I'm fully aware that this is going to be quite an extensive form. You don't need to fill it out completely if you don't want to. You can keep it simple, if you feel like it. I'm just looking to get a feel for what I'm going to be working with. If you tend to provide extensive answers as I do, I promise, I will read through it all! I probably will accept you either way, though. :P

Name:

Age:

Illness/Disorder:

Role (Doctor/Nurse/Patient):

Looks/Lookalike:

Personality:

Hobbies/Talents;

Likes:

Flaws:

Dislikes:

Background:

Other: