charming_freckles: (What Do We Do Now?)
charming_freckles ([personal profile] charming_freckles) wrote in [community profile] mayfield_ooc 2012-03-26 04:09 am (UTC)

For Head of Household:

1. House address:
2. Is this house on a farm (or ranch)?
3. If no in item 2: Is this house on a place of three or more acres?


For All Persons:

4. Name (last name first): Sue
• What is the name of the head of household? Rory got droned, so Arcueid!
• What are the names of all other persons who live here?
• List in this order:
- The head: Arcueid
- His wife: Arcueid isn't married... I think.
- Unmarried sons and daughters and their families (in order of age): Neville Longbottom, Sue
- Married sons and daughters and their families:
- Your least favorite color: Black


5. Species (underline applicable):
Human (H)
Animal (A)
Communist (☭)
Wizard (W)
Catgirl (CG)
God/Goddess (G)
Other (please specify)


6. Sex (underline applicable):
Male (M)
Female (F)


7. Are you now married, widowed, divorced, separated, or never married? (Mar, Wd, D, Sep, Nev) Nev

8. What State (or foreign country) were you born in? Parm

9. What is your deepest secret? I… I hate being alone. I try to be strong and independent, but… people keep leaving me… They all had their good reasons, I know, but… I still hate being alone!

10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents) No

11. What are you most ashamed about? I… I still can’t drink coffee black! I’ve been trying for two years and unless I put a ton of sugar and milk in it, I don’t LIKE it!

For Persons 14 Years of Age and Over:

12. What were you doing most of last week: working, keeping house, or something else? (Wk, H, Ot, or U for unable to work)

13. If H or Ot in Item 12: Did you do any work at all last week, not counting work around the house? (Include work for pay, in own business, profession, on farm, or unpaid family work) (Yes or No)

14. If No in Item 13: Were you looking for work? (Yes or No)

15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No)

16. If No in Item 15: Do you have a good explanation for why you are being so utterly useless to the prosperity of our great town? (Yes, Female, or No, elaborate. Yes is not a valid answer.)


For All Persons:

17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country) Parm
Father: John
Mother: Mary


18. If anything but America in Item 17, justify your right to be here (maximum 100 words): I don’t wanna be here, I wanna go HOME!

19. What is your most embarrassing memory? Freaking out when Colonel Mullen found us in the Sult Ruins and said he’d have to take us away and we’d never see our families again…

20. What is more important- laughter (L) or medicine (M)? L

21. Please list all of the following diseases you have been afflicted by, if any: Measles (M), Mumps (U), Chicken-Pox (C), Polio (P), Tuberculosis (T), Smallpox (S), Communism (R)

For All Males in the Household:

22. Did you ever serve in the U.S. Armed Forces during (specify Y or N):
22a. World War II

22b. World War I

22c. Any other time, including present service


23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words):

24. Are you a Communist? Are you?


For All Persons:

25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) Gosh, I’m not sure… I’m ten! I’m mature for my age, but heck!

Thank you for filling out the census!


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