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ADVANCED VAMPIRISM

& ENERGY WORK

RESEARCH SURVEY

 

 

 

 

 

 

Examining the Intricacies

of the Vampiric Condition

 

 

 

 

 

 

Text Box:  VEWRS    AVEWRS

 

 

 

Authorized Edition v2.0

1 August 2006

 

Advanced Vampirism & Energy Work Research Survey

Examining the Intricacies of the Vampiric Condition

 

Authorized Edition v2.0 - 1 August 2006

_______________________________________________________________

 

Purpose & Significance:

 

The Advanced Vampirism & Energy Work Research Survey (AVEWRS) is conducted by the Atlanta Vampire Alliance [AVA] with contributions from both independent and affiliated groups within the vampire community. This survey has come about in response to the inquiry received while conducting the original Vampire & Energy Work Research Survey (VEWRS) and from the examination of responses gathered during past months.  The purpose of the VEWRS was to gather data about the general aspects of vampiric life and practice as reported by real vampires with a particular emphasis placed on the social structure and interactions amongst vampires within the Community.  The scope of the survey covered many surface topics, but necessarily left many advanced topics unaddressed.  During the ongoing analysis and correlation of the responses from the VEWRS we both identified the need as well as received a significant number of requests to address more in-depth aspects of the vampire community; specifically vampiric traits, abilities, beliefs, and energy work techniques.  Based on these requests, five independent research topics were chosen to be explored and subsequently compiled into a single concise survey format to facilitate the ease of participation.  We believe that the information gathered regarding these topics will be of specific and immediate interest to members of the Community, and will increase the knowledge that the Community has about itself, its members as individuals, and its relationship with other groups and communities.

 

Complimenting the work outlined in the VEWRS, we provide the opportunity in this follow-up survey for the participant to provide comprehensive written responses regarding the primary areas of personal experiences, abilities, and the application as well as interpretation of their beliefs.  Some questions may not have an apparent direct connection to the vampire or energy worker communities; however, in order to correlate data in the areas of personality, beliefs, and demographic background they are crucial to establishing a foundation for detailed case study analysis.  In many cases these questions directly address the past analysis of researchers regarding the vampire subculture and the conclusions drawn by these outside researchers from the examination of limited reported experiences by members of the Community.  We hope that the data gathered through this survey will help serve our primary goal, and allow the Community to examine itself by addressing topics which are important to its members.  Our intention is to provide this data in a comprehensive printed and digitally available analysis to the Community as a resource for our deeper understanding of modern vampirism.  We anticipate the results will provide a body of data which will speak to members of the Community, clarify aspects of vampirism and the culture that vampires share, and allow individuals to place their own experiences, practices and beliefs in context, with regard to the greater Community.

 

Like with the VEWRS, the qualitative aspects of this survey will allow for an intrinsic case study examination that covers the primary spectrum of beliefs and opinions held by both the independent and affiliated vampire community.  The AVEWRS is designed as a stand-alone study built after a preliminary review of the VEWRS, however, there is a provision embedded into its design to allow linking to the initial VEWRS for purposes of correlating the demographic and other quantitative data presented in topic one.  The use of this sequential transformative strategy will enable our researchers to further expand the examination into the personal lifestyle, family background, medical history, paranormal experiences, and societal involvement as reported by individual vampires and first highlighted in the VEWRS.  The remaining topics of the AVEWRS, unlike that of the VEWRS, are independent from one another and address uniquely different questions and purposes, however, directly adhere to the overall scope and spirit prevalent within both surveys.  Utilizing a concurrent transformative strategy, sections two through five will examine a variety of subjects in varying levels of detail.  We will attempt to highlight the integral nature of energy work within the vampire community by providing a comprehensive battery of questions concerning individual perception, manipulation, and utilization of energy.  As evidenced throughout pockets within the community, terminology used to describe the vampiric condition is variable and thus presents a challenge to researchers to adequately interpret the intent of the participant.  This issue is addressed in topic three through a qualitative examination of definitions used by the modern vampire community to describe vampirism.  In addition the specific beliefs, postulated origins, characteristics, and practices of vampires are thoroughly examined.  Building on the preliminary work concerning spirituality and its association with those in the Community, we will examine in greater detail the religious, spiritual, moral, ethical, and philosophical ideals that motivate and often serve as a uniting force for the Community.  This phenomenological approach into the thought processes and viewpoints held by vampires is crucial to understanding the collective consciousness of shared beliefs within the Community and for potentially dispelling misconceptions of unethical and immoral treatment of others by our kind.  An examination of how vampires interact with subcultures will compliment our preliminary finding in the VEWRS that many vampires identify themselves as belonging to one or more additional subcultures and/or otherkin classifications.  This pseudo-ethnography will examine the core interactions, perceived and directed sentiment, and cultural similarities shared among communities.

 

We understand the value of quality responses over that of quantity and seek directly members of the community we recognize as being able to provide valuable insight.  The potential knowledge this survey may provide to the vampire community merits an extensive networking effort to gather support and participation.  While conducting this research we are committed to remaining neutral and abstaining from controversial rhetoric that could be viewed as biased.  As researchers, we recognize that we have a responsibility to be both fair and thorough in serving our community.  Using a pragmatic approach to our research we welcome exploration of the diversity of beliefs held by those of the Community without injection of assumptive claim or validity judgment.  This is ultimately an effort by the Community, and for the Community, which we hope will also reach beyond our boundaries, to be a body of knowledge from which outside scholars can draw when trying to understand the reality of our lives and experience.

 

Ethical Considerations:

 

All involved with this project are deeply concerned with the safety, well-being, and happiness of the members of our Community.  We believe that this study will be of aid to the Community as a whole, to help us understand each other and our situation, and to allow us as a Community to answer the analyses of outside researchers in our own words.  This study will also benefit the individual respondents by providing an opportunity for reflection and examination of their unique individual experiences.

 

Participation in this study is completely voluntary; members of the Community who choose to participate should do so in order to further the Community’s knowledge, and should use their own judgment to decide whether participation is a positive, safe, and healthy activity based upon their own individual circumstances.  Any participant may remove themselves from the study at any time, and may also ask questions of those administering the survey via anonymous e-mail for the duration of this study.

