TEXT: Forms Pack
  Forms Pack
  ™
  Original 
  Original PARANOIA
  PARANOIA design
   design
  DAN GELBER
  DAN GELBER
  GREG COSTIKYAN
  GREG COSTIKYAN
  ERIC GOLDBERG
  ERIC GOLDBERG
  New 
  New PARANOIA
  PARANOIA edition
  edition
  ALLEN VARNEY
  ALLEN VARNEY
  GARETH HANRAHAN
  GARETH HANRAHAN
  
  TM & Copyright © 1983, 1987, 2009 by Eric Goldberg & Greg Costikyan. All Rights Reserved. Mongoose Publishing Ltd., 
  Authorised User. Based on material published in previous editions of PARANOIA.
  ILLUMINATI is a registered trademark of Steve Jackson Games, and is used by permission. The reproduction of material from this book for personal or corporate proﬁ t, by 
  photographic, electronic, or other means of storage and retrieval, is prohibited. You may copy character sheets, record sheets, checklists and tables for personal use.
  E-mail questions and comments to Mongoose Publishing at sales@mongoosepublishing.com or write to Mongoose Publishing, Swindon, Wiltshire SN3 1DG, UNITED KINGDOM. 
  On the World Wide Web: www.mongoosepublishing.com.
  Published by Mongoose Publishing, Ltd. Published October 2009. Printed In USA.
  ™
  Forms Pack
  Security Clearance ULTRAVIOLET
  WARNING:
  Knowledge or possession of this information by any citizen 
  of Security Clearance VIOLET or lower is treason punishable by a 
  long spell of Armed Forces latrine scrubot maintenance duty.
  
  2
  PARANOIA: Forms Pack
  FORMS PACK
  1. 
  Citizen Asset Tracking Form 
  2. 
  Delayed Form Filing Form
  3. 
  Bouncy Bubble Beverage Voucher
  4. 
  Alpha Complex Sanity Test (Revised)
  5. 
  Form 27/c
  6. 
  FunFood Experience Report
  7. 
  Pipe Damage Report
  8. 
  Information Request Form
  9. 
  Post Brainscrub Assessment Form
  Citizen Asset Tracking Form 
  Form CPU65XB360
  Under new joint PLC/CPU ‘Proactive Obsolesce Is Mandatory Joy’ Directive, all assets of citizens below YELLOW clearance must be 
  tracked using this form. Citizens are instructed to submit a complete copy of this form every MandatoryReportingDay. Failure 
  to do so will result in ﬁ nes not less than 100 credits. Providing incomplete, incorrect or misleading information is treason.
  Name: ________________________-____-____
  ME Credit Balance:  
  [  
   
   
  ]
  PlastiCred Balance:  
  [ 
   
   
  ]
  [    ] I certify that these plasticreds will only be used for legal, non-treasonous purposes. I certify that I received these credits from 
  an accredited source, and that these credits have never, are not and will never be used for any treasonous acts.  Furthermore, I 
  volunteer to record all plasticred transactions and report them to Internal Security. 
  Personal Equipment (list all items):
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  _______________________________________________________________________________
  Which of these items makes you happiest? __________________________________________
  Why? _________________________________________________________________________
  Which of these items makes you least happy? ________________________________________
  Why? __________________________________________________________________________
  Why do you think The Computer would permit you to purchase non-happiness-enhancing products? Do you think it is more 
  likely that you are insufﬁ ciently medicated? Have you considered purchasing bonus medication? 
  _______________________________________________________________________________
  _______________________________________________________________________________
  Tick all that apply:
  [    ] I wish to prove my loyalty by purchasing more products.
  [    ] Only a Commie would object to repurchasing key products regularly.
  [    ] I am interested in receiving information about new goods and services.
  [    ] I authorise CPU to adjust my credit balance as needed under the new Asset Tracking Directive.
  Generic Forms
  
  3
  GENERIC FORMS
  Delayed Form Filing Form
  Please complete this form in the event you fail to complete another form within the form’s time limit. Attach this form to that 
  form and submit that form to CPU, not the form’s original addressee. Send a copy of the form to the addressee with a note 
  attached noting that this form has been completed for the form. Failure to complete either form is treason.
  Name: ________________-_____-____ 1 2 3 4 5 6
  What is the form you failed to complete? ______________________________________________
  Form Time Limit
  [    ] 1 working daycycle 
   
  [    ] 3 Working daycycles [    ] 1 Weekcycle  
  [    ] 2-4 Weekcycles
  [    ] 1 Monthcycle 
   
  [    ] 1 Yearcycle  
  [    ] Immediate 
   
  [    ] Indeterminate
  [    ] Not available at my security clearance  
   
  [    ] Glacial Epoch 
  [    ] Yesterdaycycle
  [    ] Determined by external factors 
   
   
  [    ] 0.543 hours  
  [    ] c
  [    ] Other [    ] Years [     ] Days  [     ] Hours [      ] Minutes [     ] Seconds
  When were you issued the form? 
  Why were you issued the form?
  Why did you fail to complete the form? List all possible factors and associated delay.
  Factor
  Time Delay
  Total:
  Which of the following statements do you agree with?
  My failure to complete the form in time is wholly my own fault.  
   
  [    ] YES [    ] NO
  My failure to complete the form in time is the result of Commie sabotage.  
  [    ] YES [    ] NO
  I reported the Commie sabotage within the time limit. 
   
   
  [    ] YES [    ] NO
  The time allocated to ﬁ ll out the form was reasonable and fair. 
   
  [    ] YES [    ] NO
  I volunteer for R&D time travel tests in order to get this form ﬁ lled out in time. [    ] YES [    ] NO
  I came back from the future to ﬁ ll out this form. 
   
   
   
  [    ] YES [    ] NO
  
  4
  PARANOIA: Forms Pack
  FORMS PACK
  Bouncy Bubble Beverage Voucher
  Congratulations, Citizen! This voucher is good for one (1) free can of your favourite fun drink, Bouncy Bubble Beverage! 
  Just answer a few simple questions and then present this voucher to the nearest B3 vending machine.
  1. What’s your favourite ﬂ avour of B3?
  [    ] REDBerry [    ] Classic [    ] Revised Classic [    ] DoubleSweet [    ] Spicy
  2. What’s your average resting heart rate?
  [    ] <60 BPM [    ] 60 to 100 BPM [    ] 101-120 BPM [    ] 121+ BPM
  3. Which, if any, of these conditions do you experience after drinking B3?
  [    ] Euphoria [    ] A Taste Sensation [    ] Paranoia [    ] Hallucinations [    ] Nausea
  4. B3 vending machines are
  [    ] My special friend [    ] Overly Aggressive [    ] Coin-stealing Thugs [    ] At My Door
  5. Special Bonus IntSec Question! Name your most treasonous team-mate:
  __________________________________________. This information will be treated in strictest conﬁ dence. The nominated citizen 
  will be interrogated by Internal Security. In the unlikely event that the citizen is found innocent, he or she will be awarded a 
  Voucher for a free can of B3!
  Alpha Complex Standard Sanity Test (Revised)
  DO NOT PANIC. EVERYTHING IS FINE. YOU ARE IN A SAFE ENVIRONMENT. FAILURE TO NOT PANIC IS TREASON. FAILURE TO PERCEIVE 
  THAT EVERYTHING IS FINE WILL RESULT IN IMMEDIATE MEDICATION. IF YOU ARE NOT PERMITTED SHARP OBJECTS, INFORM THE 
  COMPUTER AND YOU WILL BE SUPPLIED WITH A LOW-TOXIC CRAYON. 
  Hello Citizen. This form will help us determine the current state of your sanity. Do not panic. If you feel confused and 
  stressed while completing this form, request more medication immediately. The results of this form will determine your 
  future medication and duty assignments.
  If you understand and agree to these conditions, please scrawl some sort of mark in this box: [    ] 
  Test 1: Word Association
  Match the word in column A with its partner in column B.
  A
  B
  Termination
  Everything is ﬁ ne.
  Complex
  Friend
  The Computer is your Friend.
  Booth
  Registered
  Inform on your co-workers.
  Camera
  Happy
  Obey The Computer.
  Computer 
  Alpha
  Sanity is conformity.
  Citizen
  Mutant
  Deviation is treason.
  Patrol
  Surveillance
  Trust The Computer.
  Mutant 
  Bouncy
  Trust No-One.
  Citizen 
  Confession
  Commies are everywhere.
  Warrant 
  Security
  Obey. Obey. Obey.
  Registration
  Delicious
  You are Happy.
  Fun
  
  5
  GENERIC FORMS
  Test 2: Inkblots
  Does this image make you feel
  [ ] Safe?  
   
  [ ] Threatened? 
   
