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Friday, March 27, 2015

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

5 comments:

Anonymous said...

I'm not sure I like this Joe but then I'm a redneck so what do I know. lol map

Anonymous said...

I hed noo problim folling it oot. Whets tha big deel, huh?

Anonymous said...

Try posting the "ghetto version" and suddenly it's way-sis.

Anonymous said...

I got one of these when it was the 2010 census. It was from Salisbury City !

Anonymous said...

I've copied this form,completed it,and attached it to my application to West Virginia University.That,plus the fact that I can't play basketball worth a crap should make me a shoe in.