Natural Hair Color:
[x] Brown - $10.00
[] Blonde - $7.50
[] Black - $1.50
[] Bald - $0.50
[] Other - $5.00
$10.00
Eye Color:
[x] Brown - $5.00
[] Green - $10.00
[] Blue - $15.00
[] Hazel - $7.50
[] Other - $1.50
$15.00
Height:
[] Over 7′ - $20.00
[] 6′8″ to 7′ - $17.50
[] 6′0″ to 6′7″ - $15.00
[] 5′5″ to 5′11″ - $7.50
[x] 5′4″ to 5′10″ - $8.50
[] Under 5′4 - $9.50
$23.50
Age:
[] 50 to 56 - $17.50
[] 46 to 50 - $15.00
[] 41 to 45 - $12.50
[] 31 to 40 - $10.00
[] 26 to 30 - $7.50
[] 21 to 25 - $5.00
[] 19 to 20 - $2.50
[x] 0 to 18 - $10.00
$33.50
Birth Order:
[] Twins or more than twins - $75.00
[] First Born - $32.00
[] Only Child - $25.00
[] Second born - $15.00
[] Middle child - $10.00
[x] Last Born - $10.00
[] third born - $55.00
[] fourth born - $30.00
[] fifth born - $40.00
[] sixth born -$21.50
$43.50
Drink?
[] I did like once - $40.00
[] Only Holidays or Occasions - $25.00
[] Sometimes - $21.50
[] YES - $20.00
[] only weekends - $30.00
[] Every other day - $5.00
[] Once a day - $1.50
[] I live from the bottle - $Bankrupt$ [[back to $ZERO]]
[x] No - $60.00
$103.50
Vision?
[] perfect vision $40.00
[x] need/have glasses/contacts but don't wear them $20.00
[] No correction $10.00
[] Glasses $5.00
[] Contacts $2.50
[] Surgical correction -$10.00
$123.50
Shoe Size:
[] 13+ - $30.00
[] 12 and a half to 13 - $25.00
[] 11 to 12 - $40.00
[x] 7 to 10 - $50.00
[] Under 7- $45.00
$173.50
Favorite Colors (2)
[] Green-$75.00
[] Red - $60.00
[] Black - $10.00
[] Yellow -$47.50
[] Brown - $30.00
[] Purple - $22.50
[] White - $40.00
[] Aqua - $35.00
[] Orange - $30.00
[x] Blue - $30.00
[] Pink - $10.00
[x] Other - $50.00
$153.50
Letter your middle name(s) start with:
[] a-f - $5.00
[] g-k - $17.50
[x] l-p - $30.00
[] q-u - $35.00
[] v-z -$25.00
$183.50
Bedroom walls - select all that apply!
[x] white - $11.00
[] green - $33.00
[] black - $11.00
[] purple - $22.00
[x] orange/red/yellow - $33.00
[] blue - $22.00
[] other - $35.00
$227.50
First letter of the person you last talked to
[x] a,b,c,d,e,f,g,h,i - $10.00
[] j,k,l,m,n,o,p,q,r - $5.00
[] s,t,u,v,w,x,y, - $20.00
[] z - $25.00
$237.50
Did you use a calculator to add it all up?
[] Yes $0
[x] Nope- $100.00
[] Some- $75.00
GRAND TOTAL OF!!! = $337.50