Grif.Net

09/04/20 Grif.Net – Fill Out the Census

09/04/20 Grif.Net – Fill Out the Census

MOUNTAIN =
REGIONAL 2020 FEDERAL CENSUS

 

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:______________________

 

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:

  &nb=
sp;      ____ truck

  &nb=
sp;      ____ bedroom

  &nb=
sp;      ____ bathroom

  &nb=
sp;      ____ kitchen

  &nb=
sp;      ____ shed

 

Model and year =
of your pick-up: 196_

 

Do you have a =
gun rack? (_) Yes (_) No; If no, please explain:

 

Newspapers/maga=
zines 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?

 

~~

Dr Bob Griffin =

bob@grif.net =
www.grif.net

"Jesus =
Knows Me, This I Love!"