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
[X] 6'0" to 6'7". . . $150
[ ] 5'5" to 5'11". . . $75
[ ] 4'9" to 5'4". . . $45
[ ] Under 4'9. . . $45

$350


Age:
[ ] 40+. . . $75
[ ] 31 to 40. . . $100
[ ] 26 to 30. . . $75
[ ] 21 to 25. . . $50
[ ] 19 to 20. . . $25
[X] 0 to 18. . . $100

$450


Birth Order:
[ ] Twins. . . $300
[ ] First Born. . . $300
[ ] Only Child. . . $250
[ ] Second Born. . . $150
[ ] Middle Child. . . $100
[ ] Last Born. . . $100
[ ] Third Born. . . $100
[ ] Fourth Born. . . $100
[X] Fifth Born. . . $100

$550


Drink?
[X] No. . . $400
[ ] Only Holidays. . . $250
[ ] Sometimes. . . $215
[ ] YES. . . $200
[ ] Only Weekends. . . $350
[ ] Every Other Day. . . $50
[ ] Once a Day. . . $15
[ ] Live In the Bottle. . . $BANKRUPT$

$950


Vision?
[x] Perfect Vision. . . $300
[ ] Need/Have Glasses/Contacts, but DON`T Wear Them. . . $200
[ ] Glasses. . . $50
[ ] Contacts. . . $25
[ ] Surgical Correction. . . $1

$1250


Car 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
[ ] No Car. . . $0
[ ] Other. . . $ 50

$1250


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

$1,950


Favorite Color:

[ ] Black. . . $450
[X] Green. . . $750
[ ] Red. . . $600
[ ] Yellow. . . $475
[ ] Brown. . . $50
[X] Purple. . . $225
[ ] White. . . $400
[ ] Aqua. . . $350
[ ] Orange. . . $300
[ ] Blue. . . $300
[ ] Pink. . . $100

$2,925

Did you use a calculator to add it all up?
[ ] Yes. . . $0
[x] No. . . $1,000
[ ] Some. . . $550


TOTAL: $3,925