 

We are concerned with the safety and well-being of our Community members, and therefore acknowledge that for some individuals participation may put them at some form of risk.  Having this survey in one’s possession, accessing the URL of the online version, or being observed in the process of completing the survey may cause risk or harm to some individuals from those outside the Community.  Participants are the sole judges of their circumstances, and we encourage participation by only those Community members who feel that their situation will not be adversely affected, either emotionally, physically, economically, socially, or in any other manner, by any aspect or stage of participation.

We are also concerned with the stability, prosperity, and freedom of the vampire community; we are uninterested in abusing any information so generously offered by the Community.  We believe that our efforts should be for the entire Community, regardless of philosophy, lifestyle, group affiliation, or lack thereof.  Therefore, we have undertaken this study, as we did the original VEWRS, in order to apply our expertise, experience, and curiosity to a project which we believe we can offer the Community as something of use, of interest, and of great benefit.  This study, as is true of the original VEWRS, will not support an attempt to “define” vampirism, arbitrarily draw a line of demarcation between feeding practices, to claim exclusive intellectual authority over the phenomenon, or to uphold or denounce any aspect of vampirism as more or less valid.  These are not goals of the study, nor are they ethical (or academically sound) uses of the data collected.  This study will simply exploit the well-established vampiric tradition of enthusiasm about knowledge to report to vampires what other vampires have said about their lives, beliefs, and practices; thereby the Community can see these aspects of itself with better perspective, and use these answers to discover the next set of questions.

Privacy Considerations:

The enforcement of privacy and ethical standards while conducting this research is paramount to all involved with this project.  We wish to make the smallest footprint on the Community as possible in the distribution of and collection of data from this survey. Participants should be cognizant throughout the completion of this survey of the information they are providing and adhere to the guidelines established below.

No response that yields information which could be used to locate or personally identify respondents or other members of the community should be given at any time.  We will vigorously safeguard the privacy of our participants by employing various security measures to ensure complete anonymity.  All form submissions completed online will be processed over a secure server, results stored offline, and no internet protocol addresses (IP) will be intentionally logged or maintained by our staff.  Participants may also choose to safely submit this survey from an anonymous e-mail or by postal mail.  Only raw statistical data collected from this survey in coded form will be made available to the general public once an internal review and analysis has been completed.  After the cessation of this data collection all responses will be stored under lock and key in a secure location, never to be shared with other researchers or persons outside of the administrative body involved in this study, however, the aggregated data from the study, as well as analysis of that data and conclusions drawn from that data will be made publicly available.

A seven digit code may be utilized to remove any survey from final data analysis if chosen by contacting us at research@suscitatio.com; Subject: Exclusion Option: EXC5098; Field 1: Survey - “VEWRS” or “AVEWRS”; Field 2: “Date Of Birth / Place Of Current Residence”, as provided by the participant for verification.  Additionally, if the participant completes this survey offline or via e-mail we ask that they write a random seven digit series of letters and numbers at the end of the final question under “exclusion option” so that higher regulatory consideration to privacy exclusion may be exercised as mandated by various international standard codes of ethics and institutional review board guidelines.

 

Survey Focus:

 

- 01 -  Personal Lifestyle, Experience, & Societal Involvement

- 02 -  Advanced Energy Perception, Tools, & Techniques
- 03 -  Unraveling The Complexity Of Definitions:  Forms, Beliefs, & Practices Of Vampirism
- 04 -  The Spirituality & Philosophical Ideals Of Vampires

- 05 -  Subcultural Interconnectivity With The Vampire Community

Definitions & Precedent:

As an extension to the theory defined in this mixed methodology study we will attempt to explain the viewpoints of real vampirism rather than propose a controversial “universal” definition that would ultimately serve to exclude certain participants in the community. We recognize that claims of what comprises “true” vampirism or “living” vampirism varies to an almost infinite degree within the Community. However, generally there are universal characteristics shared among the majority that we hope will temporarily unite those who hold differences of opinion while completing this survey. Only the individual understands his or her own vampirism, path, and code of ethics and therefore, should answer all questions out of respect and in accordance with their own personal beliefs.

 

A vampire is essentially a blood drinker or an energy feeder that may display various levels of psychic ability. The vampires that are the focus of this study are individuals who cannot adequately sustain their own physical, mental, or spiritual well-being without the taking of blood or vital life force energy from other sources; often human. Without feeding (whether by a regular or infrequent schedule) the vampire will become lethargic, sickly, and often go through physical suffering or discomfort. Vampires often display signs of empathy, sense emotions, perceive auras of other humans, and are generally psychically aware of the world around them.

 

The following section represents the various categories that relate to the modern classification of vampires as defined by feeding method. Terminology is haphazard and problematic within the Community, and the attempt is made below to acknowledge alternative spellings, and identify distinctions (some of which are controversial) which are made by some Community members.

 

Vampirism

 

The most common and universal distinction made within the Vampire Community is the distinction, based on feeding method, between Sanguinarian and Psi Vampires.

 

Sanguine Vampires (Sanguinarian) feed by the drinking of blood - either human or animal.  Sanguinarian vampires can vary in their experience of blood hunger and in how often or in what quantities they need to feed, but the unique craving for blood and the physical symptoms associated with neglecting to drink blood are unifying features of sanguinarian vampirism.  This term is commonly shortened to sang.  Not all members of the Community actually acknowledge the difference between psychic and sanguinarian vampirism, and there is a popular but not universally-held theory within the Community that the life force energy or “prana” contained within the blood is the source from which they feed, rather than any physical component of the blood itself. This theory is supported by the notably small amount of blood that vampires consume to alleviate their hunger, but challenged by the fact that vampires who consider themselves primarily blood drinkers often do not display as many or any of the psychic tendencies that psychic vampires do, and more often report more physical symptoms, such as sense acuity and physical strength, than do the psychic vampires.

