The 2010 Federal Census For The Deep South

MonkieSocks

The 2010 Federal Census For The Deep South:



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
(_) None(_)



Brand of chewing tobacco you prefer:
(_) Red-Man



How far is your home from a paved road?
(_) 1 mile
(_) 2 miles
(_) just a hoot-and-a-holler
(_) What's a road?

Anthony Walsh

The 2010 Federal Census For The Deep South:



Last name: HillBilly II



First name: (Check appropriate box)
(V) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack



What does everyone call you?
(_) Booger
(_) Bubba
(_) Junior
(_) Sissy
(V) Other Cletis



Age: 147 (if unsure, guess)



Sex: ____ M _____ F __V_ Not sure



Shoe Size: _14__ Left _9__ Right



Occupation: (Check appropriate box)
(_) Farmer
(_) Mechanic
(_) Hair Dresser
(V) Unemployed
(_) Dirty Politician
(_) Preacher



Spouse’s Name:Lily-Ann__________________
2nd Spouse’s Name:_Mama
3rd Spouse’s Name:_Brandine________________ Lover’s Name:Hey You



Relationship with spouse: (Check appropriate box)
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(V) Pet



Number of children living in household: 4__ Number of children living in shed: __12_ Number that are yours: __23____



Mother’s Name: _Pop___________________(If not sure, leave blank) Father’s Name: __Popa_____________________ (If not sure, leave blank) Education: 1 2 3 4 (Circle highest grade completed)



Do you (V) own or (_) rent your mobile home? (Check appropriate box)



Total number of vehicles you own: 0_ Number of vehicles that still crank: _0_ Number of vehicles in front yard: 4__ Number of vehicles in back yard: _2_ Number of vehicles on cement blocks: _5_



Firearms you own and where you keep them: 6__ truck _23__ bedroom 4__ bathroom _16__ kitchen _7__ shed



Model and year of your pickup: 1967



Do you have a gun rack?
(_) Yes (V) No; If no, please explain: Well ya see a racoon was all a hollarin and I was like hey get off the dang gun rack and lift me shotgun and boom dinner is ready but the gun rack died, gave it a funeral with moonshine and square dance


Newspapers/magazines you subscribe to:
(_) The National Enquirer
(_) The Globe
(_) TV Guide
(_) Soap Opera Digest
(V) Rifle and Shotgun



Number of times you've seen a UFO:_398__ Number of times in the last 5 years you've seen Elvis:_6__ Number of times you've seen Elvis in a UFO:__14__



How often do you bathe:
(_) Weekly
(_) Monthly
(V) Not Applicable



Color of eyes: Left_grey_ Right___N/A__



Color of hair:
(_) Blond
(_) Black
(_) Red
(_) Brown
(_) White
(V) Clairol



Color of teeth:
(_) Yellow
(V) Brownish-Yellow
(_) Brown
(_) Black
(_) None(_)



Brand of chewing tobacco you prefer:
(V) Red-Man



How far is your home from a paved road?
(_) 1 mile
(_) 2 miles
(_) just a hoot-and-a-holler
(V) What's a road?