  [ ] Watched? 
   
  [ ] Happy?
  Does this image make you feel
  [ ] Patriotic? 
   
  [ ] Threatened? 
   
  [ ] Angry? 
   
  [ ] Nauseous?
  Does this image make you feel
  [ ] Funny? 
   
  [ ] Threatened? 
   
  [ ] Useful? 
   
  [ ] Prickly?
  Does this image make you feel
  [ ] Strong? 
   
  [ ] Threatened? 
   
  [ ] Violent? 
   
  [ ] Twitchy?
  Does this image make you feel
  [ ] Funny? 
   
  [ ] Threatened? 
   
  [ ] Reverent? 
   
  [ ] Nauseous?
  Does this image make you feel
  [ ] Funny? 
   
  [ ] Threatened? 
   
  [ ] Happy? 
   
  [ ] Jealous?
  
  6
  PARANOIA: Forms Pack
  FORMS PACK
  Test 3: Mental Health Assessment
  Indicate your level of agreement with the following statements.
  I often conceal my real feelings.
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  The Computer is my only friend.
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  Hygiene is next to happiness.
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  I have strange thoughts.
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  I sometimes hear voices. 
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  Some citizens need to be killed. 
  [    ] Strongly Disagree  
  [    ] Disagree 
  [    ] Neutral 
  [    ] Agree 
  [    ] Strongly Agree
  Form 27/c
  Answer all questions.
   
  1. 
  What is your name?
   
  2. 
  Who ordered you to complete this form?
   
  3. 
  What reason did this person give?
   
  4. 
  Why do you think you were ordered to complete this form?
   
  5. 
  Do you believe you are capable of completing this form?
   
  6. 
  Why do you believe this?
   
  7. 
  If you prove incapable of completing this form, what will you do?
   
  8. 
  What is the purpose?
   
  9. Tick the other forms you ﬁ lled out prior to form 27/c.
   
  [    ]  
  180c  
   
  Authorisation for Use of 2B Pencil
   
  [    ] 
   21d 
   
  Brain Refurbishment In Accordance With Directive 27
   
  [    ] 
   99/1 
   
  Conﬁ rmation of Security Clearance
   
  [    ]  
  26b 
   
  Request for Removal Of Monitoring Implant
   
  [    ]  
  23/x 
   
  Blood Type Assessment
   
  [    ]  
  23/y 
   
  Radiation Exposure Assessment
   
  [    ]  
  52/d1 
   
  Practical Corridor Ceiling Tile Replacement Maintenance and Cleaning Exam
   
  [    ]  
  99/a 
   
  Standard Confession of Treasonous Activity
   
  [    ]  
   
   
  I have not completed any of the above forms.
   
  10. 
  How many times have you been exposed to radiation in the last month?
   
  11. 
  Are you currently in possession of a Form 22/d? 
   
  12. 
  Have you ever possessed a Form 22/d?
   
  13. 
  Are you aware of the consequences of your answers?
   
  14. 
  Describe, in detail, how you would remove a standard Corridor Ceiling Tile for cleaning.
   
  15. 
  How would you modify this procedure if the tile was being removed for replacement, not cleaning?
   
  16. 
  Would you agree that Corridor Ceiling Tiles are more important than other tiles? If not, why not?
   
  17. 
  Have you ever looked into the crawlspace? What did you see? Did you report what you saw?
   
  18. 
  Are Corridor Ceiling Tiles happy? Explain your answer.
   
  19. 
  Would corridors be improved if Corridor Ceiling Tiles were given more capacity to experience  
   
   
  happiness? How would you do this? 
   
  20. 
  Do you ever think you’re a Corridor Ceiling Tile? Imagine what that would be like. Write an essay on  
   
  your life as a Corridor Ceiling Tile.
  
  7
  GENERIC FORMS
  FunFood™ Customer™ Assessment™
  Hi there, citizen™! We hope you enjoyed™ your FunFood™ Experience™! We’ve got a few questions™ for you! Please complete 
  this Customer™ Assessment™ Form™ and hand it over to our Customer™ Care™ Clones™. Failure to do is Treason™. 
  1. Name: _________________-_____-______ 1 2 3 4 5 6 
  Is this the same clone number who ate the FunFood™? [    ] Yes [    ] No
  2. The FunFood™ Consumed Was (Tick All That Apply)
  [    ] Hot Fun™ 
   
  [    ] Cold Fun™ 
   
  [    ] LukeWarm SnackFun™
  [    ] FunPlus™ 
   
  [    ] FunOnTheRun™ 
  [    ] QuantumFun™
  [    ] FunDae™ 
   
  [    ] FunStix™ 
   
  [    ] Other™ (specify)______________
  If you consumed Chewy FunBalls™ or ChewyFun Classic™, please consult a docbot immediately.
  If you consumed FizzFun™, please report to Outdoors immediately. 
  3. Describe your Fun™ Experience. 
  ________________________________________________________________________________
  ________________________________________________________________________________
  ________________________________________________________________________________
  4. Would you describe the Fun™ as (tick all that apply)
  [    ] Filling 
   
  [    ] Satisfying 
   
  [    ] Tangy
  [    ] Strange 
   
  [    ] Violating 
   
  [    ] Tasty
  [    ] Fun  
   
  [    ] Ropy 
   
  [    ] Gooey
  [    ] Delicious 
   
  [    ] Nutritious  
   
  [    ] Alive
  5. Did you experience any of the following symptoms™? If so, please indicate the location of these symptoms™ on the 
  diagram™.
  [    ] Burning
  [    ] Pressure buildup
  [    ] Rash
  [    ] Agonising Pain
  [    ] Nausea
  [    ] Movement beneath the skin 
  6. Thank you for completing this Customer™ Assessment™ Form! As our gift to you, we would like to treat you or a 
  friend™ to a free FunMeal™. Please enter your name or the name of your nominated friend™ below.
  ________________________________________________________________________________
  
  8
  PARANOIA: Forms Pack
  FORMS PACK
  Pipe Damage Report Form
  Technical Services/6345/886/c-GAMMA
  ATTENTION! Form TS/6345/886/c-GAMMA (‘Pipe Damage Report Form’) is to be submitted within ten minutes of any damage to a 
  pipe, tube, conduit, enclosed channel, feed, pump, feed line, aqueduct, duct, pressure vent or other similar component (henceforth 
  designated ‘pipe’) is damaged, pierced, broken, dented, forced, subjected to any form of undue energy or pressure, melted, scarred or 
  otherwise removed from its initial state (henceforth ‘damaged’). Failure to submit Form TS/6345/886/c-GAMMA (‘Pipe Damage Report 
  Form’) within the time limit is treason. 
  1. Where is the pipe? 
  Sector: [    ] Corridor:  [   ] Pipe Distribution Nexus: [    ] Pipe #: [    ]
  If you do not know all of the above information, please describe the pipe’s location in detail.
  2. What is the nature of the damage?
  [    ] Laser Fire 
   
