REDNECK CENSUS FORM Check appropriate box

First name: [_] Billy-Bob [_] Bobby-Sue [_] Billy-Joe [_] Bobby-Jo [_] Billy-Ray [_] Bobby-Ann [_] Billy-Sue [_] Bobby-Lee [_] Billy-Mae [_] Bobby-Ellen [_] Billy-Jack [_] Bobby-Beth Ann Sue   Age: ____ (if unsure, guess)   Sex: ____ M _____ F _____ Not sure   Shoe Size: ____ Left ____ Right   Occupation: [_] Farmer [_] Mechanic [_] Hair Dresser [_] Waitress [_] Un-employed [_] Dirty Politician   Spouse's Name: __________________________   2nd Spouse's Name: __________________________   3rdSpouse's Name: __________________________   Lover's Name: __________________________   2nd Lover's Name: __________________________   Relationship with spouse: [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Son [_] Father [_] Daughter [_] Cousin [_] Pet   Number of children living in household: ___   Number of children living in shed: ___   Number of children that are yours: ___   Mother's Name: _______________________   Father's Name: _______________________ (If not sure, leave blank)   Education: 1 2 3 4 (Circle highest grade completed)   Do you [_] own or [_] rent your mobile home? (Check appropriate box)   Vehicles you own and where you keep them: ___ 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 ____ kitchen ____ bedroom ____ bathroom ____ shed   Model and year of your pickup: _____________ 194__ Number of road kills presently in your freezer? [ ] 3 [ ] 5 [ ] 10 or more   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 you've seen Elvis   ___ Number of times you've seen Elvis in a UFO   How often do you bathe: [_] Weekly [_] Monthly [_] Not Applicable   How many teeth? ___   Color of teeth: [_] Yellow [_] Brownish-Yellow [_] Brown [_] Black [_] N/A   Brand of chewing tobacco you prefer: [_] Red-Man   How far is your home from a paved road? [_] 1 mile [_] 2 miles [_] don't know