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Commonalities among Non.doc Size : 28 Kb Type : doc |
Denise Stoner and I have identified some commonalities among Abduction Experiencers. But these commonalities might be equally prevalent in the general population. If you have never been abducted, and wish to further our research efforts, please fill out the questionnaire listed below. It is also available in MS Word. Your identity will remain confidential and your questionnaire will be stored in a locked file. Please complete it and email it to me at Kmarden@aol.com . Thank-you.
Commonalities among Non-Abductees Questionnaire
1. Sex: M ( ) F ( )
2. Age: Under 20 ( ), 20-30 ( ), 30-40 ( ), 40-50 ( ), 50-60 ( ), 60-70 ( ), 70-80 ( ), over 80 ( )
3. Area of Residence: Rural ( ), Small Town ( ), Suburban ( ), Urban ( )
4. Time Zone: Eastern ( ), Central ( ), Mountain ( ), Pacific ( )
5. Have you witnessed paranormal activity in your home? Yes ( ), No ( ) If so, please describe it.
6. Have you ever received telepathic messages from your visitors? Yes ( ), No ( )
7. Have you awoken with unexplained marks on your body? Yes ( ), No ( ). If so, please describe.
8. If you are a female, have you experienced an unexplainable gynecological problem? Yes ( ), No ( )
9. Do you suffer from somnambulism (sleep walking)? Yes ( ), No ( )
10. On a daily basis, how would you describe your mood? Happy ( ), Sad ( ), Frequent mood swings ( ), Without unusual highs and lows ( )
11. As a child, how would you describe your mood? Happy ( ), Sad ( ), Frequent mood swings ( ), Without unusual highs and lows ( ), Anxious ( )
12. Have you been diagnosed as having Chronic Fatigue Syndrome or Reactivated Mononucleosis? Yes ( ), No ( )
13. What is your blood type? A ( ), B ( ), O ( ), AB ( ) Is it positive? ( ) Negative? ( )
14. Do you suffer from migraine headaches? Yes ( ), No ( )
15. Do you crave excessive amounts of salt? Yes ( ), No ( ) If yes, does your blood work indicate a high sodium count?
16. Have you ever experienced malfunctions of electrical equipment such as lights, digital watches, computers, etc. for no obvious reason? Yes ( ), No ( ) If yes, please explain on back.