  [    ] Commie Sabotage 
   
  [    ] Severe Impact 
  [    ] Pierced by Projectile
  [    ] Vehicle crash  
  [    ] Fire/similar condition  
  [    ] Corrosion/Acid
  3. What is the current state of the pipe?
  [    ] Blocked 
  [    ] Broken 
   
  [    ] Leaking 
   
  [    ] Breached
  [    ] Flooded 
  [    ] Spouting 
   
  [    ] Cosmetic damage only
  4. How did you ascertain this damage?
  5. How did the damage occur?
  6. Who is responsible for this damage?
  7. What, if anything, is leaking from the pipe?
  8. Would you describe the leaking substance as (tick all that apply):
  [    ] Acidic 
   
  [    ] Bubbly 
   
  [    ] Toxic 
   
   
  [    ] Caustic
  [    ] Alive 
   
  [    ] Tasty 
   
  [    ] Unidentiﬁ able 
   
  [    ] Friendly
  9. Estimating the current amount of material leaking from the pipe, and the volume of the ﬂ ood zone (where ‘ﬂ ood zone’ 
  is deﬁ ned as a space bounded by watertight ceilings, ﬂ oors and blast doors), how long will it take the leaking material 
  to completely ﬁ ll the ﬂ ood zone? Show your work.
  10. Special Bonus Pipe Repair Question! How would repairing this pipe beneﬁ t Alpha Complex?
  
  9
  GENERIC FORMS
  Information Request Form
  One copy of this form is to be retained by the submitter, one copy sent to the service group from which the information is requested, 
  one copy sent to Internal Security, one copy sent to Central Processing and one copy sent to your immediate superior. 
  1 Name: ________________-__-_____ 1 2 3 4 5 6
  2 Information Request Addressee
  [    ] Central Processing Unit…………All information (other)
  [    ] Armed Forces…………………...Information related to Armed Forces personnel and activities 
  [    ] HPD&MC………………………Housing, Media, Citizen Services, Mental Adjustment, Payments, Rates, Systems Processing, 
  System Services, Information Availability, Citizen Processing, Development, Development Services, Processing Services, Service 
  Processing
  [    ] PLC……………………………..Consumer Affairs, Consumer Advice, Non-Technical Product Usage Queries
  [    ] R&D…………………………….Experimental Device Operation or Disposal, Fringe Questions
  [    ] Tech Services…………………...Technical Support, Technical Questions, Operations Support, Operation Services, Plumbing 
  and Wiring (not power)
  [    ] Power Services………………….Power Support, Power Queries, Power Operations Support, Power Operation Services, Power 
  Supply and Usage, Wiring questions, Transport queries
  [    ] Internal Security……………….. N/A
  3 Previous Information Request Attempts (Tick all that apply).
  [    ] Requested help from Friend Computer
  [    ] Searched Computer archives
  [    ] Contacted Information Retrieval Services for the appropriate Service Group
  [    ] Visited Information Retrieval Services for the appropriate Service Group
  [    ] Filed Preliminary Information Request
  [    ] Visited Information Dispersal Clerk
  [    ] Visited Information Dispersal Clerk for more than one hour
  [    ] Visited Information Dispersal Clerk for more than one working day
  [    ] Am still in Information Dispersal Clerk’s ofﬁ ce
  4 Did these previous attempts elicit the information you seek? [    ] Yes [    ] No
  5 If YES, why are you ﬁ ling this Information Request? Please list other examples of contradictory behaviour on your 
  part.
  6 If NO, please select the most likely reason for this failure.
  [    ] Insufﬁ ciently accurate request (Please communicate more clearly in future).
  [    ] Failure or incompetence on part of clerk (Please provide proof of this allegation).
  [    ] Sabotage (Please provide proof of this allegation).
  [    ] Information not available at my security clearance (Explain why you are requesting information above your security 
  clearance).
  [    ] I don’t know (Please ﬁ ll out an Information Request Form).
  [    ] Other (specify).
  7 Specify the information you require.
  8. Could this information be used by the enemies of Alpha Complex? [    ] YES [    ] NO
  9 If YES, explain how you would use this information to damage Alpha Complex. Also explain how you believe you will 
  be able to ensure the information remains secure.
  10 If NO, explain how you are so certain that this information is completely secure. Do you often leap to unjustiﬁ ed 
  conclusions? How do you know what traitors are planning?
  
  10
  PARANOIA: Forms Pack
  FORMS PACK
  Post-Brainscrub Assessment Form
  Hi there! You’ve been brainscrubbed! That’s great! 
  1. Do you know what your name is? If you do, write it here! ______________
  If you can’t remember your name, write any letters you can remember. If you can’t remember any of your name, then you’re 
  now Kevin, ok.
  2. Do you remember your security clearance? If you do, circle it! IR R O Y G B I V UV
  If you can’t remember, that’s ok! Just make your best guess! Try looking at your sleeve for clues.
  3. You’re doing really well! What fun this is! Anyway, next question. Can you draw a picture of a warbot in this box?
  4. Now, tick (or draw a little smiley face) next to the statement you agree with.
  The Computer is my
  A: Friend [    ]  
   
   
  B: Little Box Buddy [    ]  
   
  C: I don’t know. [    ] 
  Happiness is
  A: Mandatory [    ]  
   
  B: Inside the pills [    ] 
   
  C: A tangy metal taste [    ]
  I shoot Commies with my
  A: Laser [    ]  
   
   
  B: Toaster [    ] 
   
   
  C: Mind [    ] 
  Brainscrubbing feels
  A: Painful [    ] 
   
   
  B: Fuzzy [    ]  
   
   
  C: Good, like having a shiny cranium [    ]  
  5. Go you! We’re done. Now give this form to the nice docbot and have a Bouncy Bubble Beverage!
  +++FOR OFFICIAL USE ONLY+++
  Mostly As: Brainscrub successful. Return citizen to standard assignment. 
  Mostly Bs: Close enough. Reassign to Troubleshooter duty.
  Mostly Cs: Reassign to paperweight duty.
  
  11
  TROUBLESHOOTER FORMS
  Troubleshooter Forms
  Troubleshooter Forms
  1. 
  Team Leader Sick Note 
  2. 
  Loyalty Ofﬁ cer Loyalty Test
  3. 
  Hygiene Ofﬁ cer: Request for Scrubbot
  4. 
  Equipment Maintenance Checklist
  5. 
  Comms & Recording Ofﬁ cer Shooting Schedule
  6. 
  Happiness Ofﬁ cer Happiness Assessment
  Request for Emergency Scrubbot Assistance
  TS/434/431/c
  Name: __________-__-______-1 2 3 4 5 6   
  Hygiene Ofﬁ cer [    ] YES [    ] NO
  Please describe the nature of the soiling, spillage, marking or other staining.
  [    ] Bloodstain 
   
   
  [    ] Human waste 
   
  [    ] Bouncy Bubble Beverage 
  [    ] Caustic chemical spill  
  [    ] Vomit 
   
   
  [    ] Bouncy Bubble Beverage, Cheery-O
  [    ] FunFood (hot) 
   
  [    ] FunFood (cold) 
   
