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

Total: $57.5


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

Total so far: $107.50

Height:
[ ] Over 7′ - $200
[ ] 6′8″ to 7′ - $175
[ ] 6′0″ to 6′7″ - $150
[ ] 5′5″ to 5′11″ - $75
[ ] 5′4″ to 5′10″ - $85
[x] Under 5′4 - $275

Total so far: $382.50


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: $482.50


Birth Order:

[ ] Twins or more than twins - $750
[ ] First Born - $320
[ ] Only Child - $250
[X] second born - $150
[ ] Middle child - $100
[ ] Last Born - $100
[ ] third born - $550
[ ] fourth born - $300
[ ] fifth born - $400
[ ] sixth born -$215

Total so far: $632.50


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: $1232.50


Vision?
[ ] perfect vision $400
[ ] need or have glasses/ contacts but dont wear them $200
[ ] No correction $100
[x] Glasses $50
[ ] contacts $25
[ ] Surgical correction -$100

Total so far: $1282.50

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: $1782.50


Favorite Colors (two):
[x] Green-$750
[x] Red - $600
[ ] Black - $100
[ ] Yellow -$475
[ ] Brown - $300
[ ] Purple - $225
[ ] White - $400
[ ] Aqua - $350
[ ] Orange - $300
[ ] Blue - $300
[ ] Pink - $100
[ ] Other - $500
Total: $3132.5


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

Final Total: $4132.50
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“I cost $________ a night”