- Had your fortune told by tealeaves, palm reading, a crystal ball, etc.?
_____________________________________________________________________________________________
- Read or followed horoscopes or had a chart made for yourself?
_______________________________________________________________________________________________
- Practiced yoga or transcendental meditation?
________________________________________________________________________________________________
- Attended a séance or spiritualist meeting?
________________________________________________________________________________________________
- Had a reincarnation reading about who you were in a previous existence?
______________________________________________________________________________________________
- Played with a Ouija board, tarot cards or dungeons and dragons?
______________________________________________________________________________________________
- Played games of an occult nature using ESP, telepathy, etc.?
_______________________________________________________________________________________________
- Consulted a medium acted as a medium or practiced channeling?
_______________________________________________________________________________________________
- Sought psychic healing or had psychic surgery?
_______________________________________________________________________________________________
- Practiced table lifting, lifting bodies, automatic writing or soul travel?
_______________________________________________________________________________________________
- Used any kind of charm for protection?
________________________________________________________________________________________________
- Practiced water- witching to find out where to dig a well?
_______________________________________________________________________________________________
- Read or possessed books on witchcraft, fortune telling, ESP, psychic phenomenon
or possession? Had anything in your home that was given to you by some one in the occult?
_______________________________________________________________________________________________
- Been fascinated be demonic topics in movies? Had a fascination with the occult?
________________________________________________________________________________________________
- Accepted the writings of Edgar Cayce or any other New Age author?
_______________________________________________________________________________________________
- Practiced mind control over anyone, cast a magic spell or sought a psychic
experience? Contacted a psychic in person or through a psychic hotline?
______________________________________________________________________________________________
- Made a pact with Satan or been involved in Satan worship?
_______________________________________________________________________________________________
- Attended witchcraft or voodoo ceremonies?
_______________________________________________________________________________________________
- Know of any relatives or ancestors who have been involved in witchcraft, pagan
religions, fortune telling or who have used magic spells?
________________________________________________________________________________________________
- Visited a shrine or temple of a Non-Judeo-Christian religion?
_______________________________________________________________________________________________
- Been involved in freemasonry? Had anyone in your family involved?
______________________________________________________________________________________________
- Embraced the fallacy that we are self- sufficient and do not need God?
_______________________________________________________________________________________________
- Used LSD Marijuana, cocaine or any mind- expanding drugs?
________________________________________________________________________________________________
- Had a problem with alcohol? How about other family members?
_____________________________________________________________________________________________
- Exposed yourself to pornography in magazines, TV or stage shows, books, topless
bars or X-rated movies?
_______________________________________________________________________________________________
- Had a problem with habitual masturbation?
_______________________________________________________________________________________________
- Been involved in sexually deviant practices?
_______________________________________________________________________________________________
- Been involved with a number of people sexually?
______________________________________________________________________________________________
- Had an abortion or fathered a child who was aborted?
______________________________________________________________________________________________________________________________________________________________________________________________________
- Wished yourself Dead?
______________________________________________________________________________________________________________________________________________________________________________________________________
- Wished someone else dead?
______________________________________________________________________________________________________________________________________________________________________________________________________
- Attempted to take your own life?
______________________________________________________________________________________________________________________________________________________________________________________________________
- Attempted to take( or taken) someone else’s life?
