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BioCom presents
a friendly guide
for personality
diagnosis
Bonus Corporia RPG character generator. 2013 Brabblemark Press. Permission granted to print or photocopy for personal use only.

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So, youve lost your memory. Dont worry; were here to help. But we also need you
to help us.
As a BioCom customer, we thank you for choosing us for your medical needs. It is
our goal to restore you to full health, efficiently and with the most financial options
for you. However, we cant do it on our own, so please read this page fully.
Failure to select all Releases from Liability may result in a lack of treatment.
After completing this form, proceed to the Accounts department and see a member
of our team. They will check your admission and account details and Terms of Service, after which you may be sent to the appropriate
ward area where you will be greeted by a member
of the nursing team. They will direct you to a room
or bed space where you can wait for instructions.
Please answer all of the questions on the
following pages as completely as possible.
If you cannot recall the answer, leave it blank.
A Director or other advisor will meet with you for
further consideration.

Innovative medical applications

from BioCom have a success
rate five times higher than those
of our lesser competitors.
Trust us to help you.
COSMETICS

H E A LT H C A R E

PHARMACEUTICAL

R E C R E AT I O N

BIOTECHNOLOGY

Payment & Liability

BIOMETRICPAYMENT SIGNATURE
Place your thumb in the biometric scanning logo to the
right and stare at the display, then speak clearly the
name of any of your preferred payment options in order
to proceed with treatment.
RELEASE FROM LIABILITY SIGNATURE
Place your thumb in the biometric scanning logo to the
right and stare at the display, then repeat clearly the
following statement: I, [your name here] release this
BioCom facility from liability in regards to confidentiality,
malpractice, and loss of valuables.
BIO2

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General Info
1. What is your first name? _________________________ Middle initial?________
2. What is your surname? _____________________________________________
3. What is your gender?

q Male

4. How old do you think you are?

q 14-18 q 18-24 q 25-33
5. What is your marital status?
q Never q Divorced

q Female

q 34-44

q Separated

q 45-54

q 54-65

q 65+

q Widowed

6. Please enter your height in feet. inches., or in centimeters _________________

7. What is your ethnicity?
q White, non-Hispanic q Hispanic or Latino q African-American
q Korean q Japanese q Chinese q Hawaiian/Pacific Islander
q Indian q Arab q Native American q Other
8. Do you work?
q No q Yes

If so, where? __________________________________

9. How often do you use anxiety-canceling mood-enhancing augments (e.g., Lotus)?

q Never (please ask about our free promotional packages)
q Rarely q Occasionally q Regularly q Heavily

Swipe here to purchase the BioCom Drug Discount

Card and save up to 80% with a free refill on your
next purchase of Lotus at any of our City Fast Clinics.
10. How often do you use other substance augments (medicinal or recreational)?
q Never q Rarely q Occasionally q Regularly q Heavily
11. What is your reason for visiting us today? _____________________________
12. Are you concerned about Flux radiation exposure?

q No

q Yes

13. Have you previously been a patient at this facility?

q No

q Yes

14. Would you suggest our facility to other people?

15. How would you rate this facility?

q Good

q No

q Yes

q Very Good

q Excellent

16. If your current ailment is life-threatening, do you give BioCom your Durable
Power of Attorney for Health Care? q Yes
BIO3

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Appearance
17. Rate these words (1 = most like you, 6 = least) to describe your appearance:
_____Well Groomed _____Handsome _____Athletic
_____Overweight
_____Ordinary
_____Sexy
17b. Select your preferred
style of fashion. (Please
note:this may prompt a
second credit check.)
q
18a. Hair Color
q Black

q Brown

q Blond

q Red

q Gray q Other __________

18b. Hair Style

q Short q Long q Wild q Straight q Curly q Frizzy q Wavy
q Receding q Bald q Braided q Afro q Spiked q Butch
q Other ____________________________________________________
18c. Eye Color
q Brown

q Blue

q Gray

q Green

18d. Distinguishing Features

q Glasses q Scar on _____________

q Other __________________
q Mole on _______________

q Tattoo of _____________________ on _________________________

q Other ___________________________________________________
18e. Complexion
q Dark q Light q Fair q Olive
q Freckled q Spots q Albino

q Tan

q Pimply

19. Select your body type.

q
Male

BIO4

q
Female

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Mentality
19a. Even if you cant recall your birth date, select the sign that feels most familiar
to you, then review the separate Astrological Traits document.
q Aries
q Taurus
q Gemini
q Cancer
q Leo
q Virgo
q Libra
q Scorpio
q Saggitarius
q Capricorn
q Aquarius
q Pisces
19b. After reviewing the Astrological Traits brochure
(pages 60-63), select four traits (three public and one
private) that feel appropriate for your sense of self.
20. Which of the following religions do you affiliate yourself with?
q Wildfire Megachurch q Posttranslational
q Christian q Jewish q Muslim q Hindu
q Buddhist q Sikh q Shinto
q Spiritual, but not affiliated with a religious group
q Neither religious nor spiritual
q Other ______________________________________

