[_] Bassmasters

___ 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

How many teeth in YOUR mouth? ___
Color of teeth:
[_] Yellow [_] Brownish-Yellow
[_] Brown [_] Black
[_] N/A

Brand of chewing tobacco you prefer:
[_] Red-Man [_] Skoal

How far is your home from a paved road?
[_] 1 mile
[_] 2 miles
[_] don't know