QUESTIONNAIRE FOR ABDUCTEES/EXPERIENCERS IDENTIFYING INFORMATION (optional) Name: _________________________________ Phone: _________________________________ General Demographic Info 1. I am: -Female -Male 2. I am: -Under 18 -18-30 -31-45 -46-60 -61-75 -76-over 3. I am: -Married -Single -Divorced -Widowed 4. I have completed education to the point of: -Not finished high school yet -High school diploma -Some college courses -A.A. degree -Bachelor's degree -Some graduate courses -Master's degree -Ph.D./M.D./J.D./etc. -Professional certification programs 5. My income bracket is: -Under $15,000 -$15,000 - $35,000 -$36,000 - $50,000 -$51,000 - $75,000 -$76,000 - $125,000 -$126,000 and up General Attitudes and Observations For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A) or Strongly Agree (SA). 6. These days a person doesn't really know whom they can count on. -SD -D -U -A -SA 7. There is little that people can do to change the course of their lives. -SD -D -U -A -SA 8. Most people don't really care what happens to the next person. -SD -D -U -A -SA 9. We each make our own fate. -SD -D -U -A -SA 10. I believe that the people in Washington, D.C. are out of touch with the rest of the country. -SD -D -U -A -SA 11. I feel that my life has a special purpose. -SD -D -U -A -SA 12. I have always been "different" somehow from most of the people around me. -SD -D -U -A -SA 13. I spend my free time engaging in hobbies or sports. -SD -D -U -A -SA 14. I spend my free time watching TV. -SD -D -U -A -SA 15. I spend my free time reading. -SD -D -U -A -SA 16. I enjoy science fiction books and movies. -SD -D -U -A -SA 17. I enjoy religious and spiritually-oriented books and movies. -SD -D -U -A -SA 18. I enjoy science books and shows. -SD -D -U -A -SA 19. I learn more about UFOs and abductions by reading. -SD -D -U -A -SA 20. I learn more about UFOs and abductions by watching TV shows and movies. -SD -D -U -A -SA 21. I learn more about UFOs and abductions by attending local meetings on the subject. -SD -D -U -A -SA 22. I learn more about UFOs and abductions by attending conferences on the subject. -SD -D -U -A -SA 23. I learn more about UFOs and abductions through my personal experiences. -SD -D -U -A -SA 24. I learn more about UFOs and abductions through talking with or writing to others on a one-to-one basis. -SD -D -U -A -SA 25. Human nature is basically evil. -SD -D -U -A -SA 26. This world is basically evil. -SD -D -U -A -SA 27. I am very concerned about the threat to personal privacy in American today. -SD -D -U -A -SA 28. I believe that the government is hiding the truth about the alien presence. -SD -D -U -A -SA 29. The government is slowly leaking the truth about UFOs to the American people. -SD -D -U -A -SA For the following statements, indicate if you have Very little (VL), Only some (OS), or A great deal (GD) of confidence. 30. When it comes to radio and TV, I have _______ confidence in them. -VL -OS -GD 31. When it comes to the military, I have _______ confidence in it. -VL -OS -GD 32. When it comes to the executive branch of the federal government, I have _______ confidence in it. -VL -OS -GD 33. When it comes to the print media, I have _______ confidence in it. -VL -OS -GD 34. When it comes to the scientific community, I have _______ confidence in it. -VL -OS -GD 35. When it comes to organized religion, I have _______ confidence in it. -VL -OS -GD 36. When it comes to Congress, I have _______ confidence in it. -VL -OS -GD 37. When it comes to UFO organizations, I have __________confidence in them. -VL -OS -GD 38. In general, I find my life to be: -Dull -Routine -Exciting 39. I have: -Always been interested in UFOs -Developed an interest in UFOs -Little interest in UFOs If you answered "Developed an interest in UFOs" in the question above, when did this interest begin (year) and why did it develop? _______ 40. In the last two years, have you been (select all that apply): -Sick enough to go to a doctor? -In counseling for emotional or mental problems unrelated to abductions? -In counseling for emotional or mental problems related to abductions? -Suffering from any kind of substance abuse problem (example: alcohol, marijuana....)? -So disabled that you cannot work or carry out normal daily activities? -Having serious trouble with your spouse or life partner? -Having serious trouble at work? 41. My health right now is: -Very poor -Poor -Fair -Good -Excellent 42. Taken all together, things for me these days are: -Very unhappy -Not too happy -So-so -Happy -Very happy Science For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A) or Strongly Agree (SA). 43. Science and technology are the ways in which we can change this world. -SD -D -U -A -SA 44. Science gives us an adequate model of reality -- the "way things are." -SD -D -U -A -SA 45. Overall, modern science does more harm than good. -SD -D -U -A -SA 46. We believe too often in science, and not enough in feelings and faith. -SD -D -U -A -SA 47. Science holds the keys to understanding more about alien abductions. -SD -D -U -A -SA 48. Any change humans make in nature -- no matter how scientific -- is likely to make things worse. -SD -D -U -A -SA 49. Modern science will solve our environmental problems. -SD -D -U -A -SA 50. Science will solve our social problems like crime and mental illness. -SD -D -U -A -SA 51. For modern science to continue to make contributions to human knowledge, it is going to have to undergo a paradigm shift. -SD -D -U -A -SA 52. One trouble with science is that it makes our way of life change too fast. -SD -D -U -A -SA 53. Scientists always seem to be prying into things that they really ought to stay out of. -SD -D -U -A -SA 54. One of the bad effects of science is that it breaks down people's ideas of right and wrong. -SD -D -U -A -SA 55. Most UFO researchers use a physical-world, scientific approach to the study of UFOs. -SD -D -U -A -SA 56. The UFO phenomenon requires science to come to terms with the reality of a non-physical world. -SD -D -U -A -SA Religion 57. What is your religious preference? -Protestant -Orthodox -Catholic -Jewish -Muslim -None -Other _________ 58. How often do you participate in your religious community's activities? -Seldom -Mostly on major holidays and occasions -Fairly regularly -- once or twice a month -Very regularly -- Almost every week -Constantly -- More than once a week 59. Using the school grading system of A, B, C, D, and F for Fail, how do you rate your church or religious group in meeting your spiritual needs? _______ 60. Would you describe yourself as: -Extremely religious -Very religious -Somewhat religious -Neither religious nor unreligious -Somewhat non-religious -Very non-religious -Extremely non-religious 61. Which best describes your belief in God? -don't believe now and never have -don't believe now, but used to -do believe now, but didn't used to -do believe now and always have 62. If your belief in God has changed, when did that happen and what led up to it? ________ ________ ________ 63. I feel angry at God: -Never -Seldom -Occasionally -Sometimes For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A) or Strongly Agree (SA). 64. Religion and church is very important in my life. -SD -D -U -A -SA 65. I feel at home in any church. -SD -D -U -A -SA 66. Religion and science are incompatible knowledge systems. -SD -D -U -A -SA 67. I feel extremely close to God most of the time. -SD -D -U -A -SA 68. The Bible is humanity's only authoritative guide to living a good life. -SD -D -U -A -SA 69. I pray or meditate regularly. -SD -D -U -A -SA 70. The essential core of all religions is the same. -SD -D -U -A -SA 71. God is within you. -SD -D -U -A -SA 72. There is a literal heaven and hell. -SD -D -U -A -SA 73. When the alien presence is finally acknowledged, religious institutions will suffer a crisis. -SD -D -U -A -SA 74. Religion holds the key to understanding more about alien abductions. -SD -D -U -A -SA 75. I have often had doubts about my faith due to a conflict between faith and science. -SD -D -U -A -SA How often have the following events strengthened your faith? Answer Never (N), Sometimes (S), or Often (O) 76. Death of someone close to you -N -S -O 77. Birth of a child -N -S -O 78. Seeing a UFO -N -S -O 79. Falling in love -N -S -O 80. Having intense sexual pleasure -N -S -O 81. Being abducted -N -S -O Abductions 82. I first became aware of my abduction experiences: - I've always known about them. - After a particularly surprising or upsetting encounter. - After seeing a show or movie on TV. - After reading a book on UFOs or abductions. - After a hypnosis session for other purposes. - After talking to someone else who is an experiencer. - After attending a UFO-related meeting. 