(no subject)
Oct. 26th, 2020 09:33 amLIGHT BRINGER SELF-EXAM
NAME: __Kokonose Chuuta__
FACILITY: ____________________ (leave blank if Uninformed)
PRIMARY ELEMENTAL STRUCTURE (circle one)
(Carbon) Silicon Potassium Boron Krypton Iron
Other (please specify): __Space Pheromones__
SUBJECT STATISTICS
Height (standard units): __maybe 160cm__
Weight (standard units): __not sure__
Blood (Y/N): ___Y________
(any circulatory liquid applies for purposes of identification)
Primary Matter State: Solid
If gaseous or plasma, please specify: __I think SPH is a gas but I'm not sure_________________________________
______________________________________________________
___________________________________________________
Currently vaccinated for Bordetellosis (Y/N): __N_______
If no, please explain: I don't know what that is___________________________
________________________________________________________________________________________________________________
PHYSICAL CHECKLIST (circle personal concern level)
GENERAL COMFORT 1 2 3 4 5 (6) 7 8 9 10
HYDRATION 1 (2) 3 4 5 6 7 8 9 10
SUSTENANCE 1 2 3 4 5 6 (7) 8 9 10
SLEEP QUALITY 1 2 3 4 5 6 (7) 8 9 10
PAIN LEVELS 1 2 (3) 4 5 6 7 8 9 1
STRESS LEVELS 1 2 3 4 5 6 7 (8) 9 10
DAILY STIMULATION 1 2 3 4 5 6 7 (8) 9 10
GENERAL ANXIETY 1 2 3 4 5 6 (7) 8 9 10
READING COMPREHENSION (1) 2 3 4 5 6 7 8 9 10
ABILITY TO MAKE DECISIONS 1 2 3 (4) 5 6 7 8 9 10
DESIRE TO BE OWNED (1) 2 3 4 5 6 7 8 9 10
BODILY TRANSFORMATION (1) 2 3 4 5 6 7 8 9 10
HALLUCINATIONS (VISUAL) (1) 2 3 4 5 6 7 8 9 10
HALLUCINATIONS (TACTILE) (1) 2 3 4 5 6 7 8 9 10
JOINT HEALTH (1) 2 3 4 5 6 7 8 9 10
STRUCTURAL INTEGRITY 1 2 3 (4) 5 6 7 8 9 10
HEDONISTIC DESIRES (1) 2 3 4 5 6 7 8 9 10
AUTOCANNIBALISM (1) 2 3 4 5 6 7 8 9 10
TOILETING (1) 2 3 4 5 6 7 8 9 10
PARASITIC DENSITY 1 2 3 4 5 6 7 (8) 9 10
FINGERS (ANY) (1) 2 3 4 5 6 7 8 9 10
LIGHTBRINGER QUESTIONNAIRE
Please fill out questions in the provided space. CHARACTERS USED: 111/146.
1. Do you find yourself overly short of breath following continuous exercise?
N
2. After continuous exercise, does your sweat maintain its usual viscosity?
Y
3. Do you feel steady growth of dread during continuous exercise?
N
4. Do you believe others hold a steadily growing resentment towards you? Why or why not?
Y. Enforcer
5. Do you carry previous injuries to any limbs, appendages, growths, or other locomotive segments? Please list all significant.
Dog bit my arm and then robot broke it
6. Do said injuries cause any level of impairment to your daily life?
Y
7. Regardless of previous answers, where do you currently experience the most pain?
Arm
8. How long will it take you to die of natural causes?
idk
9. Do you feel significant dread towards your mortality? Please be specific.
N
10. Do you desire revenge against those who have harmed you?
Y
11. When enacting revenge, how much are you willing to suffer to achieve your results?
A lot
12. Will you die to achieve what must be done?
I don't want to
13. Will it bring you peace to know that you have done the right thing?
Y
14. Why do you believe you deserve to be here?
I'm helping people
May the light warm your bones and your marrow feed those in need.