Background
22. Were you raised by:
q 1 parent q 2 parents

q Guardian

23. Describe those who raised you.

q Uninvolved q Distant q Strict
24. How many siblings did you have?
q None q 1 q 2 q 3

q4

25. What was your early environment like?

q Rural q Suburb q Slumburb

q Corporate Orphanage

q Caring
q5
q City

q Abusive

q 6 or more
q Gated Neighborhood

26. Where were you educated?

q Home q Gang q Sponsored Corp School

q Full Corp School

27. What was the worst misfortune to happen to you or your family?
q Accident q Addiction q Arson q Assault q Bankruptcy/Fraud
q Breakdown q Burglary q Death q Disaster
q Disappearance
q Harrassment q Ill Health q Other __________________________
28. What was your greatest windfall?
q 15 Seconds of Fame q Favor q Financial q Friendship
q Love q Other ___________________________________________
BIO5

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Core Competencies
Determine the extent to which you feel you have been affected by Flux radiation.
This staging is important to find out how far the radiation has spread, in order to
plan the best treatment. If you are certain you have not been altered by the Flux,
please close this diagnostic tool and consult our trained staff for instructions.
SELECT YOUR ESTIMATED LEVEL OF FLUX EXPOSURE

q NONE
q STAGE 1
q STAGE 2
q STAGE 3

CORE
VALUES
N/A
14
12
11

SKILLS
N/A
20
18
17

GENERAL
ASSETS
N/A
10
10
10

SUPERNATURAL
ASSETS
N/A
0
5
10

In stage 1 Flux affliction (Touched), signs of significant exposure may include

excess physical and mental power. Stage 2 (Gifted) combines the first stage with
minor abilities to emit radiation discharges or other supernatural abilities. Stage
3 (Fluxed) persons feel heavily infused with Flux energy, but have seen no significant improvement in other physical and mental abilities.
See the chart to determine how many points you should allocate at your current stage. You will need to refer to these exposure levels later in this evaluation.

Self-Image 1
Study the following page and choose the photograph stimuli that feels right for
your sense of self-image (your archetype). After making your selection, consult
the separate Human Resources chapter for additional details on what archetypal
character this photograph represents.
Does this result seem correct, or spark any memories? If so, note your result
and continue to the next step. Otherwise, you may study this page further and
make an alternate selection.
When you have finished, proceed to the next step (Core Values).

BIO6

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Self-Image 2

Should you select stimuli with a RED

border, please remain where you are.
Our trained professionals will quickly
arrive and escort you to one of our
new branch locations that will be better
equipped to deal with your particular
issues. These locations also offer new
discount programs that provide our
advanced treatment at a fraction of the
cost to your [ERROR]DATASTREAM OVERRIDE
// FUNCTION C // BIOSAFETY LEVEL 2 ALERT //
DISPATCH SECURITY TEAM]][/ERROR]

BIO7

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Core Values
For this exercise, apply points among six aspects of your personality.
You must add at least 1 point and no more than 4 points to any single value.
Place your value within the blank hex. Leave no hex unfilled.

STR
Deftness
How quick and nimble you are

MTL
Knowledge
How well you master concrete
and abstract ideas

WIT
Magick
Did you ever make something
happen just by thinking about it?

BIO8

Strength
Your physical might; ability to
deal damage, lift, carry, etc.

DFT
Mettle
Your ability to endure mental
stress and fatigue

KNO
Wits
Your common sense and
persuasive abilities

MGK

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Skill Set 1
Allocate points among the following (including specialities and disciplines shown in
Steps 2 and 3). There is no minimum rank, but a maximum of Core Value +1 (e.g.,
STR 1 limits Fisticuffs to max 2, etc.).

Skill (Core Value)

Rank

Athletics (DFT)
Business (KNO)
Crime (KNO)
Firearms (DFT)
Fisticuffs (STR)
Getting Medieval (STR)
Humanities (KNO)

See part 2

Influence (WIT)
Instinct (WIT)
Sciences (KNO)

See part 2

Sorcery (MGK)

See part 3

Witchcraft (MGK)

See part 3

BIO9

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Skill Set 2: KNO

Continue to distribute any points allocated for the Humanities and
Sciences specialities. You may wish to review the Human Resources document for
additional details on each speciality.

