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

Total: $150


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

Total so far: 300

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 - $27

Total so far: $327

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: $427

Birth Order:
[] Twins or more than twins - $750
[] First Born - $320
[] Only Child - $250
{] Second born - $150 (out of 2)
[] Middle child - $100
[] Last Born - $100
[x] third born - $550
[] fourth born - $300
[] fifth born - $400
[] sixth born -$215

Total so far: $977

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: $1577

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: $1627

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: $2127


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

Total: $3777


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

Final Total: $4127

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“I cost $---- A Night!”