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

Total: $100

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

Total so far: $250

Height:
[ ] Over 7′ - $200
[ ] 6′8″ to 7′ - $175
[x] 6′0″ to 6′7″ - $150
[ ] 5′5″ to 5′11″ - $75
[ ] 5′4″ to 5′10″ - $85
[ ] Under 5′4 - $0


Total so far: $400

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: $500

Birth Order:
[ ] Twins or more than twins - $750
[ ] First born - $320
[ ] Only Child - $250
[x] Second born - $150
[x] Middle child - $100
[ ] Last Born - $100
[ ] Third born - $550
[ ] Fourth born - $300
[ ] Fifth born - $400
[ ] Sixth born -$215

Total so far: $750


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

Total so far: $1350

Vision?
[x] perfect vision - $400
[ ] need or have glasses/contacts but don’t wear them - $200
[ ] No correction - $100
[ ] Glasses - $50
[ ] Contacts - $25
[ ] Surgical correction - $100

Total so far: $1750

Shoe Size:
[ ] 13+ - $300
[ ] 12 and a half to 13 - $250
[x] 11 to 12 - $400
[ ] 7 to 10 - $50
[ ] Under 7- $450

Total so far: $2150


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

Total: $4200


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

Final Total: $5200

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