Request edit access
Book Your Appointment at the Lazarus Bar & Grill
Dear GUEST,

Welcome to THE LAZARUS. Please fill in the form below to the best of your ability, or if you are unable please have someone fill it in on your behalf.

Warm regards,
The Lazarus Bar & Grill Team
Sign in to Google to save your progress. Learn more
Email *
OOC Questions
Name
Your preferred name, for communication/email reasons.
Pronouns
Your preferred pronouns, also for communication/email reasons.
Personal Preferences
If there are any hard nos in terms of theme or plot, let me know here.
IC Questions
Patient Type
Are you new to the Lazarus, or are you already on our books?
Clear selection
Reason(s) for your Appointment
Do you have any weapons on your person?
Clear selection
Psych Evaluation Pt. 1: Please pick your preferred sounds from this list of ambient noises.
Psych Evaluation Pt. 2: Please pick one preferred option from our menu.
Clear selection
Psych Evaluation Pt. 3: Please pick the words that best apply to you.
Where did you hear about The Lazarus Bar & Grill?
Clear selection
Your Message
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report