  [    ] Substance 291
  [    ] Grafﬁ ti 
   
   
  [    ] Generic Dirt  
   
  [    ] Molten metal
  [    ] Acid  
   
   
  [    ] Paint 
   
   
  [    ] Oil 
  [    ] Grease 
   
   
  [    ] Other Lubricant 
   
  [    ] Human byproduct (other)
  [    ] Outdoors Material (RED clearance or higher, only)[ ] Dye 
  [    ] Tick only if Protocol LOOSE VECTOR NINE is authorised
  [    ] Other (please specify) _______________________________________________________
  Please describe the size and location of the soiling in detail. ____________________________
  ____________________________________________________________________________
  How did the stain occur? What caused it? Why did you fail to prevent it occurring? _________
  ____________________________________________________________________________
  ____________________________________________________________________________
  Why are you not cleaning up the stain yourself? _____________________________________
  Please note any special attachments required by the scrubbot for this assignment.
  [    ] Extended hose 
   
  [    ] Carpet cleaner 
   
  [    ] Spray-Kleene
  [    ] UV Germzapper 
   
  [    ] Polishing brush 
   
  [    ] Body Bag
  [    ] Molecular Scourer 
   
  [    ] Laser cannon  
   
  [    ] High-pressure hose
  I certify that I take full responsibility for
  [    ] The care and proper functioning of the scrubbot, and any damage caused by the bot.
  [    ] The destruction of any and all evidence that may be of use to Internal Security in future investigations
  [    ] The proper maintenance of hygiene standards within the speciﬁ ed zone
  [    ] Any and all issues related to the ﬁ ling of this form.
  BONUS FUN FACT: Scrubbots are now equipped with dental cleansing probes!
  
  12
  PARANOIA: Forms Pack
  FORMS PACK
  Loyalty Ofﬁ cer Loyalty Test
  Citizen! You have been selected to serve as your team’s LOYALTY OFFICER. This role is of great importance and is vital to the 
  successful completion of your Troubleshooter mission. Internal Security is watching your success closely. As part of this process, 
  your own loyalty must be assessed. FAILURE TO FILL OUT THIS FORM FULLY IS TREASON! FAILURE TO ANSWER ANY QUESTIONS 
  ON THIS FORM IS TREASON! INCORRECT OR FRADULENT ANSWERS ARE TREASON! Thank you for your co-operation.
  1. Please state your full name: _______________-__-______-1 2 3 4 5 6
  2A. List all your associates in the last ﬁ ve yearcycles. For the purposes of this form, an ‘associate’ is a citizen with whom you shared 
  the same physical location for more than ten minutes on at least two separate occasions or communicated with verbally, in 
  writing or by electronic means. Use the back of the page if you need more space. If you are unable to comply with this directive, 
  please answer questions 2B, 2C and 2D. _________________
  *** DO NOT ANSWER THIS SECTION IF YOU HAVE COMPLETED QUESTION 2A ***
  2B. How often do you suffer from memory lapses? [    ] Sometimes [    ] Often [    ] I don’t remember suffering from memory lapses.
  2C. Can you account for all your movements in the last ﬁ ve yearcycles? Can you provide alibis or other proof of your movements? 
  [    ] Yes [    ] No
  2D. Do you trust yourself? [    ] Yes [    ] No. Explain why.
  *** ANSWER ALL FOLLOWING SECTIONS ***
  3. The Loyalty Ofﬁ cer’s chief role is to precisely and accurately record events. Please accurately and truthfully describe any one 
  of the following:
  a) The ﬁ rst time you betrayed The Computer
  b) Your initiation into a treasonous conspiracy
  c) Your most recent treasonous thought
  _____________________________________________________________________________
  4. Internal Security may require certain actions of you. If ordered to do so by an IntSec agent, would you? If not, why not?  
  a) Throw acid in a Junior Citizen’s face 
  [    ] YES [    ] NO _________________________________
  b) Plant a bomb  
   
   
  [    ] YES [    ] NO _________________________________
  c) Swear allegiance to the Communists 
  [    ] YES [    ] NO _________________________________
  d) Terminate a fellow Troubleshooter 
  [    ] YES [    ] NO _________________________________
  5. Do you have anything else that you wish to confess at this point? FAILURE TO CONFESS ANY TREASON AT THIS POINT WILL 
  RESULT IN SEVERE PENALTIES. Remember to sign your confession at the bottom of the page.
  _________________________________________________________________________________
  _________________________________________________________________________________
  _________________________________________________________________________________
  _________________________________________________________________________________
  FOR INTERNAL USE ONLY: 
  _________________________________________________________________________________
  _________________________________________________________________________________
  _________________________________________________________________________________
  Signed:
  
  13
  TROUBLESHOOTER FORMS
  Happiness Ofﬁ cer Happiness Evaluation
  Hi! This handy happy guide will help YOU, the team’s Happiness Ofﬁ cer, assess the happiness level of an unhappy team member! 
  This will be FUN! Don’t worry, be happy!
  Now, remember to SMILE! What’s that? It’s the HPD&MC approved action checklist, of course!
  Stop! If you see an unhappy citizen, act immediately! Happiness is mandatory!
  Medicate! You can never have too many happy pills*! Be generous!
  Interrogate! Find out the root cause of the citizen’s gloom so you can turn that frown upside-down!
  Listen! Be caring and considerate! He’s unhappy enough, don’t make him worse!
  Evaluate! Use this form to determine the next best course of action!
  First, we’re going to record some boring old ofﬁ cial details for the clerks over at CPU! 
  Your name: _______________-__-______-1 2 3 4 5 6
  Teammate’s Name: _______________-__-______-1 2 3 4 5 6
  Now, ask the following questions of your team-mate! 
  1. I sometimes feel (a) Nauseous (b) Confused (c) Unhappy
  2. I think the voices in my head are (a) Fun (b) Telepathic messages (c) Delusions
  3. If I were a bot, I’d be a (a) Jackobot (b) Scrubbot (c) Warbot
  4. When I pee, it’s mostly (a) my security clearance (b) blue (c) painful 
  5. Certain death means (a) Commie sabotage (b) Nothing (c) blessed release
  6. Y’know, technically, just having a backup clone means nothing. The you I’m talking to right now won’t be here anymore. The 
  replacement will remember being you, but it won’t actually be you. You’ll be gone. How does that make you feel? (a) I don’t 
  want to think about that (b) Confused (c) Scared 
  7. Happiness is (a) Fun! (b) Mandatory (c) Chemically Induced
  8. My best friend is (a) The Computer (b) my laser pistol (c) The Communist Party Chairman
  9. My favourite TV show is (a) Teela-O (b) Emergency Broadcast Test (c) I don’t watch tv
  Add up the answers!
  Mostly As): Your team-mate’s A-OK! Good job, Happiness Ofﬁ cer! Get them to join you in a rousing chorus of Glory, Glory, Hail 
  Computer! 
  Mostly Bs): My, someone’s got a bit of a dissociative personality disorder! Give them some more pills!
  Mostly Cs): Oh no! This team-mate is clearly very unhappy! You have failed in your duties. Report this to the Loyalty Ofﬁ cer 
  immediately. 
  *: More than 80 mg of Happy Pills is a lethal dose.
  