 

Psi Vampires are understood to feed psychically on life force energy.  Psi (or psy) feeding is usually performed on a willing individual or from the ambient energies of a large group or crowd.  This term is often mistakenly confused with the pop psychology use of “psychic vampire” or “psychological vampire”, used as a metaphor to describe specific socially manipulative behaviors.  The most common usage within the Community, however, does not include this metaphor.  Psi vampire, refers to a vampire who feeds by some manner of energy transfer; this term may also be shortened to psivamp.  Psy vampire, and “psychic vampire” are sometimes considered synonyms for psi vampire, but are also sometimes employed as separate terms with distinctive meanings.  For example, “psi” is often employed as a synonym for ESP phenomena in parapsychology, and “psy” is short for either “psychic” or “psychological”.  Those who make distinctions between these terms may use these meanings as the basis for their reasoning.

Hybrid or Psi/Sang Vampires claim to have no primary feeding method, being able to feed from either source at any time.  Others report changing their primary feeding source from energy to blood, or vice versa, at various points in their lives.  Some, but not all, vampires who can feed or have fed via both methods choose to describe themselves as Psi/Sang or Hybrid vampires.

 

Some Community members go further to define sub-classes of vampirism based on the detailed methods and sources of psychic feeding.  These classes are most often distinguished from one another based on the type of energy gained.  Those who feed from natural or elemental energy, and those who feed from humans either during sexual contact, during magickal rituals, or during times of high emotional output may be described as specific types of vampires.  Further subcategories of psi feeding energy exist, including terminology to describe those who feed from direct contact with the human aura, those who feed from the ambient energy of crowds and public places, those who can only absorb certain kinds of emotions, etc.

 

Energy Work & Manipulation

 

Many questions in this study pertain to, and to a considerable extent rely on prior knowledge of or practice of, what is generally referred to throughout the survey as “energy work”.  We realize that this is easily as problematic a category as “vampirism,” due to the various metaphors and philosophies that various groups have assigned to the practice throughout history.  Various theories posit the nature and origin of the “energy” in question, and many philosophies, religions, and spiritual or occult paths teach rules for manipulating this phenomenon, as well as theoretical limits of the practice.  Of course, these philosophies and theories all differ in various ways, and also all seem to be describing at some level the same types, or similar types of phenomena.

 

To further complicate matters, there are no objective methods, instruments, or theories with which to measure or examine the set of phenomena and perceptions that we collectively address here with the blanket term “energy work”.  Therefore, all questions regarding energy manipulation or perception have arisen from the observed conversations and collective experiences of Community members who may be far more likely to practice a technique than to have a name for it, more likely to have experienced a perception than to have a theory with which to explain or contextualize.  We have gathered a range of questions from what we perceive to be either widespread Community practices or traditional religious, philosophical, or occult practices which speak to the vampire experience.  The purpose of these questions is not to define the term “energy”, to prove or disprove its existence, or to promote one philosophy or spiritual path over another.  It is simply and exclusively to gather information about what the Community does, and possibly where we get our ideas.

 

In asking questions about so poorly-defined and contested a category, we attempt to make use of both existing traditional terminology and common Community terminology.  This is necessary to establish enough communication to answer questions accurately. We realize that for many individuals, the term they have developed on their own, or the one handed down to them by their tradition will be more familiar or more accurate for them.  However, for the sake of clarity and establishing a common arena in which to discuss this phenomenon, a few terms have been chosen, based mainly on our perception of how widely they appear to be used within the Community.  The following section briefly explains the use of terms as they will appear in the survey.

 

Energy

 

Common synonyms may be Psi, Prana, Chi, or life-force, although these synonyms may be loaded with cultural theories as to their nature.  “Energy” is often defined simply as the ability to do work; in this case, there is no clear judgment as to the nature or measure of that “work”.  Energy, as a synonym for the terms listed above, most often refers to an insubstantial but semi-objectively perceivable force, which many vampires (and other cultures with energy theories) regard as a naturally-occurring phenomenon connected to living things, the natural world, magickal ritual, and sometimes even electricity or kinetic energy.

The categorization of energy is problematic.  Some of these aspects are under serious dispute by those who accept the existence of at least some kinds of energy.  It is not always perceivable by every observer, and many cultures religious traditions have very defined beliefs surrounding this phenomenon.  Our use of the word energy does not necessitate the acceptance of any one tradition that has something to say about its nature; we attempt to use it as a container category for the specific events that vampires tend to relate to these beliefs and traditions.  For example, these events include psi feeding, which requires the acceptance of the theory that some kind of life-sustaining energy exists or is generated in human beings; and the perception of spiritual entities, which requires the acceptance of the theory that non-embodied creatures, entities, or beings can exist and be recognized by a sense that has not been objectively defined or measured in any study.

 

Energy Work

 

Any practice of manipulating, cultivating, or perceiving energy, regardless of the personal theory of the energy’s nature, origin, or spiritual significance.  Persons who conduct such “work” are referred to by a myriad of different names including “energy workers”, “energy manipulators”, “energy practitioners”, “psions”, “pranists”, etc.

 

Aura

Aura refers to the energy field emanating from the surface of a person or object.  This emanation is visualized as an outline of cascading color and may be held to represent soul vibrations, chakric emergence, or a reflection of surrounding energy fields.

 

Empathy

The posited ability to sense information about the emotional state of another human or animal creature. According to some theories, this may also extend to include the ability to influence or project emotions to other creatures as well.

 

Energy Constructs

 

The practice of shaping energy into a perceivable form is known as energy construct formation.  Anecdotal reports suggest that the form that the energy takes is perceivable as an objective phenomenon by other parties.  An extremely common form chosen by many energy workers seems to be a ball, or sphere, which can be given properties, such as motion, temperature, color, texture, or natural element, which can be perceived by others as well. Other constructs are possible, and even common (see, “shielding”), and many members of the Community have not fully explored the intricacies of other modern occult practices, nor has there been a serious study of the traditions of human philosophies with similar practices. Similar (but not identical) ideas from other traditions might include thought-forms, and tulpas.

 

Meditation

Meditation is the practice of focusing the mind, often formalized into a specific routine.  Meditation is usually recognized as a component of Eastern religions, originating in Vedic Hinduism.  It encompasses any of a wide variety of spiritual practices which emphasize mental activity or quiescence.

