Last name: ________________ ©JOKEDEMO.COM
First name: (Check appropriate box)
(_) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack ©JOKEDEMO.COM
What does everyone call you?
(_) Booger
(_) Bubba
(_) Junior
(_) Sissy
(_) Other___________________ ©JOKEDEMO.COM
Age: ____ (if unsure, guess) _____ Not sure ©JOKEDEMO.COM
Shoe Size: ____ Left ____ Right ©JOKEDEMO.COM
Occupation: (Check appropriate box)
(_) Farmer
(_) Mechanic
(_) Hair Dresser
(_) Unemployed
(_) Dirty Politician
(_) Preacher ©JOKEDEMO.COM
Spouse's Name: _________________________
2nd Spouse's Name: ______________________
3rd Spouse's Name: ______________________
Lover's Name: ___________________________ ©JOKEDEMO.COM
Relationship with spouse: (Check appropriate box)
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet ©JOKEDEMO.COM
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) ©JOKEDEMO.COM
Education:
1 2 3 4 (Circle highest grade completed) ©JOKEDEMO.COM
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: ___ ©JOKEDEMO.COM
Number of firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed ©JOKEDEMO.COM
Model and year of your pickup: 196_ ©JOKEDEMO.COM
Do you have a gun rack?
If no, please explain: ©JOKEDEMO.COM
Newspapers/magazines you subscribe to:
(_) The National Enquirer
(_) The Globe
(_) TV Guide
(_) Soap Opera Digest
(_) Rifle and Shotgun ©JOKEDEMO.COM
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: _____ ©JOKEDEMO.COM
How often do you bathe?
(_) Weekly
(_) Monthly
(_) Not Applicable ©JOKEDEMO.COM
Color of eyes:
Right_____ left_____ ©JOKEDEMO.COM
Color of hair:
(_) Blond
(_) Black
(_) Red
(_) Brown
(_) White
(_) Clairol ©JOKEDEMO.COM
Color of teeth:
(_) Yellow
(_) Brownish-Yellow
(_) Brown
(_) Black
(_) N/A ©JOKEDEMO.COM
Brand of chewing tobacco you prefer:
(_) Red-Man ©JOKEDEMO.COM
How far is your home from a paved road?
(_) 1 mile
(_) 2 miles
(_) Just a whoop-and-a-holler!
(_) Road?
