Please print this page and fill out the questionnaire using a typewriter or print neatly using black or blue ink only.
Name:_________________________
Address:_______________________
Age:___________________________
Occupation:____________________
Marital Status (check only one):
Single: __ Married: __ Other: __
Blood type (check only one):
A: __ A-: ___ B: __ B-:__ AB: __ AB-: __ O: __ O-: __ Blue: __
- The most important quality I would bring to a national ticket is (circle one):
- A fierce dedication to uphold the Constitution of the United
- The electoral vote guarantee of an important swing state.
- Respect and dignity.
- Money. Lots and lots and lots of money.
- Which of these statements is truest (circle one)?
- “Blood is thicker than oil.”
- “Oil is thicker than water.”
- “Blood is thicker than water.”
- “Oil and blood have approximately the same viscosity, but oil is easier to use as leverage.”
- The investment of portions of Social Security in the stock market is (circle one):
- A good idea.
- A great idea.
- A great idea the public will come to trust after I’ve talked to them about it.
- The worst idea since oyster-flavored popsicles.
- Please spell “potato.”
- Hunting is better than golfing.
- Did you ever know, work with, or have as a good friend, Jack Kennedy?
- Jeb Bush’s children are (circle one):
- Black.
- Red.
- Brown.
- Short.
- Complete this statement. Women (circle one):
- Should be seen barefoot and pregnant but not heard.
- Got to learn to relax for the inevitable.
- Deserve to be executed just like normal people.
- As an impressionable youth, I experimented with (circle all that apply):
- Marijuana.
- Cocaine.
- LSD.
- Campaign finance reform.
- Electric Shock Therapy (circle one):
- Should be utilized only as a last resort.
- Is like drinking three triple shots of bourbon real fast.
- Can be fun.
- If you cannot answer yes to A, please complete B.
- I have many children. Yes: ____ No: ______
- Why not? ____________________________
- The W in George W Bush stands for (circle one):
- Wimp.
- Wussie.
- Walker.
- What the hell do I stand for?
- Please answer the following question to the best of your ability:
States.
Singular: ___________ Plural: _____________
True: ____ False: ____
Yes: ____ No: ____
“Who am I, and why am I here?”
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