NAME: __Kokonose Chuuta__
FACILITY: ____________________ (leave blank if Uninformed)
PRIMARY ELEMENTAL STRUCTURE (circle one)
(Carbon) Silicon Potassium Boron Krypton Iron
Other (please specify): __Space Pheromones__
SUBJECT STATISTICS
Height (standard units): __maybe 160cm__
Weight (standard units): __not sure__
Blood (Y/N): ___Y________
(any circulatory liquid applies for purposes of identification)
Primary Matter State: Solid
If gaseous or plasma, please specify: __I think SPH is a gas but I'm not sure_________________________________
______________________________________________________
___________________________________________________
Currently vaccinated for Bordetellosis (Y/N): __N_______
If no, please explain: I don't know what that is___________________________
________________________________________________________________________________________________________________
PHYSICAL CHECKLIST (circle personal concern level)
GENERAL COMFORT 1 2 3 4 5 (6) 7 8 9 10
HYDRATION 1 (2) 3 4 5 6 7 8 9 10
SUSTENANCE 1 2 3 4 5 6 (7) 8 9 10
SLEEP QUALITY 1 2 3 4 5 6 (7) 8 9 10
PAIN LEVELS 1 2 (3) 4 5 6 7 8 9 1
STRESS LEVELS 1 2 3 4 5 6 7 (8) 9 10
DAILY STIMULATION 1 2 3 4 5 6 7 (8) 9 10
GENERAL ANXIETY 1 2 3 4 5 6 (7) 8 9 10
READING COMPREHENSION (1) 2 3 4 5 6 7 8 9 10
ABILITY TO MAKE DECISIONS 1 2 3 (4) 5 6 7 8 9 10
DESIRE TO BE OWNED (1) 2 3 4 5 6 7 8 9 10
BODILY TRANSFORMATION (1) 2 3 4 5 6 7 8 9 10
HALLUCINATIONS (VISUAL) (1) 2 3 4 5 6 7 8 9 10
HALLUCINATIONS (TACTILE) (1) 2 3 4 5 6 7 8 9 10
JOINT HEALTH (1) 2 3 4 5 6 7 8 9 10
STRUCTURAL INTEGRITY 1 2 3 (4) 5 6 7 8 9 10
HEDONISTIC DESIRES (1) 2 3 4 5 6 7 8 9 10
AUTOCANNIBALISM (1) 2 3 4 5 6 7 8 9 10
TOILETING (1) 2 3 4 5 6 7 8 9 10
PARASITIC DENSITY 1 2 3 4 5 6 7 (8) 9 10
FINGERS (ANY) (1) 2 3 4 5 6 7 8 9 10
LIGHTBRINGER QUESTIONNAIRE
Please fill out questions in the provided space. CHARACTERS USED: 111/146.
1. Do you find yourself overly short of breath following continuous exercise?
N
2. After continuous exercise, does your sweat maintain its usual viscosity?
Y
3. Do you feel steady growth of dread during continuous exercise?
N
4. Do you believe others hold a steadily growing resentment towards you? Why or why not?
Y. Enforcer
5. Do you carry previous injuries to any limbs, appendages, growths, or other locomotive segments? Please list all significant.
Dog bit my arm and then robot broke it
6. Do said injuries cause any level of impairment to your daily life?
Y
7. Regardless of previous answers, where do you currently experience the most pain?
Arm
8. How long will it take you to die of natural causes?
idk
9. Do you feel significant dread towards your mortality? Please be specific.
N
10. Do you desire revenge against those who have harmed you?
Y
11. When enacting revenge, how much are you willing to suffer to achieve your results?
A lot
12. Will you die to achieve what must be done?
I don't want to
13. Will it bring you peace to know that you have done the right thing?
Y
14. Why do you believe you deserve to be here?
I'm helping people
May the light warm your bones and your marrow feed those in need.