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Do you [_] own or [_] rent your mobile home?
___ Total number of vehicles that 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
Where your firearms are kept:
[_] truck [_] kitchen
[_] bedroom [_] bathroom
[_] shed
Model and year of your pickup: _______ 194_
Do you have a gun rack?
[_] Yes [_] No; if no, please explain:
_____________________
Newspapers/magazines you subscribe to:
[_] National Enquirer [_] The Globe
[_] TV Guide [_] Soap Opera Digest
[_] Rifle and Shotgun
___ 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
How many?_____
Brand of chewing tobacco you prefer: [_] Red-Man
How far is your home from a paved road?
[_] 200-400 miles
[_] over 400 miles
[_] what's a miles?