*Name: Country: Existing Imaginary Screen URL: *Email Address: Religion: *Is Your Identity Real? : No Yes Specify the State of Alienation: Select Alienation No sense of aliention at all I do interact with others in real life I do interact with others only online I don't interact with others Nobody undestands me I feel excluded from this world I live on Mars Something else *Specify your EX ID: - Select EX ID - Real no effects I have a new online identity I lost touch with my identity I'm a Martian Information marked with * is mandatory

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