15
[x] No Car - $0
[ ] Other - $ 50

715

Shoe Size:
[ ] 13+ - $300 (Yes.)
[ ]12.5 to 13 - $250
[ ] 11 to 12 - $700
[x] 7 to 10 - $500
[ ] Under 7- $550

1215


Favorite Color(s):
[x] Black - $450
[x] Green-$750
[x] Red - $600
[ ] Yellow -$475
[ ] Brown - $50
[ ] Purple - $225
[ ] White - $400
[ ] Aqua - $350
[ ] Orange - $300
[ ] Blue - $300
[ ] Pink - $100

3015

Did you use a calculator to add it all up?
[ ] Yes - $0
[x]no- $1000
[ ] on some - $550


Total : $4015

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