Humanities specialities

Rank

Antiques
Arts
History
Language
Music
Religion
Sciences specialities
Biology
Chemistry
Computer
Mechanical
Medicine
Physics
Psychology

BIO10

Rank

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Skill Set 3: MGK

Specify any points allocated to Sorcery or Witchcraft disciplines here.
All persons may learn these disciplines. However, only certain types of persons
(e.g., Sorcerers and Witchers) have the ability to manipulate these energies,
not just know about them.

Sorcery disciplines

Rank

Holography (illusions)
Kinesis (movement)
Metamorph (transformation)
Technomancy (simtech)
Witchcraft disciplines

Rank

Charm (mind control)

Elemental (control elements)
Perception (divination, sight)
Spiritism (healing, life energy)
A Note on Costs:
If you selected the Sorcerer identity,
creating a rank in a Witchcraft discipline
requires the expenditure of 2 points to increase 1 rank.
For example, rank 1 in the Charm discipline costs 2 points,
Charm 2 costs 4 points, etc.
Likewise, Witchers must spend double points to learn Sorcery.

FORBIOCOMSTAFFUSEONLY
Did patients possessions include any wand or wand-shaped object?

q Yes

q No
BIO11

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Augments & Assets

When instructed, accompany a Director to an examination chamber.
After your exam is complete, list below all detected augments and assets.
While waiting for a chamber to become available, you may pass the time by
reading the Assets document and any available Augments literature.

Cost Name

BIO12

Benefit

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Fitness
If requested by your physician, complete this page and those following.
Otherwise, you may close this diagnostic tool. The information you provided, with
your fingerprints andDNA samples, should allow us to restore your memory
within the very near future. Good luck - and thank you for choosing BioCom.

Combat Ability
Initiative

Rating

INJURIES

Unarmed Attack
Melee Attack
Melee Defense
Ranged Attack
Throw (base ft.)
Resist Spell (physical)
Resist Spell (mental)
Move:Walk
Move:Jog
Move:Run
Move:Sprint
Move:Lg Jump
Move:Hi Jump

Number the figure locations above

to indicate wounds and pain level

Move:Climb/Swim

Miscellaneous Notes

BIO13

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Confiscated Items
Weaponry
Type

Ammo

Base Range

ROF

Attack Mods

Attack Total

Damage

Damage Mods

Personal Protective Equipment

DFT
Mod

List armor, shields, other relevant items

TOTALS

Miscellaneous Equipment

BIO14

Damage Reduction
HV
E

Casting
Mod

Misc
Mods

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Flux Manipulation
TN

Spell Name

Range (ft.)

Target

Duration

BIO15

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BioCom Case Study No. 01138XX

Form B-9, Patient

Data Verification

BioCom Psychiatric Department

[Post-Flux] Transient Global Amnesia Patient
1. Patient Information (All sections to be verified by Hospital Director at the time of admittance.)
Surname

First Name/M.I.

AKA

Archetype(s)

Hair Color

Eye Color

Gender

Ethnicity

Body Type

Style

Age

Sign

Marital Status

REPP

Assets

Flux Points

Augments

Building Points

2. Core Values and Skills

+/-

3. Base Fitness Ratings

STR Fisticuffs
Getting Medieval

Initiative

Melee
Attack

Ranged
Attack

Unarmed
Attack Dodge

Block

Run

vs. Physical vs. Mental

spell
spell

DFT Athletics
Firearms
MTL Valor
Valor (starting)

Special Modifiers (+/-)

4. Ranged Weapons (List registered weapons along with those confiscated upon admittance.)
Ranged Weapon

Ammo/ Base Rate of Attack

Reload Range
Fire Modifiers

Attack
Total

Damage
Damage Modifiers

KNO Business
Crime
Humanities
Antiques
Arts
History
Language

5. Melee Weapons (List registered weapons along with those confiscated upon admittance.)
Attack
Modifiers

Melee Weapon

Attack
Total

Damage
Damage Modifiers

Music
Religion
Sciences
Biology

6. Personal Protective Equipment

Chemistry
Computer

DFT
Modifier

P.P.E. (Armor, Shield, Other)

Damage Reduction
Melee Velocity Energy

Mechanical
Medicine
Physics
Psychology
WIT Influence

Totals
Public Traits

Instinct

Max.
Wounds

MGK Sorcery
Holography
Kinesis

Private Traits

Metamorph
Technomancy
Witchcraft

Other Notes

Charm
Elemental
Perception
Spiritism

Hit Locations

Casting
Modifiers

Misc
Modifiers