Independence Valley: The Wyld West Questionnaire

Filling this out and turning it in is worth a bonus 5xp. When finished hand this to a staff member so they can put it
in the appropriate place.

NOTE: If there is info you do not want people to see, please guard this packet as you fill it out and do not talk about
sensi ve info out of character. We as a staff encourage playing any side of the fence you wish. We also believe the
best way to keep your PCs secrets safe is to keep sensi ve info between you and staff (or if you choose those you
trust). Also, NEVER assume that anyone you are talking to (or are in earshot of) will keep the informa on they hear
out of character. This goes for in and out of character conversa ons. To avoid issues, try to have private
conversa ons in secluded areas and in hushed tones. You should also use the out of character hand gesture
(crossed fingers held up in a visible posi on from the front or back). This indicates that you are speaking as a
person not a PC OR your PC is not physically in the loca on you are (like a hallow).

Basic Info

Player Name: __________________________________________________________________________

PC’s Name: ___________________________________________________________________________

Seeming: __________________________________ Kith(s):_____________________________________

Court: ________________________________________________________ Mantle: ______ Wyrd:_____

Virtue: ____________________________________ Vice:______________________________________

Keeper(s)_____________________________________________________________________________

Questions

1. About how long have you been out of Arcadia? _______________________________________

2. Does your PC remember who they were before they were taken? Y N
A. If NO Do you as a player know? Y: I’ll provide info in backstory. N: Not a clue.
B. If NO. Would you like this le up to staff? Y: Sounds like fun. N: PC doesn’t care to know.

3. What was your role in the realm(s) in Arcadia? (Quick descrip on of what you did. (IE: I was a bartender in
the Gambler’s realm.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

4. Are you a loyalist? Y N

If so please provide this info in your background.

5. Is there a part(s) of your backstory that is concrete and cannot be changed? Y N

 If YES: When you submit your backstory please underline these areas to indicate what it is you do
not want altered. This can be fun for some players however, we understand there may be some
things that are vital to your concept and we do not want to ruin your experience.

6. Is there something as a player would like to try to avoid in a scene? Y N

IE: You personally have a phobia or a situa onal thing that you are uncomfortable with, like snakes or
spousal violence. This is so we can a empt to no fy you before the scene starts and/or curb the
descrip ons while you’re in the scene. Some mes things that make you unconvertable cannot be
completely avoided so, if find yourself in this type of situa on please advise the narrator running the
scene so descrip ons can be curbed or if it can be done you may choose to flee the scene.

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

7. In short, Is there anything that par cularly drives your PC’s

Virtue: _____________________________________________________________________________
___________________________________________________________________________________
Vice: ______________________________________________________________________________
___________________________________________________________________________________
IE: The Virtue Charity can mean more than simply dona on, you can show mercy to those you
capture instead of turning them in or killing them outright. The Vice Lust does not necessarily
mean sexual pleasure, you can Lust over self-fame in a profession.

8. Do you have character goals in mind?

A. Short term: (EX: Find my own place to live in town. Find a job within my court.)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

B. Long term: (EX: Figure out who I was before I went in. Become a sovereign)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

9. About how long have you been in Independence Valley? ________________________________________

10. Do you have a job in town or own a business? Y N

IF yes, in short, what is it that you do or provide?

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

11. If you have been here for a year or so, what is a general descrip on of your reputa on in town that is
public knowledge? (IE: I am a hard worker and people like tend to ask my help because I am known to be
strong. OR People tend to leave me alone because rumor has it I killed a few men with my bare hands.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

12. Are you a member of a motley? Y N

IF YES
A. Who is currently in your Motley (IE: Dr. Davenport: Played by Laura L.) NOTE: Some NPCs may be
available to join through gameplay.

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

B. Is your motley looking for addi onal members? Y N

C. Would you like staff to point players looking for a motley in your direc on? Y N

IF NO

A. Are you looking for a motley? Y N

B. Would you like staff to point you in the direc on of a motley looking for members and/or others
looking to form a motley? Y N

13. Are you interested in maybe playing NPCs for us here and there? Y N
THESE LAST 2 QUESTIONS ARE OPTIONAL AND WE WILL DISCUSS THEM AS A STAFF AND TAKE THEM INTO
CONSIDERATION. THANK YOU FOR FILLING THIS OUT & SUPPORTING OUR TROUPE. HAVE FUN!

14. Is there something(s) you would like to see more of/incorporated into this game?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

15. Is there something(s) you would like to see less of/avoided in this game?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________