Shielding

 

The act of forming energy into the specific shape of a barrier is known as shielding.  As with psi balls, anecdotal reports suggest that these are perceived as having similar characteristics as they were imagined to have by the energy worker.  Therefore, shielding is also a somewhat objective phenomenon, which can be sensed accurately by some individuals.  Shielding is a very common term which has few synonyms, and few competing theories as to its purpose or nature.  The commonly accepted use of a shield structure is to form a barrier of energy to prevent the movement of some or all kinds of energy, most often to keep energy out or keep it in.  This is most often considered a defensive tactic whose purpose is to protect the user from harmful outside influences.  Many traditions posit a natural shield system inherent to the energy system of most human beings, although some conflate this with the aura, and the theoretical distinction between a posited “natural shield” and an aura is unclear. 

 

Spiritual Entities

Spiritual entities refers to theorized non-corporeal or non-embodied creatures, which may, according to various belief systems and practices, be either constructed through the willpower of an energy worker or magician, or be a naturally-occurring being of natural, human or otherplanar origin.

Other Energy Related Terms

 

See the definitions associated with individual questions within this survey for further use and explanation of more specific conceptual terms related to energy, perception, and energy work.

 

Therians, Otherkin, & Other "Non-Human" Groups

 

Several cultures and groups of energy-aware people tend to refer to themselves and are consistently referred to by outsiders as "nonhuman," or are identified as their magickal type in opposition to a perceived majority that is designated "human".  The terms therian, were, otherkin, and vampire are some of the more common blanket terms for these types of people.

 

In adopting this dichotomy between human and other than human, the term human is stretched significantly, and it appears to be more of a metaphor or verbal shortcut to allow the speaker to illustrate the difference between vampiric humans and mundane humans than any sort of deeply-felt assertion that vampires, weres, therians, and otherkin are actually not human.

 

Therefore, we must acknowledge that while the use of these terms does not exclude the magickal subcultures from humanity, a distinction is definitely being made within popular discussion in these respective communities between three major groups.  First, magickal types of humans who are identified with the terms below and often referred to using a nonhuman metaphor (such as "elf", werewolf", "vampire", etc.), second, mundane humans who are not energy-aware, and third, those humans who are energy-aware (magickal practitioners, energy workers, shamanic practitioners, etc.) but who are always referred to with a human metaphor.

 

Therianthropy, Therian, & Were

 

Although definitions surrounding the practice or phenomenon of human-animal transformation, affinity and identity are atomistic and individual to many cultural and social groups, we attempted to borrow what appears to be a widely-used convention in the various magickal subcultures, which is to use Therianthropy as a greater category of animal magick, totemism, transformations, and identity.  The members of this group are commonly referred to as Therians, and the Weres (Lycanthropy) can, under this definition, be considered a sub-category of Therian.  We also acknowledge that Were is conventionally applied very loosely, with possibly conflicting meanings among Weres themselves.  In this survey, we are adopting what we perceive as the more common application of the term Were, in which the term simply refers to any human with an animal-related identity that goes beyond standard shamanic or magickal transformative practice, totemism, spirit animal belief or other affinity.  Weres themselves may have varying theories about the nature of their animal identity, including but not limited to species-mismatched incarnation, reincarnation from a previous animal life, or even inheritance of genetic traits.  However, our use of the term is meant to simply distinguish those with affinities to animals or nature through magickal practice and philosophy (Therians) from those who claim an actual identity or partial identity as their were-side.  According to this distinction, one may acquire the practice of Therianthropy, but one can only discover his nature as a Were.  While we do not have vast experience in the Therian community, we believe that this distinction is grounded in the perceptions and terminology of that community, having meaning to the members of that community and not an artificial distinction imposed by outsiders.

 

Otherkin

 

Otherkin is a subculture made up of people who describe themselves as being non-human in some way, sometimes believing themselves to be mythological or legendary creatures.  Many otherkin believe that they have non-human aspects that are either spiritual or philosophical in nature.  Some otherkin claim that they are human in a physical sense, but non-human in a mental or spiritual one.  Still others believe themselves to be biologically non-human with a direct relation to the species they associate themselves with or descended from that species.

 

Survey Instructions:

 

This survey is not timed or monitored, however, we ask that you complete it without assistance from others and while in an alert state of mind.  The complexity of this study warrants a serious commitment of both time and mature consideration of each question before answering.  If you are unwilling or able to dedicate yourself in this manner please refrain from participation.  All information is strictly confidential, therefore, please do NOT fill in responses of a personally identifiable nature in sections that require written answers.  You may complete this survey in either digital form: MS Word Forms Document - click boxes and fill out, save, and submit via anonymous e-mail to response@suscitatio.com, or through printed form by returning to the address provided below.  If completing by hand please “x” out { S ) or fully darken the boxes that correspond with each question; avoid checking ( R ) the boxes and print legibly.  If you experience any technical difficulties opening, saving, or completing the digital version please contact us at research@suscitatio.com for additional troubleshooting options.  Digital submissions may be completed via an anonymous e-mail account provided on the www.suscitatio.com web site.  All submissions will receive an automated e-mail receipt confirmation for successfully submitted survey responses.  If mailing, please either use the same shipping address for the return address or simply leave blank if mailing within the U.S.  Please affix the proper postage based on weight if mailing and complete the shipping label exactly as written:

 

 


Domestic U.S. Mail

 

V. Survey

6300 Powers Ferry Rd.

Suite 600 - 283

Atlanta, GA  30339

 

 

 

 

 

 

 

 

 

 

International Post

 

V. Survey

6300 Powers Ferry Rd. NW

Suite 600 - 283

Atlanta, GA  30339-2919

USA


Advanced Vampirism & Energy Work Research Survey

Examining the Intricacies of the Vampiric Condition

_______________________________________________________________

 

Completion of the “Vampire & Energy Work Research Survey” (VEWRS) is strongly encouraged but not required prior to participating in this survey.  Please answer truthfully, completely, and to the best of your ability. All information is strictly confidential; therefore, please do not fill in responses of a personally identifiable nature in sections that require written answers.  If completing by hand, please print legibly.

 

Important:  Survey Linking Verification (VEWRS <> AVEWRS)

 

Completion of this section will allow our researchers to join your responses from the first survey to that of the second survey.  Please answer the following questions based on your responses given in the VEWRS. 

 

I.  Sex:

 

  Male

  Female

Text Box: Under ABSOLUTELY NO Circumstance Should You Include ANYWHERE On This Survey 
The Following Items:

•	Personal Name
•	Personal Contact Information
•	Nick / Handle / Nightside Name
•	Affiliation w/House, et al.
•	Affiliation w/Site, Forum, et al.

