(_)The National Enquirer (_)The Globe (_)TV Guide (_)Soap Opera Digest
___ Number of times you've seen a UFO ___ Number of times 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 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 (_)don't know Organizations that you belong to: (Check all that are applicable) (_) NRA (_) KKK (_) NHRA Number of tractor pulls you've been to this month : (_) <5 (_) 5-10 (_) 11-15 (_) Can't count Beverage of choice: (_) Night Train (_) Blind Dog Bourbon (_) Cousin Cletus' Moonshine (Non-Commercial) (_) Schlitz Beer (_) Gasoline Number of Skoal Belt Buckles You Own:____ Brand of Jeans you prefer: (_) Wranglers Do you play the banjo? (_) Yes
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