2010 Federal Census form for the South

[mjeff87]

The 2010 Federal Census For The South

 

 

 

Last name: ________________

 

First name: (Check appropriate box)

(_) Billy-Bob

(_) Billy-Joe

(_) Billy-Ray

(_) Billy-Sue

(_) Billy-Mae

(_) Billy-Jack

 

What does everyone call you?

(_) Booger

(_) Bubba

(_) Junior

(_) Sissy

(_) Other___________________

 

Age: ____ (if unsure, guess)

 

Sex: ____ M _____ F _____ Not sure

 

Shoe Size: ____ Left ____ Right

 

Occupation: (Check appropriate box)

(_) Farmer

(_) Mechanic

(_) Hair Dresser

(_) Unemployed

(_) Dirty Politician

(_) Preacher

 

Spouse’s Name:_________________________

2nd Spouse’s Name:______________________

3rd Spouse’s Name:______________________

Lover’s Name:___________________________

 

Relationship with spouse: (Check appropriate box)

(_) Sister

(_) Brother

(_) Aunt

(_) Uncle

(_) Cousin

(_) Mother

(_) Father

(_) Son

(_) Daughter

(_) Pet

 

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)

Education: 1 2 3 4 (Circle highest grade completed)

 

Do you (_) own or (_) rent your mobile home? (Check appropriate box)

 

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: ___

 

Number of firearms you own and where you keep them:

____ truck

____ bedroom

____ bathroom

____ kitchen

____ shed

 

Model and year of your pickup: 196__

 

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 in the last 5 years you’ve seen Elvis:_____

Number of times you’ve seen Elvis in a UFO:_____

 

How often do you bathe:

(_) Weekly

(_) Monthly

(_) Not Applicable

 

Color of eyes:

Left______ Right_____

 

Color of hair:

(_) Blond

(_) Black

(_) Red

(_) Brown

(_) White

(_) Clairol

 

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

(_) just a whoop-and-a-holler

(_) road?

[-600JeepMJ]

:rotf:

[dasbulliwagen]

I don't get it.... whats so funny? :hmm:

[HOrnbrod]

Excellent Jeff. :rotfl2: :rotfl2: :rotfl2:

 

But you forgot one choice for this question:

 

Relationship with spouse: (Check appropriate box)

(_) Sister

(_) Brother

(_) Aunt

(_) Uncle

(_) Cousin

(_) Mother

(_) Father

(_) Son

(_) Daughter

(_) Pet

(X) Farm Animal

[-600JeepMJ]

they did not forget that one, it is covered by the Pet box.. as in pet Goat, sheep, cow :thumbsup: