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??5?? ?שם?__________________________ :??
?תאריך?________________ :?? ?ֵׁ?
?כתובֵׁמשפטיםֵׁאוֵׁסיפורֵׁקצרֵׁעםֵׁהמיליםֵׁוהביטוייםֵׁהבאים?:??
?תוסס? ,?מלא שמחת חיים? ,?חברותי? ,?חם? ,?קר? ,?משעמם?,??
?זורם? ,?קיצוני? ,?עצבני? ,?לוקח את הכל בקלות?.??
?ֵׁ?
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