WOULD YOU MIND BEING ASKED A FEW PERSONAL QUESTIONS?
(PLEASE WRITE ALL ANSWERS IN YOUR OWN BLOOD)
Surname:
Forename:
1) are you or have you ever been
a member of
the human race................................................................................................
2) if so and you've undergone
the experience of birth
indicate the date and place...............................................................................
3)are you
single............
married..........
living in sin..............
4)male..........
female..........
hermaphrodite...........
5)what is the color of your skin
yellow.......
brown.......
black........
nice & white........
6)most important are you
rich.........
poor.........
7)which way would you choose to die
by accident.......
disease..........
famine.......
war.......
8)your's not to reason why
but state precisely
when and where.......................................................................................
9)how often would you say
you've answered this
or a similar questionnaire...........................................................................