The demographic questions asked allow our researchers to correlate responses based on sex, age, and geographic criteria.  Thank you for your cooperation with not including any additional personal information that is not specifically requested.

II.  Date Of Birth:


 

Month:  __________

    Day:  __________

   Year:  __________

III. Place Of Current Residence:

 

                   City/Town:  ___________________________

State/Province/Region: ___________________________

Country:  ___________________________

 

IV.  Place Of Birth:

 

City/Town:  ___________________________

State/Province/Region: ___________________________

Country:  ___________________________

 

V.  Additional Information:

 

Ethnicity:  ______________________

          Eye Color:  _____________

Brother(s) * Qty:  ________                                                                                                                                                                                       

 Sisters(s) * Qty:  ________

 

VI.  Please enter your previously chosen 7 digit exclusion option code from the final page of the
“Vampire & Energy Work Research Survey”. If you no longer remember or did not record this information prior to submission simply leave this section blank.

 

7 Digit Code:  ________

Personal Lifestyle, Experience, & Societal Involvement

 

380.  Sex:

 

  Male

  Female

 

381.  Age:  (Please Answer Both Parts)

 


  Under 14 Years Of Age

  14 - 15 Years Of Age

  16 - 17 Years Of Age

  18 - 19 Years Of Age

  20 - 24 Years Of Age

  25 - 29 Years Of Age

  30 - 34 Years Of Age

  35 - 39 Years Of Age

  40 - 44 Years Of Age

  45 - 49 Years Of Age

  50 - 54 Years Of Age

  Over 54 Years Of Age


 

Year Of Birth:  _________

 

382.  Place Of Current Residence:

 

                   City/Town:  ___________________________

State/Province/Region: ___________________________

Country:  ___________________________

 

383.  Do you identify yourself as a vampire as outlined in the definitions and precedent section of this survey?

 

  Yes

  No

If no, explain:  _____________________________________________________________________________

 

384.  Do you identify yourself as an energy worker as outlined in the definitions and precedent section of this survey?

 

  Yes

  No

 

If no, explain:  _____________________________________________________________________________

 

385.  Have you ever suffered from a vitamin deficiency? 

 

  Yes

  No

 

 

 

 

 

 

386.  If yes, which vitamins?  (Check All That Apply)

 


  Vitamin A (Retinol)

  Vitamin B-1 (Thiamine)

  Vitamin B-2 (Riboflavin)

  Vitamin B-3 (Niacin)

  Vitamin B-5 (Pantothenic Acid)

  Vitamin B-6 (Pyridoxine, Pyridoxal Phosphate)

  Vitamin B-9 (Folic Acid, Folate)

  Vitamin B-12 (Cyanocobalamin)

  Vitamin C (Ascorbic Acid)

  Vitamin D (Aholecalciferol)

  Vitamin E (Alpha-Tocopherol)

  Vitamin H (Biotin)

  Vitamin K (Phytonadione)

  Vitamin P (Bioflavonoids, Phytochemicals)

  Other: __________________________

  Not Applicable


 

387.  Have you ever suffered from electrolyte abnormalities; specifically increases or decreases in either sodium, potassium, or chloride?  (Check All That Apply)

 


  Yes - Increase In Sodium

  Yes - Decrease In Sodium

  Yes - Increase In Potassium

  Yes - Decrease In Potassium

  Yes - Increase In Chloride

  Yes - Decrease In Chloride

  No


 

If yes, describe the catalyst of such condition:  ____________________________________________________

 

388.  Have you ever been diagnosed with a hematological malignancy?

 

Hematological malignancies are the types of cancer that affect blood, bone marrow and lymph nodes.  As the three are intimately connected through the immune system, a disease affecting one of the three will often affect the others as well.

 

  Yes

  No

 

389.  If yes, with which of the following conditions have you been diagnosed as having?

 


  Acute Lymphoblastic Leukemia (ALL)

  Acute Myelogenous Leukemia (AML)

  Chronic Myelogenous Leukemia (CML)

  Chronic Lymphocytic Leukemia (CLL)

  Hairy Cell Leukemia

  Hodgkin's Disease

  Non-Hodgkin Lymphoma

  Multiple Myeloma

  Myelodysplastic Syndrome (MDS)

  Myelofibrosis

  Myeloproliferative Disease

  Polycythemia Vera (PV, PCV, or PRV)

  Essential Thrombocytosis (ET)

  Amyloid (Light-Chain Deposition Disease)

  Other: ___________________________

  Not Applicable


 

390.  Do you suffer from any of the following addiction problems?

 


  Alcohol

  Caffeine

  Drugs (Illicit or Illegal)

  Drugs (Prescribed)

  Eating

  Gambling

  Nicotine

  Sex (Extreme Compulsion)

  Sugar

  Pornography

  Other: _________________

  None


 

 

391.  Do you feel that these addictions are a substitute for when vampiric feeding isn’t possible?

 

  Yes

  No

  Not Applicable

 

If yes, explain:  _____________________________________________________________________________

 

392.  Have you ever been diagnosed with Fibromyalgia, Multiple Sclerosis (MS), or Lupus (SLE)?

(Check All That Apply)

 

Fibromyalgia is a debilitating chronic syndrome characterized by diffuse and or specific muscle, joint, or bone pain, fatigue, and a wide range of other symptoms.

 

Multiple Sclerosis (MS) is a chronic, inflammatory disease that affects the central nervous system (CNS).  MS can cause a variety of symptoms including changes in sensation, visual problems, muscle weakness, depression, difficulties with coordination and speech, and pain.

 

Lupus (Systemic Lupus Erythematosus - SLE) is a chronic, potentially debilitating or fatal autoimmune disease in which the immune system attacks the body’s cells and tissue, resulting in inflammation and tissue damage.  Lupus can affect any part of the body, but often harms the heart, joints (rheumatological), skin, lungs, blood vessels and brain/nervous system.