  14
  PARANOIA: Forms Pack
  FORMS PACK
  Comms & Recording Ofﬁ cer Shooting Schedule
  Attention! HPD&MC’s Action Time Studios are producing a new series entitled Troubleshooting Live. This high-proﬁ le television 
  series is composed primarily of multicorder footage from Troubleshooter (TS) missions. You have been volunteered to contribute to 
  this series! Congratulations!
  Instructions: This form lists your assigned shots. Each shot must include at least THREE elements from the list of six potential 
  elements, all in the same shot with no visible edits or breaks. Failure to complete all assigned shots will result in censure. By 
  reading this form, you cede all ownership and creative control of and/or claim on your images to HPD&MC Action Time Studios 
  immediately and in perpetuity. 
  Shot #1 – Brieﬁ ng
  [    ] Team Leader, nodding sagely   
  [    ] Brieﬁ ng ofﬁ cer smiling  
   
  [    ] Exciting ﬂ owchart
  [    ] Team Leader’s Inspiring Speech 
  [    ] Image of terrifying Commie 
   
  [    ] Whole team saluting
  Shot #2 – Equipment
  [    ] Smiling, friendly PLC clerk 
   
  [    ] Exciting R&D gadget  
   
  [    ] Equipment guy with laser
  [    ] TS putting on armour  
   
  [    ] TS explaining use of item 
   
  [    ] TS operating vehicle
  Shot #3 – The Chase Is On!
  [    ] Commie on the run   
   
  [    ] Loyal citizens cheering TSs 
   
  [    ] Foot chase down corridor
  [    ] Friendly conversation with The Computer 
   
   
   
   
  [    ] Explosions
  [    ] TS team leaping into action
  Shot #4 – And Now A Word From Our Sponsors
  [    ] TS drinking B3 
   
   
  [    ] TS drinking B3 
   
   
  [    ] TS drinking B3
  [    ] TS drinking B3 
   
   
  [    ] TS drinking B3 
   
   
  [    ] TS drinking B3
  Shot #5 – Fireﬁ ght
  [    ] TS heroically saving teammate  
  [    ] Commie warbot attacking 
   
  [    ] Lots of explosions
  [    ] TS shooting Commie  
   
  [    ] Commie with hostage 
   
  [    ] Ticking bomb clock
  Shot #6 – Peril!
  [    ] TS falling into deep pit 
   
  [    ] Laughing Commie 
   
   
  [    ] Lots of explosions
  [    ] TS with expression of grim determination 
   
   
   
   
  [    ] Dead TS, sad expressions
  [    ] Bomb clock with only ﬁ ve seconds to go
  Shot #7 – Successful Mission
  [    ] Smiling brieﬁ ng ofﬁ cer 
   
  [    ] Smiling TS 
   
   
   
  [    ] Laughing at dead Commies
  [    ] Celebratory B3 
   
   
  [    ] Returning gadget to R&D 
   
  [    ] Team Group Hug
  
  15
  TROUBLESHOOTER FORMS
  Equipment Ofﬁ cer Advisory #3: Maintenance Checklist
  Technical Services RTFM302/2 – Rev 214.22.3. 0953356643
  1. Team Equipment must be checked
  
  Once per mission
  
  After any combat or hazardous encounter
  
  After immersion in any liquid or semi-liquid medium
  
  After exposure to any electromagnetic ﬁ elds in excess of 0.05T
  
  After exposure to any radiation in excess of 10kBQ
  
  At the discretion of the Equipment Ofﬁ cer
  2. Armour Checklist
  #1
  #2
  #3
  #4
  #5
  #6
  Are all armour seals intact? Broken seals cost clones!
  Is all armour is properly buffed with BuffAll low-toxin spray?
  Are all armour fasteners and straps pulled tight and secured?
  Are there any unusual smells or stains? Are these stains possibly due to MUTANT 
  SECRETIONS?
  Check for reﬂ ec fatigue. If reﬂ ec fatigue is present, inform the Team Leader.
  3. Weapon Checklist
  #1
  #2
  #3
  #4
  #5
  #6
  Ensure correct laser barrel operation by disconnecting all barrels, examining the 
  barrel for defects, then reconnecting.
  Ensure laser charge by removing power cell, checking the connectors, and 
  replacing dead cells. 
  Ensure correct targeting alignment by ﬁ ring as many test shots as you deem 
  necessary.
  Ensure the built-in camera is operating correctly via port 2. 
  Ensure primary ﬂ ange is seated in the dorsal notch. Failure of the primary ﬂ ange 
  to sit correctly in the dorsal notch means the weapon is unreliable and should 
  not be used.
  
  16
  PARANOIA: Forms Pack
  FORMS PACK
  4. MBD Equipment Checklist
  Check the Hygiene Ofﬁ cer’s cleaning products for signs of leakage. LEAKAGE IS TREASON.
  Check the Hygiene Ofﬁ cer’s Skin Core Sampler. Does the depth setting dial move smoothly? Is the sample scanner clean and 
  free of contaminant?
  HYGIENE OFFICER EQUIPMENT OK [    ] YES [    ] NO
  Check the Comms & Recording Ofﬁ cer’s multicorder. Is the lens clean? Is the battery fully charged? Is the gain on the microphone 
  correctly calibrated? 
  COMMS & RECORDING EQUIPMENT OK [    ] YES [    ] NO
  Check the Happiness Ofﬁ cer’s supply of medication. Are all seals intact? Is the medication in date? Are you sure that the pills 
  are what they are supposed to be? Why not have a few pills yourself to make sure?
  HAPPINESS OFFICER EQUIPMENT OK [    ] YES [    ] NO
  Note: The Loyalty Ofﬁ cer’s notebook is property of Internal Security. It is the ofﬁ cial policy of Technical Services that 
  the Equipment Ofﬁ cer must not tamper with the contents or attempt to access Internal Security records during an 
  equipment check.
  Check the Loyalty Ofﬁ cer’s notebook. DO NOT OPEN IT. DO NOT READ ITS CONTENTS. Ensure it is waterproof. Ensure it is ﬂ ammable. 
  Ensure it is inﬂ ammable. Ensure it is acidproof. Ensure it is laserproof. 
  LOYALTY OFFICER EQUIPMENT OK [    ] YES [    ] NO
  5. Experimental Equipment Checklist
  5.1 Describe the experimental equipment: _________________________________________________
  5.2 Is the equipment working as intended [    ] YES [    ] NO
  5.3 If NO, did you attempt to repair the equipment? [    ] YES (see 5.4, 5.5) [    ] NO (see 5.6, 5.7)
  5.4 If YES, describe your actions in detail: ________________________________________________
  5.5 Is the item working correctly now? [    ] YES [    ] NO. If NO, explain how this is not your fault.
  5.6 Why did you not attempt to repair the equipment? _______________________________________
  5.7 Describe, in your estimation, the worst case scenario that could arise if you attempted to repair experimental R&D equipment 
  without proper tools under ﬁ eld conditions/under Commie attack/under stress/under other? Be graphic and imaginative.
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  _________________________________________________________________________________!
  
  17
  TROUBLESHOOTER FORMS
  CPU35-3276/D – Team Leader Sick Note
  ATTENTION: CPU-35-3276/D (henceforth designated “this form”) is for the use of the Troubleshooter designated “Team Leader” 
  by The Computer or a duly authorised representative thereof for the purposes of reporting inability to complete his designated 
  duties on the grounds of medical conditions. Use of this form by any other individual or for any other purpose, including but 
  not limited to fraud, evasion of designated duties or improvised weapon attacks is treason.
  A. Identity Veriﬁ cation
  State your name. Failure to provide veriﬁ cation of any submitted identity is treason.
  ______________________-___-_______-  1  2  3  4  5  6
  Attach Tongueprint here: [                       ]
  Attach DNA sample here: [                       ]
  List Three Trusted Citizens who will vouch for your identity: State association to Team Leader:
  1. ______________________________________ 
   
       ______________________________
  2. ______________________________________ 
   
       ______________________________
  3. ______________________________________ 
   
       ______________________________
  B. Team Leader Questionnaire
  Conﬁ rm that you are currently Team Leader by ticking this box [    ] 
  How were you designated Team Leader?
  [    ] I volunteered  
   
