The Green Form is used to detect the peculiarities and elements of a pc’s life which are causing case trouble or preventing gains. (It is not used to cure high or low TA.)

You can assess it Method 3 and handle, not going beyond the first F/N, but its real use is Method 5 and send to the C/S for programming.

It can also be used in combination with the Expanded Green Form 40RD to precisely locate and solve any resistiveness of a pc’s case.

Directions for use of the Green Form and the Expanded Green Form 40RD are given in HCOB 8 December 78 11, Green Form And Expanded Green Form 40RD, Use Of. It is vital, before using these lists, that any auditor or C/S first checks out on the above issue.

PC NAME: ____________ DATE:_______________

AUDITOR: ______________________________________

1A. HAVE YOU NOT HAD SUFFICIENT SLEEP? ____________

1B. ARE YOU PHYSICALLY TIRED? ____________

1C. HAVE YOU NOT HAD ENOUGH FOOD? ____________

1D. ARE YOU HUNGRY? ____________

1E. HAVE YOU DRUNK ALCOHOL?

1F. HAVE YOU TAKEN ASPIRIN? ____________

1G. HAVE YOU TAKEN TRANQUILIZERS? ____________

1H. HAVE YOU TAKEN DRUGS? ____________

Do not audit a pc who has not had sufficient food or rest or who has taken aspirin or drugs. If one of the above questions reads, assess no further; take the question up with the pc. If he is tired, send him home to rest, if he is hungry, send him to get well fed, and if he has taken drugs, he will have to dry out for the time specified in HCOB 17 Oct 69RA, DRUGS, ASPIRIN AND TRANQUILIZERS.

2A. HAVE YOU GONE EXTERIOR IN AUDITING?

If the pc is Clear, Dianetic Clear or OT and has not had an Int RD, do the End of Endless Int Repair RD per Int Series 4R. Do not run any Dianetics. Otherwise, if the pc has never had an Int RD, give him a standard Int RD per Int Series 2. ____________

2B. HAS YOUR INT RD BEEN MESSED UP? ____________

Do an Int RD Correction List Revised (HCOB 29 Oct 71RA). If Int Correction has already been done on the pc get an FES of the Int RD and its corrections. When all errors are corrected the C/S may order the End of Endless Int Repair RD per Int Series 4R.

3. HAS THERE BEEN A LIST ERROR? ____________

Find out which and handle with an L4BRA.

4A. DO YOU HAVE AN ARC BREAK? ____________

Handle with ARCU CDEINR E/S to F/N.

4B. DO YOU HAVE AN ARC BREAK WITH THE ENVIRONMENT? ____________

ARCU CDEINR E/S to F/N or Remedy B if ordered by the C/S. (Ref: BTB 14 Aug 68R, Remedy B — Environment And “New Style.”)

4C. DO YOU HAVE A PRESENT TIME PROBLEM? ____________

Itsa E/S itsa to F/N.

4D. HAS A WITHHOLD BEEN MISSED? ____________

Get what, who nearly found out, what they did to miss it, E/S M/W/H to F/N.

4E. WAS THERE A WITHHOLD THAT KEPT COMING UP? ____________

Who wouldn’t accept it, who said it still read. Indicate it was a false read. 2WC the concern.

4F. HAVE YOU COMMITTED AN OVERT? ____________

Pull it, E/S to F/N.

5. ARE YOU EXPERIMENTING? ____________

Get time, place, form and event E/S to F/N.

6. ARE YOU ALTERING TECH? ____________

Get time, place, form and event E/S to F/N.

7. ARE YOU DOING SOMETHING ELSE WITH TECH? ____________

Get time, place, form and event E/S to F/N.

8. HAVE YOU TYPED, HANDWRITTEN OR TAPED COPIES OF ANY CONFIDENTIAL MATERIALS? ____________

Get time, place, form and event E/S to F/N.

9. ARE YOU HERE TO GET DATA FOR SOMEONE ELSE? ____________

Get what, when, all, who E/S to F/N.

10. DO YOU HAVE A CRIMINAL RECORD OR CRIMES FOR WHICH YOU COULD BE ARRESTED? ____________

Note all crimes, with what, when, all and who and handle with E/S to F/N.

11. ARE YOU HERE TO BE CURED OF SOMETHING NOT MENTIONED? ____________

Itsa E/S itsa to F/N.

12. DO YOU HAVE UNPAID DEBTS TO ORGS? ____________

Get time, place, form and event E/S to F/N.

13. DO YOU HAVE KNOWLEDGE OF A CRIME AGAINST SCIENTOLOGY? ____________

Get time, place, form and event E/S to F/N.

14. ARE THERE IGNORED ORIGINATIONS?

Itsa E/S itsa to F/N. ____________

15. HAVE YOU BEEN SELF-AUDITING! ____________

Itsa E/S itsa to F/N or L1C on the prior upset. If prior upset was in auditing, use the appropriate correction list.

16. A HAVE YOU BEEN AUDITED BY A NONSTANDARD AUDITOR? ____________

Itsa E/S itsa to F/N.

16B. HAS THERE BEEN A NONSTANDARD PROCESS? ____________

Itsa E/S itsa to F/N.