 


  Yes - Fibromyalgia

  Yes - MS (Relapsing-Remitting)

  Yes - MS (Secondary Progressive)

  Yes - MS (Primary Progressive)

  Yes - MS (Progressive Relapsing)

  Yes - Lupus (SLE)

  No


 

393.  Do you currently or have ever suffered from chronic pain related to joint conditions such as arthritis, scoliosis, or back pain?  (Check All That Apply)

 

  Yes - Chronic Pain Resulting From A Long-Term Joint Condition

  Yes - Chronic Pain Resulting From An Obvious Injury

  No

 

If yes, describe the nature of the condition or injury:  _______________________________________________

 

394.  Using the following Visual Analogue Rating Scale (VAS), how would you characterize your level of pain associated with this condition?

 

 

No Pain

 

Mild Pain

 

Moderate Pain

 

Severe Pain

Very Severe Pain

Worst Possible Pain

 

0

 

1

 

2

 

3

 

4

 

5

 

  Not Applicable

 

 

 

 

395.  Does vampiric feeding help to temporarily alleviate this chronic pain?

 

  Yes

  No

  Not Applicable

 

396.  Using the following Visual Analogue Rating Scale (VAS), how would you characterize your level of pain associated with this condition after engaging in vampiric feeding?

 

 

No Pain

 

Mild Pain

 

Moderate Pain

 

Severe Pain

Very Severe Pain

Worst Possible Pain

 

0

 

1

 

2

 

3

 

4

 

5

 

  Not Applicable

 

397.  Have you ever been diagnosed or suspected of having Chronic Fatigue Syndrome?

Chronic Fatigue Syndrome (CFS) is a syndrome (or group of syndromes) of unknown and possibly multiple etiologies, affecting the central nervous system, immune, and many other systems and organs.  Most aptly characterized by severe mental and physical depletion, that is arrgrivated by any degree of exertion and unrelived by rest.  Symptoms also include pain, muscle weakness, loss of brain function, hypersensitivity, orthostatic intolerance, digestive disturbances, depression, immune and in some cases life-threatening cardiac and respiratory problems.

  Yes
  No

 

398.  Do you experience frequent headaches such as migraines, tension, sinus, etc.?

(Check All That Apply)

 

  Yes - Migraine (Severe Neural Vascular - Long Lasting & Multiple Types)

  Yes - Tension (Stress, Tension, Depression, Physical Or Psychological Triggers)

  Yes - Sinus (Inflamed Or Blocked Sinuses - Pressure On Nose Bridge/Cheek/Forehead Bones)

  Yes - Cluster (Multiple Occurring Intense Headache Throughout 24 Hour Period)

  Yes - Hormone (Female - Menstrual Or Hormonal Related)

  Yes - Organic (Abnormality In Brain Or Skull)

  No

 

399.  If you suffer from frequent headaches do you feel that they are sometimes caused from a lack of vampiric feeding?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

400.  Have you ever been diagnosed with or suspected as a child of having Autism?

 

Autism is classified as a neurodevelopmental disorder which manifests itself in markedly abnormal social interaction, communication ability, patterns of interests, and patterns of behavior.

 

  Yes

  No

 

401.  Have you ever been diagnosed with or suspected as a child of having Asperger’s Syndrome?

 

Asperger’s Syndrome is characterized as one of the five pervasive developmental disorders, and is commonly referred to as a form of high-functioning autism.  In very broad terms, individuals with Asperger's have normal or above average intellectual capacity, with atypical or poorly developed social skills often with emotional/social development or integration happening later than usual as a result.

 

  Yes

  No

 

402.  With what frequency do you drink coffee or other caffeinated beverages?

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never


 

403.  Do you often eat extremely spicy foods or peppers with a high measure of Scoville Units?

 

The Scoville scale is a measure of the hotness of a chilli pepper.  These fruits of the Capsicum genus contain capsaicin, a chemical compound which stimulates thermoreceptor nerve endings in the tongue, and the number of Scoville heat units (SHU) indicates the amount of capsaicin present.

 

  Yes

  No

 

404.  Are you on a vegetarian or vegan diet?


  Yes - Vegetarian

  Yes - Vegan

  No


 

405.  Do you find that certain foods give you abnormally excessive amounts of energy?

  Yes

  No

 

If yes, which foods:  _________________________________________________________________________

 

 

 

 

 

 

406.  Do you find that an increase in the consumption of sugar affects your body in a noticeable way?

 

  Yes

  No

 

If yes, in which measure and way:  _____________________________________________________________

 

407.  Have you ever been diagnosed with Diabetes?  (Check All That Apply)

 

Diabetes mellitus is a medical disorder characterized by persistent variable hyperglycemia (high blood sugar levels), resulting either from inadequate secretion of the hormone insulin, an inadequate response by the body's cells to insulin, or a combination of these factors.

 


  Yes - Type 1

  Yes - Type 2

  Yes - Gestational

  No


 

408.  Have you ever been diagnosed with Hypoglycemia?

 

Hypoglycemia refers to a pathologic state produced by a lower than normal amount of sugar (glucose) in the blood.

 

  Yes

  No

 

409.  Do you ever suffer from seizures?  (Check All That Apply)

 

Seizures are temporary abnormal electrophysiologic phenomena of the brain, resulting in abnormal synchronization of electrical neuronal activity.  They can manifest as an alteration in mental state, tonic or clonic movements and various other symptoms.  They are due to temporary abnormal electrical activity of a group of brain cells.

 


  Atonic

  Complex Partial

  Epileptic

  Myoclonic

  Absence (Petit Mal)

  Secondary Generalized

  Simple Partial

  Tonic-Clonic (Grand Mal)


  Other / Specific Diagnosed Seizure:  ________________________________________

  No

 

410.  Have you ever been diagnosed with Epilepsy?

 

  Yes

  No

 

If yes, describe the severity:  __________________________________________________________________

 

 

 

 

 

 

 

411.  Have you ever been evaluated by a psychiatrist or general practitioner as suffering from a serotonin imbalance?

Serotonin (in relation to the central nervous system) is a monoamine neurotransmitter synthesised in serotonergic neurons in the CNS and is believed to play an important role in the regulation of mood, sleep, emesis (vomiting), sexuality, and appetite.

