Venice questionnaire

1.First and last name
2.First and last names of your sponsors and their respective societies (if you were contacted by the council simply leave this space blank)
3.Current faction and faction rank and years with that faction
4.Have you ever been involved in the secret war if so did you receive any honor for the council or your faction for your service
5.Are currently afflicted with either lycanthropy or vampirism
6.How were you first informed of the existence of preternatural phenomena
7.Do you have preternatural abilities? If so what are they and when did they first develop
8.If you answered yes to the above under what circumstances did the your abilities manifest
9.Do you have any friends or relatives that are involved in any criminal misdemeanor and felony activities in any nation past or current?
10.Do you have any friends or relatives that are presently in jail, prison, parole or probation?
11.Have you ever been rejected by any branch of the armed forces for enlistment or affiliation in any nation due to any reason other than medical
12.Have you ever been fired from a job?
13.During high school or college, were you ever suspended, expelled, or disciplined for any reason? (if your education predates formal institutions of learning where you ever exiled or imprisoned for any reason related to your education)
14.Have you ever had any bills turned over to a collection agency?
15.Have you ever paid a bill more than 30 days late or not at all?
16.Have you ever bounced a check, overdrawn your debit card, had a credit card recalled, anything repossessed or voluntarily surrendered to a creditor?
17.Do you regularly use your society expense account for non work related purchases
18.Do you owe any individual or persons money, for any reason?
19.Have you ever received an other Than Honorable discharge from any branch of a military?
20.Have you ever been found in violation of the treaty of Venice, if so what articles and where you convicted
21.Have you ever experienced berserker rage and if so under what circumstance it did occur?
22.Have you ever used, bought, sold, or manufactured or possessed the zero point pathogen?
23.Have you ever used, possessed or experimented with any type of preternatural artifacts or text above class 3. If so please list them
24.Have you ever taken someone else’s prescription medication?
25.Do you have history of substance abuse
26.Have you ever suffered from dizziness, loss of consciousness, blackouts, been knocked out, fainted, or had any head injuries?
27.Are you immortal if so please list all past identities and there corresponding nationality
28.Have you ever been treated for any mental illness after 1980 (please exclude all Freudian diagnoses)
29.Are you now or have you ever been affiliated with the Nazi party or other allied factions
30.Have you ever done anything in your lifetime someone might blackmail you with, such as engaged in extra-marital affairs, undetected theft, fraud, embezzlement, etc.? please limit your answer to your current identity only (limit it to the last 80 years)
31.Has anyone at anytime told you or suggested that you withhold or not reveal any information about yourself?