16C. HAS THERE BEEN A BAD AUDITING COMM CYCLE? ____________

Itsa E/S itsa to F/N. L1C if necessary.

16D. HAVE THERE BEEN CODE BREAKS? ____________

Itsa E/S itsa to F/N.

17A. IS THERE AN ENGRAM IN RESTIMULATION? ____________

L3RF and handle. (On a Clear, OT or Dianetic Clear, indicate the read. You may do an L3RF if needed, however. do no handling beyond indicating the read. See HCOB 30 Oct 78 C/S Series 53, USE OF for further data on handling reading Dianetic items on Clears, OTs and Dianetic Clears.)

17B. IS A PICTURE NOT ERASED? ____________

Handle as in 17A above.

18. IS THERE AN ENGRAM EXACTLY MATCHING PT DANGERS? ____________

Run it out Triple or Quad. (On Clears, OTs and Dianetic Clears, handle as in 17A above.)

19. ARE YOU CONNECTED TO A SUPPRESSIVE PERSON? ____________

2WC to F/N. Return to C/S for instructions on further handling if needed.

20. ARE YOU CONNECTED TO A SUPPRESSIVE GROUP? ____________

2WC to F/N. Return to C/S for instructions on further handling if needed.

21. IS THERE AN ENVIRONMENTAL MENACE? ____________

2WC to F/N. Return to C/S.

22. ARE YOU HERE BECAUSE SOMEONE ELSE DEMANDED IT? ____________

2WC to F/N. Return to C/S.

23A. DO YOU HAVE A HIDDEN STANDARD? ____________

L&N “What hasn’t been handled?” L&N “Who or what would have (item above) ?” Run O/W on the item.

23B. WHAT WOULD HAVE TO HAPPEN FOR YOU TO KNOW SCIENTOLOGY WORKS? ____________

Handle as in 23A above.

24. WHAT WOULD HAPPEN IF SCIENTOLOGY WORKED? ____________

Itsa E/S itsa to F/N.

25. CAN’T YOU STUDY? ____________

Assess and handle a Study Green Form.

26. HAS ANYTHING BEEN SUPPRESSED? ____________

Itsa E/S itsa to F/N.

27. HAS ANYTHING BEEN INVALIDATED? ____________

Itsa E/S itsa to F/N.

28. HAS ANYTHING BEEN EVALUATED? ____________

Itsa E/S itsa to F/N.

29. HAS ANYTHING BEEN RUSHED? ____________

Itsa E/S itsa to F/N.

30. HAS ANYTHING BEEN MISSED? ____________

Itsa E/S itsa to F/N.

31. HAS A PROCESS BEEN LEFT UNFLAT? ____________

2WC for data to F/N. Return to C/S.

32. HAS A PROCESS BEEN OVERRUN? ____________

Rehab.

33. HAS A RELEASE BEEN BYPASSED? ____________

Rehab.

34. HAVE YOU BEEN OVERREPAIRED? ____________

Repair Correction List.

35. HAVE YOU GONE DIANETIC CLEAR? ____________

Date/Locate.

36. IS THERE ANYTHING UPSETTING ABOUT THIS REVIEW? ____________

Itsa E/S itsa to F/N.

37. IS THIS LIST UNNECESSARY? ____________

Indicate. If no F/N rehab or Date/Locate.

38. IS THERE SOMETHING THAT HASN’T BEEN HANDLED? ____________

Find out what and handle or return to the C/S.

39. IS THERE SOMETHING ELSE WRONG? ____________

Find out what and handle or return to C/S.

Assess Method 5 the following resistive cases. If any item reads, go to its corresponding section on the Expanded Green Form 40RD and assess Method 5 all the items in that section. Assess the section on the Expanded Green Form 40RD that corresponds to each reading item.

When all sections corresponding to the reading resistive cases items are assessed you will have a full picture of the pc’s resistiveness.

Then, if you have C/S okay, take up each reading section on the EXGF 40RD in the order in which they are listed below and handle reads per the instructions given.

Otherwise, return to the C/S for programming.

A-1. WENT DIANETIC CLEAR AND NEVER ATTESTED ____________

A-2. HAD ENGRAMS RUN AFTER BEING DIANETIC CLEAR ____________

B. DOESN’T WANT AUDITING ____________

C. AUDITED WITH RUDIMENTS OUT ____________

D. OVERWHELMED ____________

E. CONTINUOUSLY COMMITTING OVERTS ON SCIENTOLOGY ____________

F-1. SUPPRESSED ____________

F-2. CONNECTED TO AN ANTAGONISTIC PERSON ____________

G. SERIOUSLY PHYSICALLY ILL ____________

H. HAS NOT HAD AUDITING ____________

I-1. SEEKING THE SAME THRILL ATTAINED FROM DRUGS ____________

I-2. HAS TAKEN DRUGS ____________

J. FORMER THERAPY BEFORE SCIENTOLOGY ____________

K. HAS BEEN PART OF EARLIER PRACTICES ____________

L-1. OUT OF VALENCE ____________

L-2. ARE YOU BEING SOMEONE ELSE ____________

M. PRETENDING TRAINING OR GRADES NOT ATTAINED ____________

N. AUDITED WITH PRIOR GRADES OUT ____________

O. MISUNDERSTOODS IN AUDITING ____________