  Yes
  No

 

412.  If yes, are you currently prescribed and/or taking medication to adjust or correct the serotonin imbalance?

 

  Yes

  No

  Not Applicable

 

413.  Have you ever been diagnosed with any of the following depression disorders?

(Check All That Apply)

 


  Yes - Bipolar I Disorder

  Yes - Bipolar II Disorder

  Yes - Bipolar Disorder (Not Specified)

  Yes - Cyclothymia

  Yes - Dysthymic Disorder

  Yes - Major Depressive Disorder (MDD)

  Yes - Postpartum Depression

  Yes - Schizoaffective Disorder - Depressive Type

  Yes - Schizoaffective Disorder - Bipolar Type

  Yes - Seasonal Affective Disorder (SAD)

  Other: __________________________________

  No


 

414.  Do you have any phobias that result in either an irrational and/or obsessive anxiety response or impairment of normal function?

 

  Yes

  No

 

415.  Do you have any phobias or fears for which you have sought treatment or psychotherapy?

 

  Yes

  No

 

416.  With which phobias do you personally associate or consider yourself to seriously suffer from?

(Note:  If you are unsure as to the definitions of the following phobias please describe your fear(s) in the “Other” choice or consult the web site listed below.)

 

Source:  List Compiled By Fredd Culbertson (http://phobialist.com)

 


