Natural Hair Color:
[ ] Brown - $100
[ ] Blonde - $50
[X] Black - $15
[ ] Bald - $5
[ ] Other - $75
Total: 15 $
Eye Color:
[X] Brown - $50
[ ] Green - $75
[ ] Blue - $150
[ ] Hazel - $100
[ ] Other - $15
Total so far: 65 $
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 - $50
Total so far: 215 $
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: 315 $
Birth Order:
[ ] Twins or more than twins - $750
[X] First born - $320
[ ] Only Child - $250
[ ] Secondborn - $150
[ ] Middle child - $100
[ ] Last Born - $100
[ ] Third born - $550
[ ] Fourth born - $300
[ ] Fifth born - $400
[ ] Sixth born -$215
Total so far: 635$
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: 1235 $
Vision?
[ ] perfectvision - $400
[x] [[need]] or have glasses/contacts but don't wear them - $200
[ ] No correction - $100
[ ] Glasses - $50
[ ] Contacts - $25
[ ] Surgical correction - $100
Total so far: 1435 $
Shoe Size:
[ ] 13+ - $300
[ ] 12 and a half to 13 - $250
[ ] 11 to 12 - $400
[x] 7 to 10 - $50
[ ] Under 7- $450
Total so far: 1485 $
Favorite Colors (limited to 5 only.) :
[ ] Green - $750
[ ] Red - $600
[X] Black - $100
[ ] Yellow -$475
[ ] Brown - $300
[ ] Purple - $225
[X] White - $400
[X] Aqua - $350
[ ] Orange - $300
[X] Blue - $300
[ ] Pink - $100
[X] Other - $500
1750
Total: 3225 $
Did you use a calculator to add it all up?
[ ] Yes - $0
[x] Nope - add $1000 (I used paper to calculate)
[ ] some - $750
Total: 4225 $




