Utah Census

[Jenny Smith]

Utah Census Form

1. _____________________ (Given name)

2. _____________________ (SURNAME)

3. Descendant of:

A. Brigham Young _____
B. Heber C. Kimball _____
C. Laman and Lemuel _____
D. Cain _____

4. Tribe of Israel : _____________________

5. Number of occupants residing in home in each category:
(Listed in chronological order)

A. Nursery _____
B. Junior Primary _____
C. Senior Primary _____
D. Young Women’s _____
E. Young Men’s _____
F. Relief Society _____
G. Elder _____
H. Dearly Departed _____
I. High Priest _____

6. Occupation [Please select all that apply]:

A. Amway dealer _____
B. Shaklee dealer _____
C. Nonie juice dealer _____
D. NuSkin dealer _____
E. Melaleuca dealer _____

7. Automobile:

A. Station Wagon _____
B. Van _____
C. Suburban _____
D. School Bus _____
E. Double Decker _____

8. Favorite place to eat the night before Fast Sunday:

A. Chuck-A-Rama _____
B. Hometown Buffet _____
C. Sumo Sam’s All You Can Eat Feeding Trough _____

9. Favorite Hero:

A. Nephi _____
B. Abinadi _____
C. Samuel the Lamanite_____
D. Steve Young _____
E. Johnny Lingo _____

10. Which of the following do you bring to church [check all that apply]:

A. Scriptures _____
B. Franklin Planner/ Daytimer _____
C. Pen/Pencil _____
D. Lifesavers/ Cheerios _____
E. Tic Tacs _____
F. Game Boy _____
G. Big Gulp _____
H. Cooler _____
I. I-pod _____
J. Cell Phone _____
K. All of the above _____

11. Do you prepare your church lessons:

A. A month in advance _____
B. A week in advance _____
C. During Sacrament Meeting _____
D. During the closing prayer of Sacrament Meeting _____
E. During the opening prayer of the class you’re teaching ___
F. Just wing it [according to the promptings of the Spirit]

12. Do you think pews should be permanently equipped with Big Gulp holders?:

yes___ no ___

13. How many years has your family sat in the same place for Sacrament
Meeting:

A. 10-20 years _____
B. 20-30 years _____
C. 30-40 years _____
D. Over 3 generations _____

14. How much time does it take for you to fall asleep during a high council
talk:

A. 1/100,000,000th of a second _____
B. 1/999,999,999th of a second _____
C. 1/999,999,998th of a second _____

15. Which day of the month do you go home/visiting teaching:

A. 31st ______
B. 31st ______
C. 31st ______
D. 31st ______

16. How many church basketball fights were you in last year:

A. 1-10 _____
B. 10-20 _____
C. 20-30 _____
D. On the advice of my attorney, I have been advised not to respond _____

17. Which of the following has been your most effective Family Home Evening:

A. Arguing about getting along
B. Having an opening and closing prayer with dinner
C. Gathering around the television to watch “Dancing with the Stars”?

18. How many times a year do you make:

A. Green Jell-O salad _____
B. Funeral potatoes _____
C. Cabbage and Top Ramen salad _____
D. Turkey,cashews and grape-stuffed croissants_____

19. How many water-filled two-liter bottles do you own:

A. 1-2 thousand _____
B. 2-3 thousand _____
C. 3-4 thousand _____
D. Enough to fill the Great Salt Lake _____

20. Which of the following do you feel is the most secure facility in the nation:

A. Alcatraz
B. Fort Knox
C. Ward Library

21. How many structural engineers do you hire annually to insure you’ll win the pinewood derby: _________

22. Keeping the Word of Wisdom in mind, how much of the following do you
consume:

A. Chocolate: ___ pounds daily X 365 days annually= ____
B. Cola: ____gallons daily X 365 days annually = ____

[Anonymous User]

I’m a census worker in Georgia and we’ve added a special question for LDS Georgians:

23. How many of your neighbors have told you that they are praying for you? (and not in a good way)
A. What’s a neighbor?
B. A couple, but they probably meant it in the good way….
C. I’m on multiple prayer lists…
D. They’ve given up on me.

[Author]

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