   
  [    ] The Computer said so
  [    ] I was volunteered 
   
   
  [    ] The Brieﬁ ng Ofﬁ cer said so
  [    ] Elected by team-mates 
   
  [    ] Citizen _________________ said so
  [    ] Completed MBD form pack 
   
  [    ] My character sheet says it (please ﬁ ll out psychological 
  [    ] Drew the short straw  
   
  assessment form 23/a)
  [    ] I don’t know  
   
   
  [    ] Other. Specify: ____________________________
  State the duties of the Team Leader as you understand them: ______________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  What traits or skills make you a good candidate for the Team Leader position: ______________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  What traits or other factors detract from your ability to be Team Leader, OTHER THAN THE MEDICAL CONDITION YOU 
  ARE REPORTING IN THIS FORM? Explain how these traits affect your ability to function as Team Leader. Give examples 
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  Why do you believe you were chosen as Team Leader, given your listed drawbacks?
  ___________________________________________________________________________________
  
  18
  PARANOIA: Forms Pack
  FORMS PACK
  C. MEDICAL QUESTIONNAIRE
  Describe your medical condition in full. _______________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  Was this a pre-existing condition before you were designated Team Leader? [    ] YES [    ] NO
  If YES, why did you not inform a superior? _________________________________________
  If NO, explain how this condition manifested so abruptly. _____________________________
  ___________________________________________________________________________________
  Do you have any of the following symptoms?
  [    ] Shaky hands  
   
  [    ] Dry mouth 
   
  [    ] Confusion and panic attacks
  [    ] Smell of burning 
   
  [    ] Excessive sweating 
  [    ] Extra ﬁ ngers
  [    ] Heart palpitations 
   
  [    ] Leakage 
   
  [    ] Inability to digest Hot Fun
  [    ] Weak knees  
   
  [    ] Blurred vision 
  [    ] Hearing buzzing noises
  [    ] Upset stomach 
   
  [    ] Excessive urination 
  [    ] Hearing voices
  [    ] Difﬁ culty breathing 
   
  [    ] Loss of balance 
  [    ] Hearing screams
  [    ] Feeling of falling 
   
  [    ] Communism  
  [    ] Hearing laughing
  [    ] Spots or blemishes 
   
  [    ] Rashes or hives 
  [    ] Yellowish drool
  [    ] Foaming at the mouth 
  [    ] Death 
   
  [    ] Hunger for brains
  [    ] Inability to read ffrioivgf 
  [    ] fgergewgi 
   
  [    ] dweﬁ  than normal
  [    ] Lack of symptoms 
   
  [    ] Thirst 
    
  [    ] Other
  If you are removed from your position of Team Leader on medical grounds, what alternate Mandatory Bonus Duty 
  would you like?
  [    ] Loyalty Ofﬁ cer 
   
  [    ] Happiness Ofﬁ cer 
  [    ] Equipment Ofﬁ cer
  [    ] Hygiene Ofﬁ cer 
   
  [    ] Communications & Recording Ofﬁ cer
  If you are removed from your position of Team Leader on medical grounds, how does it reﬂ ect on your ability to function 
  as a Troubleshooter? Explain your conclusions.
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  
  19
  INTSEC FORMS
  IntSec Forms
  IntSec Forms
  1. 
  Interrogation Request Form
  2. 
  Citizen Interrogation Receipt
  3. 
  SecuriCar Request Form
  4. 
  Securicar Damage Report
  5. 
  Post-Mission Assessment Form
  6. 
  Clone Budget Review Request
  Interrogation Request Form
  Fill out this form completely for each interrogation subject and make (3) three copies. Failure to make three (3) copies is treason. 
  Retain the original document. Send one copy to MiniPOI, send one copy to Medical Services, one copy to Central Processing and 
  one copy to the Archives department. Failure to precisely comply with these directions may result in undesirable consequences 
  for the subject and/or you
  Subject’s name: _________________-____-______-1 2 3 4 5 6
  Specify the parameters of the interrogation:
  [    ] Speciﬁ c Incident (describe the incident): ________________________________
  [    ] Treasonous Behaviour  
   
  [    ] Sedition and treasonous associations
  [    ] Mutation  
   
   
   
  [    ] Badthought and disloyalty
  [    ] Continue interrogation until subject confesses
  [    ] Other (specify)
  Does the subject have any known medical conditions? Tick all that apply.
  [    ] Heart palpitations 
   
  [    ] Liver damage
  [    ] Missing limbs 
   
  [    ] The brainworms
  [    ] Extreme nervousness   
  [    ] Allergic to Telescopamine
  [    ] Allergic to electricity   
  [    ] Allergic to stainless steel
  [    ] Smoking hole in chest 
  [    ] Mutation (specify if known) _____________
  What is the minimum post-interrogation level of functionality desired for the subject?
  [    ] No lasting damage [    ] Mild abrasions [    ] Brainscrub [    ] He’s got more clones, right?
  
  20
  PARANOIA: Forms Pack
  FORMS PACK
  +++ Citizen Interrogation Receipt +++
  Attention citizen: This receipt states that you or a previous clone of you (SUBJECT) has been taken by Internal Security to assist 
  with enquiries. If SUBJECT intends to make a claim for damages (Form 329-34), claim for undue happiness adjustment (Form 
  432-A) or claim for unwarranted termination (Form 491-CA), you must present this receipt along with the requisite form. Forms 
  can be obtained by sending this receipt to the IntSec Central Customer Complaints Processing Department for your sector. 
  Failure to produce this receipt on demand by a duly appointed Internal Security ofﬁ cer or agent is treason. 
  SUBJECT Name: ______________________-____-_____ 1 2 3 4 5 6
  SUBJECT STATUS
  [    ] Assisting with inquiries 
   
   
  [    ] Taken for interview
  [    ] Arrested as suspect in crime 
   
   
  [    ] Taken for interrogation
  [    ] Arrested as victim of crime 
   
   
  [    ] Taken for forensic testing
  [    ] Arrested as perpetrator of crime 
   
  [    ] Taken for other purposes
  [    ] Unperson 
   
   
   
   
  [    ] Other
  At the time SUBJECT was obtained, the following facts are asserted to have been true for all purposes relating to Internal 
  Security’s interaction with SUBJECT.
  [    ] Subject in good health 
   
   
  [    ] Subject was below hygiene standards
  [    ] Subject injured 
   
   
   
  [    ] Subject unhappy
  [    ] Subject acting irrationally   
   
   
  [    ] Other: ________________________
  Possessions of SUBJECT:
  ___________________________________________________________________________
  ___________________________________________________________________________
  ___________________________________________________________________________
  TREASONOUS or ILLEGAL possessions of SUBJECT: 
  ___________________________________________________________________________
  ___________________________________________________________________________
  ___________________________________________________________________________
  SUBJECT credit balance: [                        ]. Note that processing fees, operating costs, sundry ﬁ nes, credit adjustments, credit 
  licensing and other deductions may affect credit balance. Credit balance is for advisory purposes only.
  SUBJECT SHIPPING AND HANDLING 
  [    ] Body bag 
   
   
   
   
  [    ] Small box
  [    ] Carbonite restraints  
   
   
  [    ] Handcuffs
  [    ] Manacles 
   
   
   
   
  [    ] Brain clamp
  [    ] SecuriCar 
   
   
   
   
  [    ] Ambulance
  [    ] Biohazard 
   
   
   
   
  [    ] Viral Thought Pattern
  [    ] Other __________________________________________________________________________
  Disclaimer: Internal Security will make every effort to return SUBJECT in the same state as SUBJECT was obtained. Due to [    ] 
  processing requirements [    ] time constraints [    ] unavoidable damage [    ] sabotage [    ] SUBJECT’s own actions [    ] SUBJECT’s 
  refusal to co-operate [    ] other this may not be feasible. The safety security of Alpha Complex and The Computer takes precedence 
  over the safety and security of any individual citizen, and The Computer expects that each citizen will do his part in ensuring 
  the continuity of Alpha Complex and the War on Communism. Failure to do so is treason. 
  
