1. What is your first, middle, and last legal name?

_____________________ __________ _______________________________

2. What is your Social Security Number?

_________ - ____ - ___________

3a. What is your Driver's License Number (if you have one)?_________________________

3b. For what U.S. State is it issued? ______

4. In what city and state do you receive IRS tax info?

________________________ ________

5. What is your mailing address?

_______________________________ _________________ ______ ________

6. What is your home phone or cellphone number?

(________) ________ - ______________

7. What is your gender? _________

8. What is your birthdate? ________________________

9. Are you mostly Caucasian, Negroid, or Asian? __________________

10. What language do you speak most fluently? _____________________

11. What is your present height? _____ ft. ____ in.

12. What is your present weight? _________ lbs.

13. What is your eye color? ____________

14. What is your present hair color? _____________

15. Are you a vocational or college graduate? _______

16. What is your main occupation with which you acquire most of your income?

________________________________________________________

17. Is your income range above $ 15,000 per year? ________

18. Do you have stock market or real estate investments? ________

19. Do you own a house? ________

20. Specify if you mostly live in an apartment, cabin, shed, house, trailer, RV, townhouse, condo, or warehouse

___________________________

21. Are you presently renting/leasing a storage unit? ________

22. What is the year, make, and model of the vehicle you mostly drive?

_________ ____________________________ _______________________

23. Specify all of which of the following you presently own: boat, outboard motor, motorcycle, and/or snowmobile

___________________________________________________________________

24. Do you generally wear glasses? ________

25. What handicaps or disabilities do you presently have?

___________________________________________________________________

26. What temporary or continuing diseases do you presently have?

____________________________________________________________________

27. What prescription or over-the-counter pharmaceutical drugs have you swallowed within the past month?

____________________________________________________________________

28a. To your knowledge, are you fertile or can you bear children? ________

28b. If you are able, do you want to produce or bear children? ________

29a. What is the name and city-and-state location of the church you mostly attend?

__________________________________ _______________________ _____

29b. What religion or religious denomination do you mostly affiliate yourself with?

_______________________________________________

30. Will you use spermicides, condoms, or contraceptives when married to temporarily or permanently intend to not produce children? ________

31. Are you willing to suggest committing or commit abortion-homicide murder (i.e. infanticide) to terminate pregnancy? ________

32. Are you an effeminate homogay, or same-gender sodomite? _______

33. Do you superstitiously believe in the anti-Genesis non-scientific myth of evolution? _______

34. Do you dabble in astrology, the occult, witchcraft, sorcery, voodoo, or necromancy? ______

35. Do you consider yourself a chauvenistic sexist feminist or sexist-feminist supporter? ______

36. Is it typical for those who have sipped alcoholic communion wine in a small cup to then stagger down drunk from the altar area and see DT hallucinations? _____

37. Do you eat meat bloody rare or medium rare? ________

38. Do you ever smoke or chew nicotene products? ______

39. Do you vote for anti-abortion, anti-homosexual, anti-feminist politicians? ______

40. Do you prefer female government officials, lawyers, judges, newscasters, clergy.....or instead males? ________

41. Is it OK to sexually stimulate and sexually harass erotically-sensitive men by exposing naked female mopheadedness, arms, legs, and socksless feet during summer and/or indoor/outdoor sports in their possible or obvious view? ________

42. Should women arrogantly compete against men in the business and corporate world..... or instead stay home and tend to housekeeping and child-raising?

___________________________________________________________

43. It is appropriate to read the Revised Standard Version Old Testament and the King James Version (or Wesley) New Testament for daily devotions with your mate? ________

44. Pertaining to cohabitational living-together details, should the husband have the final and overriding say as to any household and familial-related phenomena which has, does, and will occur? _________

[NOTE: After the applicant answers the questions in this quiz, and the reviewer receives those answers, if the reviewer does not communicate with the applicant after three days, the reviewer no longer regards the applicant as eligible for further consideration]