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UFO/Psychic Questionaire

I am in the process of doing research for my new book "UFO's and the Psychic Connection" and would like to get as much information as possible from psychics who have had a UFO sighting or contact. I would greatly appreciate your response.  Your information will be kept confidential and no names are kept on file. Please fill out the following, copy and paste into an e-mail to margiekay06@yahoo.com.  Thank you!

1. Are you psychic?  []yes  []No

2. If yes, are you []Clairvoyant (see)  []Clairaudient (hear) []Clairsentient (sense)

3. At what age did you notice any psychic abilities?

4. Are one or both of your parents psychic?

5. Are one or more of your grandparents psychic?

6. Have you ever seen a UFO?  Unidentified Flying Object: []yes  []No

7. If yes, please state the number of times (as near as you can remember) that you have seen a UFO:

8. Have you ever had a close encounter? []yes   []no

9. If yes, please state the circumstances and date(s)

 9a. During or after the encounter did you experience any of the following: (please circle) numbing, tingling, hair on end, burning, cold, eye irritation, eye damage, change in hair color, shaking, extreme fear, difficulty breathing, inability to move, inability to open eyes, temporary blindness, burns, temporary deafness, cuts, swelling, singeing of hair, nausea that continued for a long period of time, weight loss, weight gain, double vision, change of urine color.  If you have any other symptoms please state them here:

 

10. Do you have reason to suspect that you have ever been abducted? []yes  []No

11.  If yes, please elaborate and give approximate date(s):

 

12. Have you had any bizzare or weird experiences that did not seem related to UFO's:  []yes  []no

 

13. If yes, please elaborate:

 

14. Has your psychic ability []increased or []decreased over the years?

14 a.  If so, please explain:

 

15. Have you noticed any change in your intelligence or ability to understand mathematics or science since your first UFO sighting or encounter?

16. If so, please explain:

 

17. Have you ever had an unexplained "pins and needles" feeling?

18. Have you ever had a sunburn-like rash that was unexplained?

19. What health problems do you have? We ask because there are several that are common among UFO experiencers.  Please circle any that you have had in the past or have now: TMJ problems, migraines, recurring headaches, Fibromyalgia, umbilical hernia, muscle pain or weakness that is unexplained, insomnia, skin damage (from radiation exposure), skin cancer

 

20. Have you ever had any unexplained marks or scars on your body?

 

21. If so, please explain:

 

22. Have you had recurrent or severe nosebleeds now or in childhood?

 

23.  Do you think your psychic abilities increased AFTER a UFO encounter or sighting?  []yes  []no

24. Did you ever see something that others right next to you couldn't see?
[]yes  []no

25. Do you have a fear of aliens or UFO's? []yes  []no

26. If so, why do you think that is?

27. If you have siblings, are any of them psychic?

28. If you have children, do any of them show psychic abilities?

29. Has anyone else in your family had a UFO sighting or encounter?
[]yes []no

30. If you have had a UFO encounter, what time of the day or night did this occur? 

31. Have you noticed any particular time of night that you repeatedly wake up?

32. Do you see or communicate with ghosts or spirits? 

33. Do you do psychic "readings" for people?

34. Do you often get a feeling to do something differently such as taking a different route somewhere only later to find out that it was a good thing you did it?

Please make any additional comments here that you think may be significant:

 

 

Please give me your name or initials in case I would like to contact you for further information.  All of your information will be kept confidential. 

 

 

 

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