Natural Hair Colour:
[x] Brown - $10.00
[ ] Blonde - $7.50
[ ] Black - $1.50
[ ] Bald - $0.50
[ ] Other - $5.00

$10.00

Eye Colour:
[ ] Brown - $5.00
[ ] Green - $10.00
[ ] Blue - $15.00
[x] Hazel - $7.50
[ ] Other - $1.50

$17.50

Height:
[ ] Over 7′ - $20.00
[ ] 6′8″ to 7′ - $17.50
[x] 6′0″ to 6′7″ - $15.00
[ ] 5′5″ to 5′11″ - $7.50
[ ] 5′4″ to 5′10″ - $8.50
[ ] Under 5′4″ - $9.50

$32.50

Age:
[ ] 50 to 56 - $17.50
[ ] 46 to 50 - $15.00
[ ] 41 to 45 - $12.50
[ ] 31 to 40 - $10.00
[ ] 26 to 30 - $7.50
[x] 21 to 25 - $5.00
[ ] 19 to 20 - $2.50
[ ] 0 to 18 - $10.00

$37.50

Birth Order:
[ ] Twins or more than twins - $75.00
[ ] First Born - $32.00
[ ] Only Child - $25.00
[ ] Second Born - $15.00
[ ] Middle Child - $10.00
[x] Last Born - $10.00
[ ] Third Born - $55.00
[ ] Fourth Born - $30.00
[ ] Fifth Born - $40.00
[ ] Sixth Born - $21.50

$47.50

Drink?
[x] I did like once - $40.00
[ ] Only Holidays or occasions - $25.00
[ ] Sometimes - $21.50
[ ] YES - $20.00
[ ] Only weekends - $30.00
[ ] Every other day - $5.00
[ ] Once a day - $1.50
[ ] I live from the bottle - $Bankrupt$ [Back to $ZERO]
[ ] No - $60.00

$87.50

Vision:
[x] Perfect vision - $40.00
[ ] Need/have glasses/contacts but don't wear them - $20.00
[ ] No correction - $10.00
[ ] Glasses - $5.00
[ ] Contacts - $2.50
[ ] Surgical correction - $10.00

$127.50

Shoe Size:
[ ] 13+ - $30.00
[ ] 12 and a half to 13 - $25.00
[x] 11 to 12 - $40.00
[ ] 7 to 10 - $50.00
[ ] Under 7 - $45.00

$167.50

Favourite colours (two):

[ ] Green - $75.00
[ ] Red - $60.00
[ ] Black - $10.00
[ ] Yellow - $47.50
[x] Brown - $30.00
[x] Purple - $22.50
[ ] White - $40.00
[ ] Aqua - $35.00
[ ] Orange - $30.00
[ ] Blue - $30.00
[ ] Pink - $10.00
[ ] Other - $50.00

$220.00

Letter your middle name(s) start with:

[ ] a-f - $5.00
[ ] g-k - $17.50
[x] l-p - $30.00
[ ] q-u - $35.00
[ ] v-z - $25.00

$250.50

Bedroom walls - select all that apply!
[ ] White - $11.00
[ ] Green - $33.00
[ ] Black - $11.00
[ ] Purple - $22.00
[ ] Orange/red/yellow - $33.00
[ ] Blue - $22.00
[x] Other - $35.00

$285.00

First letter of the person you last talked to:
[x] a,b,c,d,e,f,g,h,i - $10.00
[ ] j,k,l,m,n,o,p,q,r - $5.00
[ ] s,t,u,v,w,x,y - $20.00
[ ] z - $25.00

$295.0

Did you use a calculator to add it all up?
[ ] Yes - $0
[ ] Nope - $100.00
[x] Some - $75.00

Total: $370.00