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


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


Height:
[ ] Over 7′ - $200
[ ] 6′8″ to 7′ - $175
[ ] 6′0″ to 6′7″ - $150
[ ] 5′5″ to 5′11″ - $75
[x] 5′4″ to 5′10″ - $85
[ ] Under 5′4 - $27
Total so far: $235


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
[x] 19 to 20 - $25
[ ] 0 to 18 - $100
Total so far: $260


Birth Order: (two)
[ ] Twins or more than twins - $750
[ ] First Born - $320
[ ] Only Child - $250
[ ] second born - $150
[ ] Middle child - $100
[ ] Last Born - $100
[x] third born - $550
[ ] fourth born - $300
[ ] fifth born - $400
[ ] sixth born -$215
Total so far: $810


Drink?
[ ] I did like twice - $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: $1,410


Vision? (three)
[ ] perfect vision $400
[ ]need or have glasses/ contacts but dont wear them $200
[x] No correction $100
[x] Glasses $50
[ ] contacts $25
[ ] Surgical correction -$100
Total so far: $1,560

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: $2,060


Favorite Colors (two):
[ ] Green-$750
[ ] Red - $600
[x] Black - $100
[ ] Yellow -$475
[ ] Brown - $300
[x] Purple - $225
[ ] White - $400
[ ] Aqua - $350
[ ] Orange - $300
[ ] Blue - $300
[ ] Pink - $100
[ ] Other - $500
Total: $2, 385


Did you use a calculator to add it all up?
[ ] Yes $0
[x] Nope - $1000
[ ] some- $750
Final Total: $3,385
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