Hair Color
[ ] Brown - $100
[ ] Blondie - $50
[X] Black - $15
[ ] Bald - $5
[ ] Other-$75

Eye Color:
[ ] Brown - $20
[X] Green - $75
[ ] Blue $150
[ ] Hazel $100
[ ] Other - $15

Height:
[ ] Over 7' - $200
[ ] 6'8? to 7' -$175
[ ] 6'0? to 6'7? - $150
[X] 5'5? to 5'11? - $75
[ ] 5'4? to 5'10? - $85
[ ] Under 5'4 - $27

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

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

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

Vision?
[X] perfect vision $400
[ ] need or have glasses/contacts but don't wear them $200
[ ] No correction $100
[ ] Glasses $50
[ ] contacts $25
[ ] Surgical correction -$100

Shoe Size:
[ ] 13+ - $300
[ ] 12 and a half to 13 - $250
[ ] 11 to 12 - $400
[X] 7 to 10 - $500
[ ] Under 7- $450

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

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

Put the title as "I am worth $______"