Occult Activities and Manifestations Survey
  
 

Name:___________________________ Identification Number:___________

PART I
EXPERIENCES/MANIFESTATIONS
(continued)

 
66.  Feeling something inside your body is clawing Yes No Unsure
67.  Having thoughts that seem to be someone else's Yes No Unsure
68.  Unexplained falls or other unexplained accidents Yes No Unsure
69.  Electrical/mechanical equipment malfunction (watches, automobiles, office equipment, VCR, radio, etc.) or apparent "ability" to "cause" such malfunctions Yes No Unsure
70.  Feeling like you were possessed by a living person Yes No Unsure
71.  Speaking in an unknown language, but not under the influence of the Holy Spirit Yes No Unsure
72.  Feeling very cold, or having the room become very cold Yes No Unsure
73.  Sudden onsets of sleepiness Yes No Unsure
74.  Sudden onsets of  confusion Yes No Unsure
75.  Intense episodes of paranoia Yes No Unsure
76.  Blurred vision/sudden blindness Yes No Unsure
77.  Outbursts of shouting obscenities Yes No Unsure
78.  Compulsive masturbation Yes No Unsure
79.  Pulling hair out Yes No Unsure
80.  Eating feces Yes No Unsure
81.  Sudden weakness or dizziness Yes No Unsure
82.  Eyes turning red or yellow when very angry Yes No Unsure
83.  Feeling a presence near by Yes No Unsure
84.  Denying the Bible is God's Word Yes No Unsure
85.  Denying Jesus of Nazareth is God and was resurrected Yes No Unsure
86.  Hearing "hissing" sounds around you Yes No Unsure
87.  Burning sensation when anointed with oil during prayer to Jesus of Nazareth Yes No Unsure
88.  Denying the existence of satan and demons Yes No Unsure
89.  Having  vision appear to change to black and white, like a photo negative Yes No Unsure
90.  Atypical convulsions/seizures Yes No Unsure
91.  Vomiting or coughing up phlegm in response to prayer to Jesus of Nazareth Yes No Unsure
92.  Alcoholism/other drug addiction Yes No Unsure
93.  Homosexuality Yes No Unsure
94.  Remote viewing (seeing things as they happen in a distant location) Yes No Unsure
95.  Marian apparitions Yes No Unsure
96.  Water intoxication Yes No Unsure

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Copyright 1996 Rex W. Rosenberg
All Rights Reserved