I General Social Data
Your name? Wife’s given and maiden name? Husband’s given name? Full names of children? Names of all other members of the household, and their relation to you? I dont have a HUSBAND but if I did I would guess he would have a classy name like CHARLES. Children: “Stovlund”, “N/A”, and “Chuck”, would be their names. but NO.

II Physical and Mental Conditions
What attention is given to personal hygiene and health by you? Sometimes if I don’t punch enough shit for like a week I gotta SNARL and bite off the rust that grows on my diamound-encrusted KNUCKLE!!!! but that is never the case. Also I take baths.

Is the importance of regular sleep, bathing, care of the teeth, and regular action of the bowels appreciated? THIS question AGAIN?!!

III Industrial History
What was your work record at these places for speed, accuracy, regularity, sobriety? I Worked as a TITANIUM MINER for MANY years. and then I began a dancing business but this was dislodged from the earth when I was sent to PRESIDANTIAL DUNGEON.

IV Education
What was the education of each worker in your family? Did you have any vocational training? Yes but I didnt use the vocational training because I already knew the training.