calloperators (
calloperators) wrote2019-05-28 07:55 pm
Entry tags:
QUESTIONNAIRE
Feel free to provide as much or as little an answer as possible to the following questions.
IC Questionnaire
Name (block capitals):
Date of Birth:
Place and time of residence:
Current occupation:
Do you have any pre-existing health conditions?:
Are you a veteran?:
Do you have any outstanding convictions? If yes, please detail:
Have you or any of your loved ones experienced an event that resulted in your death?:
Date of Death (if applicable):
Do you believe in a God?:
If yes, which one?:
If no, why not?:
Do you like hurting other people?:
If no, elaborate:
Are you afraid?:
Are you afraid?:
Are you afraid?:
IC Questionnaire
Name (block capitals):
Date of Birth:
Place and time of residence:
Current occupation:
Do you have any pre-existing health conditions?:
Are you a veteran?:
Do you have any outstanding convictions? If yes, please detail:
Have you or any of your loved ones experienced an event that resulted in your death?:
Date of Death (if applicable):
Do you believe in a God?:
If yes, which one?:
If no, why not?:
Do you like hurting other people?:
If no, elaborate:
Are you afraid?:
Are you afraid?:
Are you afraid?:

no subject
IC Questionnaire
Name (block capitals): PYRO : )
Date of Birth: YES
Place and time of residence: TEUFORT, DAY TIME
Current occupation: [Several crude drawings of flames follow.]
Do you have any pre-existing health conditions?: Y ES ASK DOCTOR
Are you a veteran?: : (
Do you have any outstanding convictions? If yes, please detail: don ;t knOw
Have you or any of your loved ones experienced an event that resulted in your death?: ??????
Date of Death (if applicable): [There's a drawing of a skull and crossbones.]
Do you believe in a God?: DOG
If yes, which one?: DALMAYSHUN
If no, why not?:
Do you like hurting other people?: ? HURT ? YES
If no, elaborate:
Are you afraid?:
Are you afraid?:
Are you afraid?: : ))))))))
[The bottom half of the survey has been burned to a crisp.]