(Untitled)

[asitcouldbe]

For anyone who missed it the first time, Washu has developed a medical questionnaire so that the hospital can better treat and keep track of its patients. Despite how you may feel about doctors and hospitals, it really is in your best interests to fill this out fully and truthfully; you may think that you can afford to wait and only tell to us

Comments

[kan_chyan]

1. What is your name? Ichinomiya Kantarou
2. What species are you? Human
3. Name of place of origin? Tokyo, Japan.
4. What is your gender? Male
5. What is your age? Thirties....
6. Any allergies or special needs? None.
7. Medical history? I've had my smallpox vaccine as well as the other mandatory ones.
8. Have you gotten sick since your stay here? Yes, it was a cold.
9. Blood Type? A+
10. Have you been here before? No, but I've been here for almost a year and a half.
A. If so, how long was your stay?
B. How long were you absent before coming back?
11. How many times have you died here? None.
12. Do you currently have your chip? No.
13. If not, then how long ago was it removed and by who? More than a year, by a doctor Simon.
14. What abilities do you possess? Spiritual abilities. I have a strong sixth sense and an affinity for ghosts and youkai

ahaha sorry about the HTML mistake; I fixed it in the textarea box

[asitcouldbe]

That sort of falls under their place of origin. Since so many people aren't from Earth, asking for the year would be useless to us in a lot of cases. Thank you for specifying for yourself, though.

It's alright. XD;;

[kan_chyan]

But, it's still useful for dealing with what you are familiar with. And having a better understanding of someone who seems to share the same world. I can't count how many times people treated me like an idiot for not knowing things they took for granted.

<333

[asitcouldbe]

We'll be keeping track of who comes from the same worlds for this reason.

[kan_chyan]

Wonderful.