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*** Below are my raw notes which have not been finalized yet ***

Mental Test for The Long Walk

Age limit: You must be age 13 to 18 on May 1, to apply for The Long Walk.

First Name:
Last Name: 
Nickname: 
Birthday: [Month] / [Day] / Year 
City: 
State: 
Zip: 

Essay: Please answer this question as objectively and honestly as you can, using not more than 1500 words
Why do you feel qualified to participate in The Long Walk?

I feel qualified to participate in the Long Walk because I am one useless S.O.B. and the world would be better off without me, unless I happened to win and get rich in which case I would buy a Van Go to put in every room of my manshun and order up sixty high-class horrs and not bother anybody. (I would give all my sixty high-class horrs old-age pensions, too.)

Put registered trademark next to The Long Walk

Have a checkbox to sign it, click Submit and redirect to a new page, then show the current date plus 30 days, and say you can expect a letter from the department of The Long Walk from Wilmington DE
for you acceptance or rejection.  If you are accepted, then there will be a lottery on March 15 on Channel 13 at 8 PM EST where the Major will select 200 names.
You can backout by calling the 800 number on April 15 or April 31 from 12:00 AM EST to 11:59 PM EST.
If your name is chosen, you will be told if you are a walker or backup on April 31.
You will receive a phone call the morning of April 31.  You may backout at that time or call the 800 number any time until 11:59 PM EST to backout.
If you are Prime, transporation will be provided if you want or need it.  You must arrive at XXX by 8:00 AM EST.

Objectives Test:

Please answer honestly.
None of your answers will incrimenate you or be used against you.
All of your info will be kept private.
All questionnaires are destroyed after each Long Walk

Check those you answer YES to.

I believe I can win The Long Walk
I like to watch people die
I have been cruel to animals
I am married
I have a child
My girlfriend or wife is pregnant

HEALTH
I suffer from convulsions
I suffer from seizures
I sometimes faint
I have heart problems
I get dizzy spells

SEXUAL - choose all that apply
I am a heterosexual
I am a homosexual
I am a bisexual
I am a pansexual
I am asexual
I am a virgin
I have masturbated
I have gotten a girl pregnant
I have raped someone

DRUGS
I have tried snuff
I have tried marajuana
I have tried cocaine
I have tried crack
I have tried mushrooms
I have tried acid
I have tried ecstacy
I smoke cigarettes
I drink alcohol sometimes
I drink alcohol a lot
I have been drunk
I have pased out when drunk
I have blacked out when drunk

CRIMES
I have littered
I have stolen something
I have killed someone in self defense
I have committed murder
I have shot someone

I consider myself smart
I consider myself dumb
I consider myself poor
I consider myself rich

RELIGION
I believe in a God or Gods
I am a Christian
I am a Catholic
I am a Mormon
I am a Buddhist
I am a Muslim
I am a Hindu
I am a Jew
I am a Scientoligist
I am a Bahai
I am an Atheist

RACE - check all that apply
I am Native American Indian
I am Native Alaskan
I am Native Hawiian
I am Other Native Pacific Islander
I am African American
I am Caucasian
I am Asian
I am Japanese
I am Chinese
I am Korean
I am Singaporean
I am Malaysian
I am Sri Lakan
I am Taiwanese
I am Thai
I am Indian
I am Indonesian
I am Cambodian
I am Veitnamese
I am Iranian
I am Iraqian
I am Isrealian
I am Afghanistanian
I am Nepalian
I am Arabian
I am Mongolian
I am Russian
I am Armenian
I am Latvian
I am Estonian
I am Moldovian
I am Ukranian
I am African
I am Algerian
I am Ugandian
I am Egyptian
I am Angolian
I am Nigerian
I am Ethiopian
I am European
I am French
I am Italian
I am German
I am Swedish
I am Netherlandian
I am British
I am Spanish
I am Polish
I am Romanian
I am Belgian
I am Czech
I am Hungarian
I am Hungarian
I am Serbian
I am Austrian
I am Irish
I am Albanian
I am Iclandic
I am Slovenian
I am Bosnian
I am Middle Eastern
I am South American
I am White Hispanic
I am Black Hispanic
I am Latino American
I am Asian Lantino
I am Turkish
I am Arib
I am Other

BOWL MOVEMENTS
I have one bowl movement per day on average
I have two bowl movements per day on average
I have three bowl movements per day on average
I have more than three bowl movements per day on average
I have one bowl movement every two days on average
I have one bowl movement every three days on average
I have less than one bowl movement every three days on average

SLEEP
I sleep 10 hours per day
I sleep 9 hours per day
I sleep 8 hours per day
I sleep 7 hours per day
I sleep 6 hours per day
I sleep 5 hours per day
I sleep 4 hours per day
I sleep more than 10 hours per day
I sleep less than 4 hours per day

I feel guilty over something I did in the past
I have felt depressed
I feel depressed now
I have had suicidal thoughts in the past
I have suicidal thoughts now
I have thought about killing someone in the past

I broke the law for fun
I have gone night riding

I know someone who has been in The Long Walk
I have family that has been in The Long Walk
I am emplooyed by The Long Walk
I have family in the squads
I have family in the government
I am related to the Major
I am related to soldiers on The Long Walk
I am related to someone who got squadded

I watched The Long Walk on TV
I watched The Long Walk in person
I saw the end of The Long Walk on TV
I saw the end of The Long Walk in person
I saw someone get their ticket on TV
I saw someone get their ticket in person

I walked, jogged or ran 20 miles without stopping

I am deaf
I am blind
I am mute
I have seizures
I sometimes faint
I faint at the sight of blood
I saw a dead body in person
I saw someone killed in person

Thank You Screen

The Major thanks you for your participation.  Good Luck!