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This document is a humorous 'Hurt Feelings Report' form, complete with cartoon illustrations and various reasons for filing.

AI caption January 2011 · Photo 10 of 19

l I Hurt Feelings Report I? Date: Time ohnnfnlness. ram /pm A. wmn car were words of hnnllness spoken into: Le or Right or Both 5, 15 um pcnnancnl reeling damage Yes No (I. Did you need axissue for the tears Yes No I Rensnns fox ling uns mpull. Plum circle Yes or No 1, x em thin skinned Yes 2 1 nm n pussy Yes 3. lhavc woman like hnnnones Yes 4. I am a Queer Yes 5. I am a [we bitch Yes (n I am a cry baby Yes 7. 1 mm my mommy Yes 3 All of me above Yes (ouch: ths one smce all most likely apply) Name ofReal men Whn hurl yuur sensnive unxe [eelingxid tryon fee: um youneed someone so hug go home m mommy and In! her hug yau and change your dinpee Ifyou feel as mougm need no speak to snmenne In smuee you please ens: this number. LEOOVCRY-BABY or l-Xxx-SlS-GERL (yirly man who led report signnnne of girly man. Rea: mm (mm who is being brought up on charges] signmne of Real man: Supa'imendams Signature:

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