HOW ARE YOU? DIRTYING DATA WELLBEING SURVEY 
Thank you for finding this form. You must have met - or be about to meet - #Sergina or one of her agents. Or been messing around with her Dirty Data. We want to know how you are. Your wellbeing is of our utmost concern. Your answers will be recorded, your identity will not. Thank you for your participation.
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What do you feel?
What are you feeling right now?
Can you be good to people?
Clear selection
Can you heal people?
Clear selection
Can you be reformative?
Clear selection
Can we be reformative together?
Clear selection
Can you be positive?
Clear selection
Can you be hopeful?
Clear selection
Are you here?
Clear selection
Where are you?
Am I cute?
Clear selection
Are you?
Clear selection
What is unity?
Can you make us feel in solidarity?
Clear selection
Is our collective conscious still intact?
Clear selection
How can we revive our collective conscious?
Are you in this moment?
Clear selection
Can this moment be good for us?
Clear selection
On a scale of Waiting On A Hard Chair to Get It When You Want It, will we benefit from this moment?
Waiting on a hard chair
Get it when you want it
Clear selection
Is that device your's?
Clear selection
What's your screentime?
Clear selection
Can you make the viewer a participant?
Clear selection
Can you make them live the moment, not just watch it?
Clear selection
Where did you get the code?
On a scale of iPad to Bed, how much influence can you have?
iPad
Bed
Clear selection
Can you leave an impact?
Clear selection
Can you use your energy for good?
Clear selection
Can you make someone feel alive?
Clear selection
Can you reform or transform?
Clear selection
On a scale of on the beach to get it when you want it, how well did our agent do at her job today?
on the beach
get it when you want it
Clear selection
If you would like to be kept up to date with future events, please leave identifying marks in the 'Other' box here and the Any Other Business Box beneath that if necessary. You can also sign up to our manager Elly Clarke's 4x/year max mailspam here: http://eepurl.com/dviolf. Thank you for your attention.  
AOB [aka your email address if you would like to be signed up for things. If you do not wish to weld your identifying identity to your Personally Inputted Responses here, you can write to us at sergina1984@gmail.com.]
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