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THE 2009 FEDERAL CENSUS FOR THE SOUTH

  • A funny southern cenusus form. Too funny!

    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:______________________

    Lover’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

    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?

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    August 10th, 2009 at 2:46 pm

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