I General Social Data
Your name? Wife’s given and maiden name? Husband’s given name? Full names of children? Names of all other members of the household, and their relation to you? Michael Yarsky, of course. No one else in this household but me.

II Physical and Mental Conditions
Is the importance of regular sleep, bathing, care of the teeth, and regular action of the bowels appreciated? Personal hygiene and health is, of course, tantamount to contentment. While I do value regularity, prevention of the yellowing of the teeth, and a healthy sleep cycle, bathing is not a top priority for two reasons. One, I do not break a sweat due to a nonexistent history of physical exertion, and two, I smell like this naturally. (Wink wink).

III Industrial History
What was your work record at these places for speed, accuracy, regularity, sobriety? As a recent college graduate, it goes without saying that I am unemployed. I did, however, do some administrative and operational work for both a recruitment firm and the university I attended.

IV Education
What was the education of each worker in your family? Did you have any vocational training? I grew up in a phalanstery so I did not acquire any traditional education, however I did help manage a labor-oriented co-op. This, I think, could count for vocational training by proxy.