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
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Comments 286
1. What is your name? Sorata Arisugawa
2. What species are you? Human
3. Name of place of origin? Koya, Wakayama Prefecture, Japan
4. What is your gender? Male
5. What is your age? Eighteen!
6. Any allergies or special needs? Nope!
7. Medical history? I broke my leg when I was a kid! It was awful. I had to sit around for weeks. Also I've gotten in a few fights. A bridge sort of fell on me once, which is how my hand got messed up. Uhh, over here, I was once caught in a bad earthquake, and I'm recovering from a gunshot right now.
8. Have you gotten sick since your stay here? I got food poisoning!
9. Blood Type? B
10. Have you been here before?
A. If so, how long was your stay?
B. How long were you absent before coming back? Yeah, depends on the time, and depends on the time.
11. How many times have you died here? [ ... ] Once.
12. Do you currently have your chip? Yeah.
13. If not, then how long ago was it removed and by who? The first time, it was taken out by Kureha.
14. What abilities do you possess? ( ... )
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2. What species are you? Human.
3. Name of place of origin? Japan.
4. What is your gender? [ ... ] Female.
5. What is your age? Seventeen.
6. Any allergies or special needs? No.
7. Medical history? No illnesses. I have been severely injured several times.
8. Have you gotten sick since your stay here? A stomach flu, once.
9. Blood Type? B, Rh negative.
10. Have you been here before?
A. If so, how long was your stay?
B. How long were you absent before coming back? Yes; Approximately six months, approximately two months.
11. How many times have you died here? Never.
12. Do you currently have your chip? No.
13. If not, then how long ago was it removed and by who? Several months ago, by Dr. Kureha.
14. What abilities do you possess? It is irrelevant to this.
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1. What is your name? Fuuka Yamagishi.
2. What species are you? Human.
3. Name of place of origin? Iwatodai, Japan.
4. What is your gender? Female.
5. What is your age? Sixteen.
6. Any allergies or special needs? No...
7. Medical history? U- um, I'm a little anemic, and I get sick easily.
8. Have you gotten sick since your stay here? No.
9. Blood Type? O
10. Have you been here before?
A. If so, how long was your stay?
B. How long were you absent before coming back? No.
11. How many times have you died here? Never.
12. Do you currently have your chip? No.
13. If not, then how long ago was it removed and by who? Dr. Yagokuro did it a few months ago...
14. What abilities do you possess? A Persona.
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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 ( ... )
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