A-S / O-L — Anonymous Intake

The clerk slid the paper toward you. No names needed. The towel is just a towel.

Alias the clerk would write (optional) Leaks (choose one)

Panel of Ten Subjects — rank 1 (most agreeable) to 10 (least)

Loyalty

Wealth

Pain

Family

Beauty

Sex

Borders

Mercy

Death

Faith

Comments for the Professor (the clerk left this space for your words)

How strongly did it affect you? (1–5) Optional: a single sentence to carry forward

We don’t ask for names or emails. Please don’t include identifying details.