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Politics : Formerly About Advanced Micro Devices
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From: J_F_Shepard4/10/2010 4:07:21 PM
  Read Replies (1) of 1582927
 
The 2010 Federal Census For The South



Last name: ________________

First name: (Check appropriate box)

(_) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Jack

What does everyone call you?

(_) Booger
(_) Bubba
(_) Junior
(_) Sissy
(_) BigUn
(_) Other___________________

Age: ____ (if unsure, guess)

Sex: ____ M _____ F _____ Not sure

Shoe Size: ____ Left ____ Right
Occupation: (Check appropriate box)
(_) Farmer
(_) Mechanic
(_) Day Care
(_)Truck Driver
(_) Unemployed
(_) Dirty Politician
(_) Preacher
Spouse’s Name:_________________________
2nd Spouse’s Name:______________________

3rd Spouse’s Name:______________________
4th Spouse'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: ___
Firearms you own and where you keep them:
____ truck
____ bedroom
____ bathroom
____ kitchen
____ shed
____ under bed

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?
(_) round yonder
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