Form TT-404

By johnnedwill

It is recognised that temporal displacement is a significant life event which may lead to considerable stress for the individuals concerned. It is therefore imperative that temporally displaced individuals be returned, where possible, to the appropriate space-time coordinates.

In order to help the Bureau of Temporal Relocation identify your timeline of origin, will you please take a few moments to fill in this questionnaire. Remember - the more accurate and complete your answers, the easier it will be to identify your timeline of origin and return you.

In order to ensure the accuracy of your responses, we may at times ask quality control questions.

1) Which taxonomic class does your species belongs to?

🔲 Carniferna

🔲 Dinosauria

🔲 Insecta

🔲  Mammalia

🔲 Mollusc

🔲 Exotic/inorganic (Please provide further details in the free-text box.)

2) Which geological period do you originate from?

🔲 Miocene

🔲 Pliocene

🔲 Pleistocene

🔲 Holocene

🔲 Anthropocene

🔲 Apokalypcene

3) In the free-text box provided, please describe the dominant culture in your timeline of origin. Where possible, provide details of societal structure, hierarchy, governing philosophy and prevalent mores.

4) Which of the following historical events have occurred in your timeline of origin? Please indicate all that apply.

🔲 Fall of the Tower of Babel

🔲 Destruction of the library at Alexandria

🔲 Fall of the Roman Empire

🔲 Rise of Chinggis Khan

🔲 The Black Death (any strain)

🔲 American Revolutionary War

🔲 Sinking of the RMS Titanic

🔲 The Great War

🔲 Russian Revolution

🔲 Deployment of nuclear weapons in a conflict

🔲 Lunar landing

🔲 The Event

🔲 Interspecies wars

🔲 Evolution of Blattodea sapiens

5) Please enter the words 'dimensional transcendence'.

6) What method of temporal translocation did you employ?

🔲 Accidental translocation (method unknown)

🔲 Alien technology (method unknown)

🔲 Coronal transmission

🔲 Divine intervention (motives known)

🔲 Divine intervention (motives unknown)

🔲 The Doctor

🔲 Faster-than-light drive

🔲 Magic

🔲 Probability manipulation

🔲 Psychic engram transfer

🔲 Quantum teleportation

🔲 Spatial warp

🔲 Temporal abduction

🔲 Temporal flow regulation

🔲 Wormhole (temporal or otherwise)

7) In the free-text box provided, please describe the underlying physical principles of the method of temporal translocation. If these are not known, please describe any phenomena that you noted during your translocation.

8) What is the value of pi?

9) In the free-text box provided, please give any further information which you think may be useful in aiding staff of the Bureau of Temporal Relocation to identify your timeline of origin.

Thank you for answering the questions. You request will be assigned a priority and processed in accordance with our procedures. In the meantime, would you be willing to take part in a customer satisfaction survey?