Section 1

Your name: *

Your email address: *

Your Service Group:

Your Secret Society: **

Your Mutation: **

Your Instructor:

 

Section 2

Did you enjoy the seminar?

Yes No Not Really I was late

List 3 new things you've learned during the seminar:

List 3 old things you've learned during the seminar:

List 3 things:

How would you rate the instructor?

Excellent Good Mediocre Commie Scum

Would you not fail to refuse to deny your lack of involvement in the communist party?**

Yes No

Who is your best friend?

The Computer

The Instructor

A Fellow Troubleshooter (please specify):

My Service Group

Another Service Group (please specify):

My Secret Society

A Commie Mutant Traitor (please specify):

My Laser

Other (please specify):

Who is your second best friend?

The Computer

The Instructor

A Fellow Troubleshooter (please specify):

My Service Group

Another Service Group (please specify):

My Secret Society

A Commie Mutant Traitor (please specify):

My Laser

Other (please specify):

You spot a mutant and a [DELETED FOR SECURITY REASONS] standing together and talking. When they notice you, the mutant flees into a YELLOW corridor, and the [DELETED FOR SECURITY REASONS] runs down a GREEN corridor. According to what you've learned today, what course of action should you pursue, and why? (Refer to the KCWYC acronym)

Did any of your teammates behave strangely during the seminar? Which one? And how did he behave?

Would you take this seminar again?

Yes No

Why?

Are you a traitor?

Yes No

Do you know any traitors?

Yes No

If yes, why are they still alive? If not, why are you not doing your job?

Section 3

Did you enjoy filling out this form?

Yes No

Would you like to fill out another form?

Yes No Smash the Computer! The Computer is our enemy!

Why?

Box of recipient*

*Mandatory fields
**If not completed, report filed with IntSec

 

 

Issued by

High Programmer Fargmania
Chief Executive & Head Paper Pusher in Charge of Forms

CPU Division of Paranoia-Live.net, CPU Bureau of Intra-Complex Coordination and Communication: Department of Forms, Vouchers, Memos, and Tongue Print Registration.