Alien Abduction Survey Have you been abducted? Take our free alien abduction survey and find out! Alien Abduction Survey This survey identifies typical experiences shared by many abductees. While it is not intended to cover all similarities, it lets you compare your experiences with those of known abductees. Your anonymous responses will be entered into the database and summarized on a future home page. This is an informal survey and not meant to replace a thorough evaluation. It should not be taken by individuals suffering from diagnosed psychiatric disorders. Answer each question with a "yes" or a "no" 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? 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. 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 or Not Applicable 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

27 Your gender: Male

Female

28 Your ethnicity: White

Black

Hispanic

Asian/Pacific Islander

Native American

29 Do you want to receive a copy of Newsletter #1 which answers questions about the alien abduction survey in greater detail? Yes No 30 Count how many "yes" answers you have for questions 1 - 25. Put total "yes" answers in this box:

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Alien Abduction Experience and Research

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