  21
  INTSEC FORMS
  SecuriCar Requisition Request
  Name: ________________-___-______ 1 2 3 4 5 6
  Are you the Designated Driver? [    ] YES
  If not, name the Designated Driver. The Designated Driver is responsible for the vehicle’s safety and maintenance. 
  _______________-___-_____
  This mission will involve (tick any that apply. Failure to indicate mission content will be taken into account when determining 
  ﬁ nal fees or other consequences):
  [    ] High Speed Chases   
  [    ] Vehicle Combat
  [    ] Explosives  
   
   
  [    ] Sewers
  [    ] Outdoor Operations   
  [    ] Rogue bots
  [    ] Transtube 13  
   
  [    ] Anti-vehicle weapons
  [    ] Other Hazards (specify) ___________________________
  For each hazard selected, a deposit of 1,000 Credits is required. I agree that this should be debited from
  [    ] My Account [    ] The Designated Driver’s Account [    ] Lead Trooper’s Account
  Optional Extras
  [    ] Fuzzy Dice 
   
   
  [    ] Personalised Keychain
  [    ] Armoured compartment  
  [    ] Ejector seats
  [    ] Heavy Weapons  
   
  [    ] Anti-Missile System
  [    ] Improved Bot Brain 
   
  [    ] Bugging Device
  FOR OFFICIAL USE ONLY:
  Requisition Index # [ 
   
   
  ]
  [    ] AB1  
  [    ] QA4  
  [    ] 32A  
  SecuriCar Damage Report
  1. State your name. ________________________-___-_______
  2. SecuriCar Requisition Index # [ 
   
  ]
  3. Which of the following systems were damaged?
  [    ] Chassis 
  [    ] Transtube Connector  [    ] Motor 
  [    ] Reactor
  [    ] Dashboard [    ] Gearshift 
   
  [    ] Airbag 
  [    ] Sickbag
  [    ] Bot brain 
  [    ] Brakes 
   
  [    ] Weapons 
  [    ] Communications
  [    ] Storage 
  [    ] Air conditioning 
  [    ] Navigation 
  [    ] Other
  4. What was the cause of this damage?
  ____________________________________________________________________________
  5. Who else was in the vehicle when it was damaged?
  ____________________________________________________________________________
  6. Who would you judge to be the most responsible for this damage?
  ____________________________________________________________________________
  7. Could this damage have been prevented? If not, explain why not? If so, explain why you failed to prevent it.
  ____________________________________________________________________________
  
  22
  PARANOIA: Forms Pack
  FORMS PACK
  IntSec Post-Mission Assessment Form
  Complete all sections. Failure to complete all sections is treason. 
  1. Trooper Name: [ 
   
   
   
   
   
  ]
  2. Mission Codename or Code:
  3. Please rate your satisfaction with the following departments or mission sections from 1 to 5, where 1 is ‘not very 
  satisﬁ ed’ and 5 is ‘very satisﬁ ed’. Note that excessively low marking has been correlated with unhappiness or personality 
  disorder.
  Mission Statement
  Interrogation
  Communications
  Surveillance
  Armoury 
  Backup and Support
  Outﬁ tting
  Counselling
  Motor Pool
  Commissioner 
  Forensics
  4. Which Special Ofﬁ cer Duties were assigned for this mission?
  [    ] LEAD TROOPER 
   
   
   
  [    ] SECURITY OFFICER 
   
  [    ] COMMUNITY LIAISON OFFICER
  [    ] INTERROGATION & THOUGHT CONTROL 
  [    ] SURVEILLANCE AND FORENSICS
  [    ] DESIGNATED DRIVER   
   
   
  [    ] OTHER
  5. Would you categorise the Lead Trooper’s Performance as:
  [    ] INSPIRING [    ] HEROIC [    ] CONFUSED [    ] UNCERTAIN [    ] PANICKY [    ] TREACHEROUS
  Why?
  ________________________________________________________________________________
  ________________________________________________________________________________
  6. Did the Security Ofﬁ cer make you feel:
  [    ] SAFE, LIKE BEING WRAPPED IN A WARM BLANKET
  [    ] SAFE, LIKE BEING WATCHED BY THE COMPUTER’S LOVING CAMERA
  [    ] SAFE, LIKE BEING HEAVILY SEDATED
  [    ] SAFE, LIKE BEING LOCKED INSIDE A SMALL METAL BOX 
  [    ] THREATENED
  
  23
  INTSEC FORMS
  7. How did the Community Liaison Ofﬁ cer behave?
  [    ] Adequately [    ] Quite Adequately 
  [    ] Average 
  [    ] Good
  Please list all the citizens the Community Liaison Ofﬁ cer liaised with. Would you say all his dealings were entirely 
  professional? Did his behaviour ever strike you as suspicious? Could any or all of these liaisons have been cover for 
  treasonous conspiracies? If so, why did you not intervene?
  __________________________________________________________________
  __________________________________________________________________
  8. Did the Interrogation & Thought Control Ofﬁ cer
  [    ] Interrogate You? 
  [    ] Control your Thoughts?
  If you ticked either of the above boxes, please explain what treasons you committed that required his intervention.
  __________________________________________________________________
  If you did not tick either of the above boxes, then would you support the proposition that any treason you commit is 
  partly the fault of the Interrogation & Thought Control Ofﬁ cer for failing to ensure proper mental hygiene? Bearing 
  this proposition in mind, are there are treasonous acts that you would like to confess at this point? Are you sure? Are 
  you sure? Are you sure? 
  __________________________________________________________________
  9. Do you feel the Surveillance & Forensics Ofﬁ cer’s input was
  [    ] Vital  
  [    ] Valuable 
  [    ] Variable 
  [    ] Vile  
  [    ] Voluntary 
  Was the Forensic Scrubbot useful? [    ] YES [    ] SOMEWHAT [    ] I DON’T KNOW
  10. Please Rate Your Fellow Troopers from 1 to 5, where 1 is ‘not very satisﬁ ed’ and 5 is ‘very satisﬁ ed’.
  
  24
  PARANOIA: Forms Pack
  FORMS PACK
  Clone Budget Review Request
  Complete this form ONLY if:
  
  You were killed in action and believe you were unfairly denied a clone budget replacement by your Lead 
  Trooper
  
  You were Lead Trooper when you were killed in action and believe you were unfairly denied a clone budget 
  replacement by your Team
  
  Instructed to do so by senior Internal Security personnel
  
  Instructed to do so by a CPU Life Worth Review and Contribution Assessment Panel
  State your name: ________________-____-_______ 1 2 3 4 5 6  
   
  State the number of the clone for which you are requesting a review: 1 2 3 4 5 6
  Describe the situation in which you were killed. Feel free to use diagrams, photographs, models, dioramas, mime or 
  other media for the purposes of clariﬁ cation. Attach any recordings, supporting evidence, biological samples or witness 
  testimonies available. Be as precise and verbose as necessary. Use additional paper as required.
  ________________________________________________________________________________
  ________________________________________________________________________________
  ________________________________________________________________________________
  [    ] I warrant that the above testimony is wholly true and accurate
  [    ] I give permission for the above testimony to be entered into the ofﬁ cial record
  [    ] I give permission for the above testimony to be entered into Alpha Complex’s Funniest Deaths Caught on Camera
  BONUS QUALITY CARE QUESTION: Please tick any thanatotic phenomena you experienced.
  [    ] Coldness 
   
  [    ] Burning sensation in chest or back 
  [    ] Headache
  [    ] Tunnel of light 
  [    ] Smell of sulphur 
   
   
  [    ] Smell of burning
  [    ] Metallic taste  
  [    ] Oblivion 
   
   
   
  [    ] Nausea
  [    ] Confusion 
   
  [    ] Feeling of falling or ﬂ ying 
   
  [    ] Desire for Cold Fun
  [    ] Voices 
   
  [    ] Voices other than Clone Techs  
  [    ] Desire for revenge
  Why do you think you were denied access to the clone budget? Tick all that apply.
  [    ] Bad Karma   
  [    ] Treason (mine) 
   
   
  [    ] Treason (team-mate(s))
  [    ] Failure to bribe L.T 
  [    ] Death not actually in line of duty 
  [    ] Clerical error
  [    ] Sabotage 
   
  [    ] Treason (undeﬁ ned)  
   
  [    ] Seemed happy to die
  [    ] Other (specify) __________________________________________________________________
  Note: Processing time for this form is equal to the cube of the length of your testimony in Standard Processing Time 
  Work Units. In the event that you do not receive a communication informing you of the result of your request within 
  this time frame, please resubmit the form. 
  
