Name: __________________________________ Participant: Attribute At BL At SL At XL Years At L Tier

Meaning: __________________________________ Age: Practised

People/C. Type: __________________________________ Birthday: Agi: ____________ ____________ ____________ ____________ ____________ ____________
Gender: __________________________________ Current Date: Cha: ____________ ____________ ____________ ____________ ____________ ____________
Social Class: __________________________________ (Day: ) Har: ____________ ____________ ____________ ____________ ____________ ____________
Earnings: __________________________________ Height: Psy: ____________ ____________ ____________ ____________ ____________ ____________
Occupation: __________________________________ Weight: Siz: ____________ ____________ n/a n/a ____________ ____________
Place of Abode: __________________________________ Marital Status: Str: ____________ ____________ ____________ ____________ ____________ ____________
Movement Rate: __________________________________ Handedness: Wit: ____________ ____________ n/a n/a ____________ ____________

Burden L: NfF, 1 L: Burden

Hunger L: NfF, 3 Ls (24 hrs): PT PT BL PT SL PT L Limit (kg) Bur L
Sleepiness L: NfD, 1 L: Dil: _____________ _____________ _____________ 0
Thirst L: NfD, 6 Ls (24 hrs): Foo: _____________ _____________ _____________ 1
Weariness L: Goo: _____________ _____________ _____________ 2
TWL: Need for Sleep: hours Gre: _____________ _____________ _____________ 3
LfP: _____________ _____________ _____________ 4
Body Area Heating L Cold/Heat L Armour L Stu. L Harm L Pri: _____________ _____________ _____________ 5
Lower Left Arm _____________ _____________ _____________ _____________ _____________ 6
Upper Left Arm _____________ _____________ _____________ _____________ _____________ Sense Se BL Se SL Se L 7
Lower Right Arm _____________ _____________ _____________ _____________ _____________ Hea: _____________ _____________ _____________ 8
Upper Right Arm _____________ _____________ _____________ _____________ _____________ Sig: _____________ _____________ _____________ 9
Left Foot _____________ _____________ _____________ _____________ _____________ SoS: _____________ _____________ _____________ 10
Right Foot _____________ _____________ _____________ _____________ _____________
Left Hand _____________ _____________ _____________ _____________ _____________ Special Characteristics & Notes
Right Hand _____________ _____________ _____________ _____________ _____________
Head _____________ _____________ _____________ _____________ _____________
Lower Left Leg _____________ _____________ _____________ _____________ _____________
Upper Left Leg _____________ _____________ _____________ _____________ _____________
Lower Right Leg _____________ _____________ _____________ _____________ _____________
Upper Right Leg _____________ _____________ _____________ _____________ _____________
Trunk _____________ _____________ _____________ _____________ _____________

No. of Items at Resp. Location

Item Weight Volume Char At Home ______________ ______________ Characteristics Siz L Stu L Weapon Harmful-
lbs kg L ness L
Gold pieces (gpcs) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
Gold pennies (gd) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
Silver pieces (spcs) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
Silver pennies (sd) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
Copper pennies (cd) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
Copper farthings (cf) ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
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____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
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____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________
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____________________________________________ ______________ ______________ ______________ ______________ ______________ ______________ __________________________________________________________________ ______________ ______________ ______________ ______________

Char, total weight lbs kg

Skill
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XL XL Limit
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Years Formula Skill L Skill XL XL Limit Years Formula Skill L
Practised Practised
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Date Adventure/Event Parents: Siblings:

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________________________________ ...is born in... ___________________________________________________________________________________________________
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________________________________________________________________________________________________________________________________________________________ Children: Close
________________________________________________________________________________________________________________________________________________________ Friends:
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________________________________________________________________________________________________________________________________________________________ Friends: Acquain-
________________________________________________________________________________________________________________________________________________________ tances:
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