Age *

this is completely anonymous

Location

Where you live

Gender
Male
Female

Your hope(s)

Your fear(s)

I accept the terms of this questionnaire *
yes

(You give permission for your anonymous responses and/or original artwork to be used for the scope of this project and you certify that you are at least 18 years of age)

Security Code: *
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Please tell your friends and relatives about this project!

If you want to come back and fill it out again with a previous age and a vivid memory of your hope(s) and/or fear(s), that would be awesome.

Please share this on twitter with the link:
http://tr.im/hopefear
and the hash code
#hopefear
and maybe even follow this project
@hopefear
Thanks for everything!