  25
  HIGH PROGRAMMER FORMS
  High Programmer Forms
  High Programmer Forms
  1. 
  Expenses Assessment
  2. 
  Request for Unapproved Thought
  3. 
  Incident Report Form
  High Programmer Expenses Assessment
  Name: ____________________-U-_____-
  Total Credits Expended This ReportingCycle:  
  [ 
   
   
  ]
  Were all of these credits expended on wholly legitimate purposes? 
  [    ] Medical Expenses  
   
   
   
  [ 
   
   
  ]
  [    ] Operational Expenses  
   
   
  [ 
   
   
  ]
  [    ] Bodyguard Services  
   
   
  [ 
   
   
  ]
  [    ] Travel & Subsistence  
   
   
  [ 
   
   
  ]
  [    ] Housing Depreciation  
   
   
  [ 
   
   
  ]
  [    ] Security & Surveillance 
   
   
  [ 
   
   
  ]
  [    ] Entertainment 
   
   
   
  [ 
   
   
  ]
  List other expenditures more than Cr. 1,000,000 during this ReportingCycle.
  ………………………………………. 
   
  [ 
   
   
  ]
  ………………………………………. 
   
  [ 
   
   
  ]
  ………………………………………. 
   
  [ 
   
   
  ]
  Psychological Assessment (Tick all that apply)
  [    ] I sometimes feel guilt over my lifestyle
  [    ] I spend nothing more than my due
  [    ] I sometimes believe I am Alpha Complex 
  [    ] Money is the source of all treason
  [    ] Capitalism is good, Communism is bad
  
  26
  PARANOIA: Forms Pack
  FORMS PACK
  Incident Report Form
  This form is to be completed and ﬁ led with The Computer following the resolution of an incident. Please see standard operating 
  procedures for the deﬁ nition of ‘Incident’.
  Incident Name [  
   
   
   
   
   
  ]
  Suggestions: The ____ disaster, Case _______ COLOUR, Attack of the ___, COLOUR ______ Boogie.
  [    ] Tick this box if the incident is never to be referred to by name, under penalty of termination.
  Describe the cause of the incident: ___________________________________________________
  ___________________________________________________________________________________
  ________________________________________________________________________________________________________
  ______________________________________________________________
  Who, in your judgement, is most to blame for the incident? Why? __________________________
  ___________________________________________________________________________________
  ________________________________________________________________________________________________________
  ______________________________________________________________
  Did the incident result in:
  [    ] Megadeaths > 5,000 [    ] Unscheduled Fissile Surplus 
   
  [    ] End of the World
  [    ] Mass unhappiness 
  [    ] Permanent structural damage  
  [    ] Looting and cannibalism
  [    ] Viral Thoughts 
  [    ] Mass Citizen Erasure  
   
  [    ] Damage to memory banks
  [    ] Unhistory 
   
  [    ] Unscheduled Reality Excursion  
  [    ] Other (specify)
  Describe the steps taken to ensure the incident will not recur: ____________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  ___________________________________________________________________________________
  If the incident recurs, what should be done?
  [    ] Contact High Programmer 
  [    ] Repeat previous solution 
   
  [    ] Panic
  [    ] Incident cannot recur  
  [    ] Kill it with ﬁ re 
   
   
  [    ] Initiate purge sequence
  Unapproved Thought Request
  By submitting this form, you enter into The Computer a request for a non-standard thought pattern or unmedicated emotional 
  state. Note that until this form is both processed and approved, you are not permitted to enter any non-standard thought patterns 
  or unmedicated emotional states. Experiencing a non-standard thought pattern or unmedicated emotional state is treason.
  1. Describe the Thought Pattern you intend to experience.
  2. Which of the following Approved Thought Patterns is the closest to your desired Thought Pattern?
  [    ] Happy 
   
  [    ] Confused 
  [    ] Sneezy  
   
  [    ] Hating Commies  
   
  [    ] Cold
  [    ] Fuzzy 
   
  [    ] Hungry 
  [    ] Too much B3  
  [    ] Dizzy 
   
   
  [    ] Very Happy
  [    ] Not that happy 
  [    ] Like toast 
  [    ] Looking at something yellow  
   
   
  [    ] Communal joy
  3. Why do you need to experience this Thought Pattern?
  4. Will experiencing this Thought Pattern improve your ability to serve The Computer? Explain how.
  5. What do you need to experience this thought pattern?
  
  TRUST THE COMPUTER! THE COMPUTER IS YOUR FRIEND!
  Are your players not suffering enough in Paranoia? Change all that with this handy 
  forms pack! Whether they are Troubleshooters, Internal Security agents or High 
  Programmers, there is no situation that cannot be made more difficult with a form!
  Want to requisition a new piece of equipment? Have a form!
  Want to execute Alpha Complex’s most notorious traitor? Have a form!
  Want to enter the mandatory briefing room? Have a form!
  The Paranoia Forms Pack. The perfect instrument for the discerning Gamemaster.
  PARANOIA IS FUN. OTHER GAMES ARE NOT FUN. BUY PARANOIA.
  Paranoia Forms Pack and PARANOIA Copyright © 1983, 1987, 2009 by Eric Goldberg & Greg Costikyan. PARANOIA is 
  a trademark of Eric Goldberg and Greg Costikyan. All rights reserved. Mongoose Publishing Ltd., Authorized User.
  ISBN 
  ISBN 978-1-906508-85-2
  978-1-906508-85-2 $9.9
  $9.99 
  MONGOOSE PUBLISHING—SWINDON, U
  MONGOOSE PUBLISHING—SWINDON, UK 
  MGP 
  MGP 66
  6671
  71
  For use with Paranoia
  For Gamemasters, 
  not players!
  A world ﬁ t for Kafka, Orwell 
  and the Marx Brothers
  PARANOIA is a satirical roleplaying game set in a darkly humorous future. A well-meaning 
  but deranged Computer desperately protects the citizens of an underground city from secret 
  societies, mutants and all sorts of real and imagined enemies. You play a Troubleshooter, one 
  of The Computer’s elite agents. You track and destroy enemies of The Computer. You hope The 
  Computer and your fellow Troubleshooters won’t ﬁ nd out you are one of these enemies.
  PARANOIA: a lighthearted game of terror, death,  bureaucracies, mad scientists, mutants, 
  dangerous weapons and insane robots, which encourages players to lie, to cheat and to backstab 
  each other at every turn.
  Originally published in 1984, PARANOIA sold over 150,000 copies. The Mongoose edition 
  updates PARANOIA for this new and more paranoid time.
  Forms Pack
  Forms Pack
  ™
  
SOURCE: textdata/thevault/Paranoia/Misc/Paranoia - Forms Pack.pdf