| Alien Abduction Survey |
| Answer each question with a “yes” or a “no” |
| 1 |
Do you take more vitamins than most people? |
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| 2 |
Do you have sinus trouble or migraine headaches? |
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| 3 |
Do you feel you are psychic? |
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| 4 |
Do you secretly feel you are special or chosen? |
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| 5 |
Do you secretly fear being accosted or kidnapped if you do not constantly monitor your surroundings? |
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| 6 |
Do you have trouble sleeping through the night for unexplainable reasons? |
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| 7 |
Have you seriously considered or did you install a security system for your home even if there was no justification? |
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| 8 |
Do you have dreams of flying or being outside your body? |
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| 9 |
Do you dream about seeing UFOs, being inside UFOs, or interacting with UFO occupants? |
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| 10 |
As a child or teenager, was there a special place you secretly believed held a spiritual meaning just for you? |
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| 11 |
As a child or adult, did you ever hear a voice inside your head talking to you which wasn’t your own? |
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| 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? This missing time may have been a half hour, several hours, a whole day or more. Do not answer “yes” for memory lapses due to highway driving, drinking binges, chronic pain, medical conditions, exhaustion, effects of medication, mind-altering substances, or being lost in reading a good book. |
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| 13 |
As a child or adult, have you seen faces or beings near you when in bed which were not explainable? |
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| 14 |
Have you ever seen a UFO? |
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| 15 |
Have you ever seen a UFO up close within short walking or driving distance? |
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| 16 |
If you have seen a UFO up close, were you strongly compelled to walk, drive or stand near it? |
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| 17 |
Do you have a waking memory of being inside a UFO or interacting with its occupants? |
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| 18 |
Do you feel fear or anxiety over the subject of aliens or UFOs? |
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| 19 |
Have you had multiple sightings of UFOs? |
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| 20 |
Are you more sensitive to issues affecting the earth, its environment and all life forms than other people? |
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| 21 |
Do you have dreams where superior beings, angels, or aliens are educating you about mankind, the universe, global changes or future events? |
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| 22 |
Does your home have unexplainable sounds, apparitions, or unusual events which are attributed to ghosts? |
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| 23 |
As a child or adult, have you had nosebleeds or found blood stains on your pillow for unexplainable reasons? |
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| 24 |
Have x-rays or other procedures revealed unexplainable foreign objects lodged in your body? |
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| 25 |
Have you awakened to discover unexplainable marks or bruises on your body? |
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| 26 |
Your age: |
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19 or Under
20 – 29
30 – 39
40 – 49
50 – 59
60 – 69
70 – 79
80 and over
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| 27 |
Your gender: |
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Male
Female
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| 28 |
Your ethnicity: |
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White
Black
Hispanic
Asian/Pacific Islander
Native American
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| 29 |
Do you want to receive a copy of Newsletter #1 which answers questions about the alien abduction survey in greater detail? |
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| 30 |
Count how many “yes” answers you have for questions 1 – 25. |
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