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2010 census....

Discussion in 'The Lighter Side' started by AV1911, Apr 19, 2010.

  1. AV1911

    AV1911 Cali Girl

    2,329
    0
    Feb 18, 2006
    A.V. California
    The 2010 Federal Census For The State of ARKANSAS
    Last name: ________________
    First name: (Check appropriate box)
    (_) Billy-Bob
    (_) Billy-Joe
    (_) Billy-Ray
    (_) Billy-Sue
    (_) Billy-Mae
    (_) Billy-Jack
    What does everyone call you?
    (_) Booger
    (_) Bubba
    (_) Junior
    (_) Sissy
    (_) Other___________________
    Age: ____ (if unsure, guess)
    Sex: ____ M _____ F _____ Not sure
    Shoe Size: ____ Left ____ Right
    Occupation: (Check appropriate box)
    (_) Farmer
    (_) Mechanic
    (_) Hair Dresser
    (_) Unemployed
    (_) Dirty Politician
    (_) Preacher
    Spouse’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
    (_) Pet
    Number 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)
    Ed ucation: 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
    ____ shed
    Model 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 Shotgun
    Number 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 Applicable
    Color of eyes:
    Left______ Right_____
    Color of hair:
    (_) Blond
    (_) Black
    (_) Red
    (_) Brown
    (_) White
    (_) Clairol
    Color of teeth:
    (_) Yellow
    (_) Brownish-Yellow
    (_) Brown
    (_) Black
    (_) None(_)
    Brand of chewing tobacco you prefer:
    (_)Red-Man
    How far is your home from a paved road?
    (_) 1 mile
    (_) 2 miles
    (_) just a whoop-and-a-holler
    (_) What's a road?