83. Year that this occurred: _______ Age that this occurred: ______ 84. Most of my abduction memories are in the form of: - Dreams - Something more real than dreams, but not like fully conscious reality - Physical sensations that precede the abductions, but not the event itself - Fully conscious memories of bits and pieces of the event - Fully conscious memories of significant segments of the event - Hypnotically-retrieved memories - Other __________ __________ 85. I have been hypnotized to try to retrieve: - all abduction memories that I currently have. - abduction memories in addition to those I already had. - not at all. 86. Approximately what percent of your experiences begin from: - At night, in bed. - At home, while alone or isolated. - At home, while with others. - While traveling or on the road. - A public place, but while isolated or alone. - A public place, in a crowd or with others. The entities I see during my abductions are: 87. Grays -O -S -N 88. Reptilians -O -S -N 89. Insectoids -O -S -N 90. Nordics -O -S -N 91. Energy beings -O -S -N 92. Human-looking military types -O -S -N 93. Other ____________________ -O -S -N 94. I have or have had the following unexplained marks on my body: 94A. -scoop mark or depressed area 94B. -scars 94C. -rashes 94D. -burns 94E. -bruises 95. Have any of the above been in particular patterns that would identify them as different from ordinary marks? -Yes -No If yes, please describe: _________ _________ _________ For the following question, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A), or Strongly Agree (SA): I have had good support for my abduction experiences among: 96. My immediate family -SD -D -U -A -SA 97. My extended family -SD -D -U -A -SA 98. My neighborhood -SD -D -U -A -SA 99. My social network -SD -D -U -A -SA 100. My work environment -SD -D -U -A -SA 101. My school environment -SD -D -U -A -SA 102. My religious group -SD -D -U -A -SA 103. Health care providers -SD -D -U -A -SA 104. The UFO community -SD -D -U -A -SA 105. The metaphysical community -SD -D -U -A -SA 106. -I've never told anyone before. For the following questions, indicate whether they are or have been true for you Never (N), Seldom (Sel), Several times (Sev), or Often (O). 107. I struggle with feelings of depression. -N -Sel -Sev -O 108. I have walked in my sleep during my adult life. -N -Sel -Sev -O 109. I have had hybrid babies and children presented to me during my abduction experiences. -N -Sel -Sev -O 110. I have been told that some of the hybrid babies or children were mine. -N -Sel -Sev -O 111. I have seen unusual lights in my room, and didn't know where they came from or what they were. -N -Sel -Sev -O 112. I have felt that I was flying through the air, though I didn't know how or why. -N -Sel -Sev -O 113. I have lost periods of time, or seem to have been missing, for reasons that were not apparent at the time. -N -Sel -Sev -O 114. I have seen terrifying figures that I couldn't explain. -N -Sel -Sev -O 115. I have awakened feeling paralyzed with a sense of a strange person or presence or something else in the room. -N -Sel -Sev -O 116. I have found scars on my body but didn't know (at the time) how I got them. -N -Sel -Sev -O 117. I have seen UFOs in connection with my abduction experiences. -N -Sel -Sev -O 118. I have had out-of-body experiences. -N -Sel -Sev -O 119. I have seen a UFO. -N -Sel -Sev -O 120. I have thought that I was somewhere I had been before, but knew that it was impossible. -N -Sel -Sev -O 121. I have felt as though I was in touch with someone when they were far away from me. -N -Sel -Sev -O 122. I have seen events that happened at a great distance as they were happening. -N -Sel -Sev -O 123. I have seen events happen before they actually occurred in real life. -N -Sel -Sev -O 124. I have felt as though I was really in touch with someone who had died. -N -Sel -Sev -O 125. I have felt as though I was very close to a powerful, spiritual force that seemed to lift me out of myself. -N -Sel -Sev -O For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A), or Strongly Agree (SA). 