This form was waiting for me when I got home. It had been slipped under my door with a note to fill it in. It wasn't as long and bad as I thought it would be but it did make me a) feel guilty then b) feel incredibly grateful.
Things I'm grateful for:
1. I have running water inside my home
2. I have a flushing toilet
3. I don't have to use cow dung for heating
4. I have almost all the things on the list - cell, fridge, washing machine, computer, car, DVD player, DSTV etc (made me feel a little spoilt really)