| 1. |
Do you take more vitamins than most people?
Yes
No |
|
| 2. |
Do you have sinus trouble or migraine headaches?
Yes
No |
|
| 3. |
Do you feel you are psychic?
Yes
No |
|
| 4. |
Do you secretly feel you are special or chosen?
Yes
No |
|
| 5. |
Do you secretly fear being accosted or kidnapped if you do not constantly monitor your surroundings?
Yes
No |
|
| 6. |
Do you have trouble sleeping through the night for unexplainable reasons?
Yes
No |
|
| 7. |
Have you seriously considered or did you install a security system for your home even if there was no justification?
Yes
No |
|
| 8. |
Do you have dreams of flying or being outside your body?
Yes
No |
|
| 9. |
Do you dream about seeing UFOs, being inside UFOs, or interacting with UFO occupants?
Yes
No |
|
| 10. |
As a child or teenager, was there a special place you secretly believed held a spiritual meaning just for you?
Yes
No |
|
| 11. |
As a child or adult, did you ever hear a voice inside your head talking to you which wasn't your own?
Yes
No |
|
| 12. |
Did you ever experience a period of time while awake where you could not remember what you had done during that period of time?
Yes
No |
|
| 13. |
As a child or adult, have you seen faces or beings near you when in bed which were not explainable?
Yes
No |
|
| 14. |
Have you ever seen a UFO?
Yes
No |
|
| 15. |
Have you ever seen a UFO up close within short walking or driving distance?
Yes
No |
|
| 16. |
If you have seen a UFO up close, were you strongly compelled to walk, drive or stand near it?
Yes
No |
|
| 17. |
Do you have a waking memory of being inside a UFO or interacting with its occupants?
Yes
No |
|
| 18. |
Do you feel fear or anxiety over the subject of aliens or UFOs?
Yes
No |
|
| 19. |
Have you had multiple sightings of UFOs?
Yes
No |
|
| 20. |
Are you more sensitive to issues affecting the earth, its environment and all life forms than other people?
Yes
No |
|
| 21. |
Do you have dreams where superior beings, angels, or aliens are educating you about mankind, the universe, global changes or future events?
Yes
No |
|
| 22. |
Does your home have unexplainable sounds, apparitions, or unusual events which are attributed to ghosts?
Yes
No |
|
| 23. |
As a child or adult, have you had nosebleeds or found blood stains on your pillow for unexplainable reasons?
Yes
No |
|
| 24. |
Have x-rays or other procedures revealed unexplainable foreign objects lodged in your body?
Yes
No |
|
| 25. |
Have you awakened to discover unexplainable marks or bruises on your body?
Yes
No |
|
26. Your age:
19 or Under
20-29
30-39
40-49
50-59
60-69
70-79
80 and over
|
|