126. I feel attracted to the entities that abduct me. -SD -D -U -A -SA 127. I feel that in some way I am part alien. -SD -D -U -A -SA 128. It is important for abductees to make their experiences more commonly known. -SD -D -U -A -SA 129. I felt abandoned to my fate when I was abducted as a child. -SD -D -U -A -SA 130. As a child, I had an "invisible friend" or playmate. -SD -D -U -A -SA 131. I have had a near-death experience. -SD -D -U -A -SA 132. I feel that the "ordinary things of life" no longer have as much meaning for me as they once did. -SD -D -U -A -SA 133. I feel that in some sense I've given permission for my abductions to occur. -SD -D -U -A -SA 134. I have felt sometimes that I must be going insane. -SD -D -U -A -SA 135. I believe that the aliens are "good" forces. -SD -D -U -A -SA 136. I feel that the entities abducting me have molded my consciousness simply by their actions and attitudes. -SD -D -U -A -SA 137. I have been warned away from my interest in UFOs and/or abductions by odd people who seemed to know about me and my experiences. -SD -D -U -A -SA 138. I have confidence in the things the aliens tell me. -SD -D -U -A -SA 139. I have undergone medical-type examinations during my abductions. -SD -D -U -A -SA 140. Since my experiences began, I have received messages from the aliens apart from further abduction experiences. -SD -D -U -A -SA 141. During my abductions, I have been given warnings of catastrophic events in earth's future. -SD -D -U -A -SA 142. I've been taught things during my abductions. -SD -D -U -A -SA 143. I have received an implant during my abductions. -SD -D -U -A -SA 144. My abduction experiences were mostly non-threatening at the time. -SD -D -U -A -SA 145. In retrospect, my abduction experiences have been mostly non-threatening. -SD -D -U -A -SA 146. I believe that the family I was born into has also been involved in abductions. -SD -D -U -A -SA 147. I believe that my spouse and/or children (or grandchildren, if any) have also been involved in abductions. -SD -D -U -A -SA 148. Abduction experiences are an on-going part of my present life. -SD -D -U -A -SA Abduction Sequelae 149. My physical health since becoming aware of my abduction experiences has: -Worsened -Stayed about the same -Improved If worsened or improved, please briefly describe how: ________ ________ ________ 150. My psychological health since becoming aware of my abduction experiences has: -Worsened -Stayed about the same -Improved If worsened or improved, please briefly describe how: ________ ________ ________ For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A), or Strongly Agree (SA). Since my abduction(s), I have: 151. ...become more psychic than I was before -SD -D -U -A -SA 152. ...had trouble with watches and electrical devices -SD -D -U -A -SA 153. ...been able to learn new things more easily -SD -D -U -A -SA 154. ...had a higher level of energy -SD -D -U -A -SA 155. ...become more allergic to things that never bothered me before -SD -D -U -A -SA 156. ...become more sensitive to humidity -SD -D -U -A -SA 157. ...become more sensitive to bright lights -SD -D -U -A -SA 158. ...become more sensitive to flourescent lights -SD -D -U -A -SA 159. ...had my metabolic rate decrease -SD -D -U -A -SA 160. ...had my blood pressure decrease -SD -D -U -A -SA 161. ...become more sensitive to sounds -SD -D -U -A -SA 162. ...been able to sleep less -SD -D -U -A -SA 163. ...become more sensitive to pharmaceutical drugs -SD -D -U -A -SA 164. ...experienced more (or more severe) headaches -SD -D -U -A -SA 165. ...become more susceptible to illness -SD -D -U -A -SA 166. ...become more moody -SD -D -U -A -SA 167. ...become more easily depressed -SD -D -U -A -SA 168. ...become subject to anxiety or panic attacks -SD -D -U -A -SA 169. ...been able to tolerate alcoholic drinks less well -SD -D -U -A -SA 170. ...had more and/or a richer sex life -SD -D -U -A -SA 171. ...become more aware of non-physical entities -SD -D -U -A -SA 172. ...found it more difficult to think in strictly linear ways -SD -D -U -A -SA 173. ...become more actively aware of other dimensions or realities -SD -D -U -A -SA 174. ...had a more active and interesting dream life -SD -D -U -A -SA 175. ...become more aware of energy currents in my body -SD -D -U -A -SA 176. ...been permanently changed -SD -D -U -A -SA 177. ...become a better person -SD -D -U -A -SA 178. ...changed my ideas about religion -SD -D -U -A -SA 179. ...changed the way I practice religion -SD -D -U -A -SA 180. ...begun to feel more safe and in control -SD -D -U -A -SA Since becoming aware of my abduction experiences I have: 181. -not publicized it (for instance, in a newspaper article or interview) 182. -allowed it to be publicized, but with my name withheld 183. -allowed it to be publicized, using my name 184. -been a guest on a radio or TV show 185. -considered publishing my story as a book 186. -published my story as a book 187. -given lectures or formal presentations about it 188. -cooperated before now with abduction researchers Indicate whether each of the following has Significantly Decreased (SD), Decreased (D), remained Unchanged (U), Increased (I), or Significantly Increased (SI). Since my abductions... 189. ...my concern with questions of social justice has.... -SD -D -U -I -SI 190. ...my feelings of being "tagged" or under surveillance in some way has.... -SD -D -U -I -SI 191. ...my interest in achieving material success has.... -SD -D -U -I -SI 192. ...my concern with political matters has.... -SD -D -U -I -SI 193. ...my sense of personal vulnerability has.... -SD -D -U -I -SI 194. ...my concern over the threat of nuclear weapons has.... -SD -D -U -I -SI 195. ...my involvement in my family life has.... -SD -D -U -I -SI 196. ...my personal sense of purpose in life has.... -SD -D -U -I -SI 197. ...my understanding of what life is "all about" has.... -SD -D -U -I -SI 198. ...my interest in ecology has.... -SD -D -U -I -SI 199. ...my self-understanding has.... -SD -D -U -I -SI 200. ...my interest in organized religion has....-SD -D -U -I -SI 201. ...my concern with spiritual matters has.... -SD -D -U -I -SI 202. ...my income level has.... -SD -D -U -I -SI 203. ...my sensitivity to others' suffering has.... -SD -D -U -I -SI 204. ...my feelings of self-worth have.... -SD -D -U -I -SI The Future For the following statements, indicate whether you Strongly Disagree (SD), Disagree (D), are Unsure (U), Agree (A), or Strongly Agree (SA). 205. It is important at this time to rediscover and remember our past. -SD -D -U -A -SA 206. Forces are at work which will transform humanity into a more self-aware, spiritually sensitive species. -SD -D -U -A -SA 207. If alien life exists, it does not necessarily bode well for humanity's future. -SD -D -U -A -SA 208. I believe UFO abductions are a part of a larger plan to promote the evolution of consciousness among all of humanity. -SD -D -U -A -SA 209. We are already in or on the verge of a New Age. -SD -D -U -A -SA 210. I believe that alien beings are likely to exert increasing control over human life in years to come. -SD -D -U -A -SA 211. I believe that unless humanity changes significantly for the better, there will be massively destructive geo-physical disturbances in the near future. -SD -D -U -A -SA 212. There will be a future age of bliss that the faithful will enjoy. -SD -D -U -A -SA 213. As a species, we may die. -SD -D -U -A -SA 214. Whatever happens around the year 2000 will happen abruptly. -SD -D -U -A -SA 215. I believe there will have to be a unifying force--such as a charismatic leader--who can rally the masses of humanity to make the changes necessary to avoid a worldwide cataclysm. -SD -D -U -A -SA 216. I believe increased contact with alien life will bring material benefits for humanity. -SD -D -U -A -SA 217. In the next few years the human race must accept the end of life as we have known it. -SD -D -U -A -SA 218. There are no more real frontiers left to humanity. -SD -D -U -A -SA 219. Affairs in this world are spinning out of control. -SD -D -U -A -SA 220. Things are coming to a head in this world. -SD -D -U -A -SA 221. The human race is likely to survive and prosper in the long run. -SD -D -U -A -SA 222. Abductees need to join forces and work together in order to effect positive changes in the world. -SD -D -U -A -SA 223. The only real way to make things better in this world is for a cataclysm to "wipe the slate clean" so that the forces of creation can try again. -SD -D -U -A -SA 224. We are living in desperate times. -SD -D -U -A -SA 225. I am hopeful about the world's future. -SD -D -U -A -SA