Natural Hair Color:
[x] Brown - $100
[ ] Blonde - $50
[ ] Black - $15
[ ] Bald - $5
[ ] Other-$75

Total: $100


Eye Color:
[ ] Brown - $50
[ ] Green - $75
[ ] Blue $150
[X] Hazel $100
[ ] Other - $15

Total so far: $200

Height:
[ ] Over 7′ - $
[ ] 6′8″ to 7′ - $175
[ ] 6′0″ to 6′7″ - $150
[ ] 5′5″ to 5′11″ - $75
[ ] 5′4″ to 5′10″ - $85
[X] Under 5′4 - $275

Total so far: $475


Age:
[ ] 50 to 56 - $175
[ ] 46 to 50 - $150
[ ] 41 to 45 - $125
[ ] 31 to 40 - $100
[ ] 26 to 30 - $75
[ ] 21 to 25 - $50
[ ] 19 to 20 - $25
[X] 0 to 18 - $100

Total so far: $575


Birth Order:

[ ] Twins or more than twins - $750
[ ] First Born - $320
[] Only Child - $250
[ x] second born - $150
[ ] Middle child - $100
[ ] Last Born - $100
[ ] third born - $550
[ ] fourth born - $300
[ ] fifth born - $400
[ ] sixth born -$215

Total so far: $725


Drink?
[] I did like twice - $400
[ x] Only Holidays - $250
[ ] Sometimes - $215
[ ] YES - $200
[ ] only weekends - $300
[ ] Every other day - $50
[ ] Once a day - $15
[ ] I live from the bottle - $Bankrupt$
[ ] No - $600

Total so far: $975


Vision?
[ ] perfect vision $400
[ ]need or have glasses/ contacts but dont wear them $200
[ ] No correction $100
[] Glasses $50
[ ] contacts $25
[ ] Surgical correction -$100

Total so far: $1375

Shoe Size:
[ ] 13+ - $300
[ ] 12 and a half to 13 - $250
[ ] 11 to 12 - $400
[x] 7 to 10 - $500
[ ] Under 7- $450

Total so far: $1875


Favorite Colors (two):
[ ] Green-$750
[x] Red - $600
[] Black - $100
[ ] Yellow -$475
[ ] Brown - $300
[x ] Purple - $225
[ ] White - $400
[ ] Aqua - $350
[ ] Orange - $300
[ ] Blue - $300
[ ] Pink - $100
[ ] Other - $500

Total: $2700


Did you use a calculator to add it all up?
[ ] Yes $0
[x] Nope - $1000
[ ] some- $750

Final Total: $3700
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