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Redneck Survey

Last name: ________________
First name: Check appropriate box:

[ ] 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: [ ] Male [ ] Female [ ] Not sure
Shoe Size: ____ Left ____ Right
Occupation:
[ ] Farmer [ ] Mechanic
[ ] Hair Dresser [ ] Waitress
[ ] Un-employed [ ] Dirty Politician

Spouse's Name: __________________________
2nd Spouse's Name: __________________________
3rd Spouse'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_

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





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