Bitcoin BMI Appraisal Form

Please confirm that by giving us your demographic, biometric, and financial information, you understand that you are consenting to the BITCOIN BMI Evaluation Process. We cannot guarantee confidentiality, but we will make a reasonable attempt to safeguard, unless it becomes inconvenient, outside our paygrade, or beyond our coding capacity. This is not an attempt to sell or endorse any products and/or services. We are not authorized by any accrediting body to offer any actual medical, financial, or legal advice. We abide by and acknowledge no non-disclosure agreements, and we do not particularly care about or value your privacy.

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Anastylosis

Prefabricated

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Score	__________	Overall
	3 points	Flawless
	2 Points	Minor scratches
	1 Point	Moderate chips, dents, or surface rust
	0 Points	Damaged, major dents, paint flaws, missing parts, or major rust
Score	__________	Medical
	3 points	Current, complete, appears much younger than stated age
	2 Points	Current, incomplete, appears consistent with stated age
	1 Point	Overdue, no records, unvaccinated, appears much older than stated age, or annual medical deductible not met
	0 Points	True mileage unknown or defective odometer
Score	__________	Interview and  summary of  personal/professional documents and titles
	3 points	Consistent, all or mostly truthful
	2 Points	Somewhat truthful, vague or evasive when pressed for details
	1 Point	Clearly lying  and/or inebriated
	0 Points	Uncooperative, incoherent, or comatose
Score	__________	Body Work
	3 points	None
	2 Points	Minor cosmetic paint
	1 Point	Some dent removal or touch ups
	0 Points	Significant amount of paint and/or body work
Score	__________	Integumentary
	3 points	Clean/like new
	2 Points	Minimal wear
	1 Point	Stained/faded/worn
	0 Points	Torn/burned/cracked/missing
Score	__________	Odor
	3 points	None
	2 Points	Faint
	1 Point	Obvious
	0 Points	Suspect decomposition present
Score	__________	Interior
	3 points	Fully functional
	2 Points	Functional with minor fault(s)
	1 Point	Repairs needed
	0 Points	Salvage/parts only
Subtotal	__________

________ Subtotal from Section 1

_______  Marital Status  (2 Clean title,   1 Rental, commercial, 0 Salvage, rebuilt salvage, flood, etc.)

_______ +1 Rechargeable batteries

_______ +1 Toilet trained

________ Credit Score

_________ Checking account balance

_______ -1 Dietary restrictions

_______ Subtract number of ICD 10 diagnosis codes

_______________ TOTAL * 1 US dollar Subtotal 2

______________ Subtotal 2 * US Dollar Index

_______________ cryptocurrency exchange

= BITCOIN BMI

Subject Cleared:

Subject Rejected:

Incomplete/More information Required:

Please check evaluation subject against safety recall lists

Recall List

International Organization for Standardization