I stole this from I'm bored. sue me.

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

$100

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

$200

Height:
[ ] Over 7' - $200
[ ] 6'8" to 7' - $175
[ ] 6'0" to 6'7" - $150
[x] 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
[x] 21 to 25 - $50
[ ] 19 to 20 - $25
[ ] 0 to 18 - $100

$325

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

$425

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$

$640

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

$690

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

$2205

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

$2905

Favorite Color:
[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

$4905

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

Totel: $5455