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

Total: $100


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

Total so far: $20

Height:
[] Over 7′ - $200
[] 6′8″ to 7′ - $175
[] 6′0″ to 6′7″ - $150
[x] 5′5″ to 5′11″ - $75
[] 5′4″ to 5′10″ - $85
[] Under 5′4 - $27

Total so far: $275


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: $375

Birth Order:

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

Total so far: $495

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: 1095


Vision?
[] perfect vision $400
[] need or have glasses/ contacts but don't wear them $200
[] No correction $100
[x] Glasses $50
[] contacts $25
[] Surgical correction -$100

Total so far: $1135

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: $1635

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

Total: $2335

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

Final Total: $3335

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“I Cost $---- A Night!”