Hair Color(all that apply):
[x] Brown - $10.00
[x] Blonde - $7.50
[] Black - $1.50
[] Bald - $0.50
[x] Other - $5.00

Eye Color:
[x] Brown - $5.00
[x] Green - $10.00
[] Blue - $15.00
[] Hazel - $7.50
[] Other - $1.50


Age:
[] 50 to 56 - $17.50
[] 46 to 50 - $15.00
[] 41 to 45 - $12.50
[] 31 to 40 - $10.00
[] 26 to 30 - $7.50
[] 21 to 25 - $5.00
[] 19 to 20 - $2.50
[x] 0 to 18 - $10.00

Birth Order:
[] Twins or more than twins - $75.00
[] First Born - $32.00
[] Only Child - $25.00
[x] Second born - $15.00
[] Middle child - $10.00
[x] Last Born - $10.00
[] third born - $55.00
[] fourth born - $30.00
[] fifth born - $40.00
[] sixth born -$21.50

Drink?
[] I did like once - $40.00
[] Only Holidays or Occasions - $25.00
[] Sometimes - $21.50
[] YES - $20.00
[] only weekends - $30.00
[] Every other day - $5.00
[] Once a day - $1.50
[] I live from the bottle - $Bankrupt$ [[back to $ZERO]]
[x] No - $60.00

Vision?
[] perfect vision $40.00
[] need/have glasses/contacts but don't wear them $20.00
[] No correction $10.00
[x] Glasses $5.00
[] contacts $2.50
[] Surgical correction -$10.00

Shoe Size:
[] 13+ - $30.00
[] 12 and a half to 13 - $25.00
[] 11 to 12 - $40.00
[x]7 to 10 - $50.00
[] Under 7- $45.00  

Favorite Colors (two):
[] Green-$75.00
[] Red - $60.00
[] Black - $10.00
[] Yellow -$47.50
[] Brown - $30.00
[] Purple - $22.50
[] White - $40.00
[] Aqua - $35.00
[x] Orange - $30.00
[] Blue - $30.00
[] Pink - $10.00
[x] Other - $50.00

Letter your middle name(s) start with:
[] a-f - $5.00
[] g-k - $17.50
[x] l-p - $30.00
[] q-u - $35.00
[] v-z -$25.00

Bedroom walls- select all that apply!
[x] white - $11.00
[] green - $33.00
[] black - $11.00
[] purple - $22.00
[x] orange/red/yellow - $33.00
[] blue - $22.00
[x] other - $35.00

First letter of the person you last talked to
[] a,b,c,d,e,f,g,h,i - $10.00
[] j,k,l,m,n,o,p,q,r - $5.00
[x] s,t,u,v,w,x,y, - $20.00
[] z - $25.00

Total:

did you use a calculator to add it all up?
[] Yes $0
[x]Nope- $100.00
[] some- $75.00

Final Total: $571.50

Re-Post as "I Cost $_________ a Night"