I
<NAME>
VOUCHSAFE THAT I
HAVE
HAVE NOT EATEN
PINEAPPLES BEFORE COMPLETING THIS FORM
I FEEL
YOUNGER
OLDER
THE SAME
I HAVE FEELINGS OF
TENDERNESS
ANGER
DIFFIDENCE
LOVE
DISDAIN
TOWARDS MY
PARTNER
FRIENDS
ENEMIES
PARENTS
CHILDREN
BUDGIE
DESIRE TO TRAVEL
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DESIRE TO WORK
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POSITIVE FEELINGS TOWARDS ANIMALS
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I SPEND MOST OF MY TIME IN THE
KITCHEN
BATHROOM
SITTING ROOM
BEDROOM
OUTSIDE
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