  Ablutophobia
  Acarophobia
  Acerophobia
  Achluophobia
  Acousticophobia
  Aeroacrophobia
  Aeronausiphobia
  Aerophobia
  Agliophobia
  Agoraphobia
  Agraphobia
  Agrizoophobia
  Agyrophobia
  Aichmophobia
  Ailurophobia
  Albuminurophobia
  Alektorophobia
  Algophobia
  Alliumphobia
  Allodoxaphobia
  Altophobia
  Amathophobia
  Amaxophobia
  Ambulophobia
  Amnesiphobia
  Amychophobia
  Anablephobia
  Ancraophobia
  Androphobia
  Anemophobia
  Anginophobia
  Anglophobia
  Angrophobia
  Ankylophobia
  Anthophobia
  Anthrophobia
  Anthropophobia
  Antlophobia
  Anuptaphobia
  Apeirophobia
  Aphenphosmphobia
  Apiphobia
  Apotemnophobia
  Arachibutyrophobia
  Arachnephobiba
  Arachnophobia
  Arithmophobia.
  Arrhenophobia
  Arsonphobia
  Ashenophobia
  Astraphobia
  Astrapophobia
  Astrophobia
  Asymmetriphobia
  Ataxiophobia
  Ataxophobia
  Atelophobia
  Atephobia
  Athazagoraphobia
  Atomosophobia
  Atychiphobia
  Aulophobia
  Aurophobia
  Auroraphobia
  Autodysomophobia
  Automatonophobia
  Automysophobia
  Autophobia
  Aviatophobia
  Aviophobia
  Bacillophobia
  Bacteriophobia
  Balenephobia
  Ballistophobia
  Barophobia
  Basiphobia
  Basophobia
  Bathophobia
  Batonophobia
  Batophobia
  Batrachophobia
  Bibliophobia
  Blennophobia
  Bogyphobia
  Bolshephobia
  Bromidrophobia
  Bromidrosiphobia
  Brontophobia
  Bufonophobia
  Cacophobia
  Cainophobia
  Cainotophobia
  Caligynephobia
  Cancerophobia
  Carcinophobia
  Cardiophobia
  Carnophobia
  Catagelophobia
  Catapedaphobia
  Cathisophobia
  Catoptrophobia
  Cenophobia
  Centophobia
  Ceraunophobia
  Chaetophobia
  Cheimaphobia
  Cheimatophobia
  Chemophobia
  Cherophobia
  Chionophobia
  Chiraptophobia
  Cholerophobia
  Chorophobia
  Chrematophobia
  Chromatophobia
  Chrometophobia
  Chromophobia
  Chronomentrophobia
  Chronophobia
  Cibophobia
  Claustrophobia
  Cleisiophobia
  Cleithrophobia
  Climacophobia
  Clinophobia
  Clithrophobia
  Cnidophobia
  Coimetrophobia
  Coitophobia
  Cometophobia
  Contreltophobia
  Coprastasophobia
  Coprophobia
  Coulrophobia
  Counterphobia
  Cremnophobia
  Cryophobia
  Crystallophobia
  Cyberphobia
  Cyclophobia
  Cymophobia
  Cynophobia
  Cyprianophobia
  Cypridophobia
  Cyprinophobia
  Cypriphobia
  Daemonophobia
  Decidophobia
  Defecaloesiphobia
  Deipnophobia
  Dematophobia
  Dementophobia
  Demonophobia
  Demophobia
  Dendrophobia
  Dentophobia
  Dermatophathophobia
  Dermatophobia
  Dermatosiophobia
  Dextrophobia
  Diabetophobia
  Didaskaleinophobia
  Diderodromophobia
  Dikephobia
  Dinophobia
  Diplophobia
  Dipsophobia
  Dishabiliophobia
  Domatophobia
  Doraphobia
  Dromophobia
  Dutchphobia
  Dysmorphophobia
  Dystychiphobia
  Ecclesiophobia
  Ecophobia
  Eicophobia
  Eisoptrophobia
  Electrophobia
  Eleutherophobia
  Elurophobia
  Emetophobia
  Enetophobia
  Enissophobia
  Enochlophobia
  Enosiophobia
  Entomophobia
  Eosophobia
  Epistaxiophobia
  Epistemphobia
  Equinophobia
  Eremophobia
  Ereuthophobia
  Ereuthrophobia
  Ergasiophobia
  Ergophobia.
  Erotophobia
  Erythrophobia
  Erytophobia
  Euphobia
  Eurotophobia
  Febriphobia
  Felinophobia
  Fibriophobia
  Fibriphobia
  Francophobia
  Galeophobia
  Galiophobia
  Gamophobia
  Gatophobia
  Geliophobia
  Geniophobia
  Genophobia
  Genuphobia
  Gephydrophobia
  Gephysrophobia
  Gerascophobia
  Germanophobia
  Gerontophobia
  Geumaphobia
  Gnosiophobia
  Graphophobia
  Gymnophobia
  Gynephobia
  Hadephobia
  Hagiophobia
  Hamartophobia
  Haphephobia
  Haptephobia
  Harpaxophobia
  Hedonophobia
  Heliophobia
  Hellenologophobia
  Helminthophobia
  Hemaphobia
  Hematophobia
  Hemophobia
  Hereiophobia
  Heresyphobia
  Herpetophobia
  Heterophobia
  Hierophobia
  Hippophobia
  Hobophobia
  Hodophobia
  Homichlophobia
  Homilophobia
  Hominophobia
  Homophobia
  Hoplophobia
  Hormephobia.
  Hydrargyophobia
  Hydrophobia
  Hydrophobophobia
  Hyelophobia
  Hygrophobia
  Hylephobia
  Hylophobia
  Hynophobia
  Hypegiaphobia
  Hypengyophobia
  Hypertrichophobia
  Hypsiphobia
  Iatrophobia
  Ichthyophobia
  Ideophobia
  Illyngophobia
  Insectophobia
  Iophobia
  Isolophobia
  Isopterophobia
  Ithyphallophobia
  Japanophobia
  Judeophobia
  Kainolophobia
  Kainophobia
  Kakorrhaphiophobia
  Katagelophobia
  Kathisophobia
  Kenophobia
  Keraunophobia
  Kinesophobia
  Kleptophobia
  Koinoniphobia
  Kolpophobia
  Koniophobia
  Kopophobia
  Kosmikophobi
  Kymophobia
  Kynophobia
  Kyphophobia
  Lachanophobia
  Laliophobia
  Lalophobia
  Lepraphobia
  Leprophobia
  Leukophobia
  Levophobia
  Ligyrophobia
  Lilapsophobia
  Limnophobia
  Linonophobia
  Liticaphobia
  Lockiophobia
  Logizomechanophobia
  Logophobia
  Luiphobia
  Lutraphobia
  Lygophobia
  Lysssophobia.
  Macrophobia
  Mageirocophobia
  Maieusiophobia
  Malaxophobia
  Maniaphobia
  Mastigophobia
  Mechanophobia
  Medomalacuphobia
  Medorthophobia
  Megalophobia
  Melanophobia
  Melissophobia.
  Melophobia
  Meningitiophobia
  Merinthophobia
  Mertophobia
  Metallophobia
  Metathesiophobia
  Meterorophobia
  Methyphobia
  Microbiophobia
  Microphobia.
  Misophobia
  Mnemophobia
  Molysmophobia
  Molysomophobia
  Monopathophobia
  Monophobia
  Motorphobia
  Mottophobia
  Murophobia
  Musophobia
  Mycophobia
  Mycrophobia
  Myctophobia
  Myrmecophobia
  Mysophobia
  Mythophobia
  Myxophobia
  Namatophobia
  Nebulaphobia
  Necrophobia
  Nelophobia
  Neopharmaphobia.
  Neophobia
  Nephophobia
  Noctiphobia
  Nosemaphobia
  Nosocomephobia
  Nosophobia
  Nostophobia
  Novercaphobia
  Nucleomituphobia
  Nudophobia
  Numerophobia
  Nyctohlophobia
  Nyctophobia
  Obesophobia
  Ochlophobia.
  Ochophobia
  Octophobia
  Odontophobia
  Odynephobia
  Odynophobia
  Oenophobia
  Oikophobia
  Olfactophobia
  Ombrophobia
  Ommatophobia
  Ommetaphobia
  Oneirogmophobia
  Oneirophobia
  Onomatophobia
  Ophidiophobia
  Opthalmophobia
  Optophobia
  Ornithophobia
  Orthophobia
  Osmophobia
  Osphesiophobia
  Ostraconophobia
  Ouranophobia
  Pagophobia
  Panophobia
  Panthophobia
  Pantophobia
  Papaphobia
  Papyrophobia
  Paralipophobia
  Paraphobia
  Parasitophobia
  Paraskavedekatriaphobia
  Parthenophobia
  Parturiphobia
  Pathophobia.
  Patroiophobia
  Peccatophobia
  Pediculophobia
  Pediophobia
  Pedophobia
  Peladophobia
  Pellagrophobia
  Peniaphobioa
  Pentheraphobia
  Phagophobia
  Phalacrophobia
  Phallophobia
  Pharmacophobia
  Pharmacophobia
  Phasmophobia
  Phengophobia
  Philemaphobia
  Philematophobia
  Philophobia
  Philosophobia
  Phobophobia
  Phonophobia
  Photoaugliaphobia
  Photophobia
  Phronemophobia
  Phthiriophobia
  Phthisiophobia
  Placophobia
  Plutophobia
  Pluviophobia
  Pneumatiphobia
  Pnigerophobia
  Pnigophobia
  Pocrescophobia
  Pocresophobia
  Pogonophobia
  Poinephobia
  Poliosophobia
  Politicophobia
  Polyphobia
  Ponophobia
  Porphyrophobia
  Potamophobia
  Potophobia
  Proctophobia.
  Prosophobia
  Psellismophobia
  Psychophobia
  Psychrophobia
  Pteromerhanophobia
  Pteronophobia
  Pupaphobia
  Pyrexiophobia
  Pyrophobia
  Radiophobia
  Ranidaphobia
  Rectophobia
  Rhabdophobia
  Rhypophobia
  Rhytiphobia
  Rupophobia
  Russophobia
  Samhainophobia
  Sarmassophobia
  Satanophobia
  Scabiophobia
  Scatophobia
  Scelerophobia
  Sciaphobia
  Sciophobia
  Scoionophobia
  Scoleciphobia
  Scopophobia
  Scoptophobia
  Scotomaphobia
  Scotophobia
  Scriptophobia
  Selaphobia
  Selenophobia
  Seplophobia
  Sesquipedalophobia
  Sexophobia
  Siderophobia
  Sinistrophobia
  Sinophobia
  Sitiophobia
  Sitophobia
  Snakephobia
  Soceraphobia
  Sociophobia
  Somniphobia
  Sophophobia
  Soteriophobia
  Spacephobia
  Spectrophobia
  Spermatophobia
  Spermophobia
  Spheksophobia
  Stasibasiphobia
  Stasiphobia
  Staurophobia
  Stenophobia
  Stigiophobia
  Suriphobia
  Symbolophobia
  Symmetrophobia
  Syngenesophobia
  Syphilophobia
  Tachophobia
  Taeniophobia
  Taphephobia
  Tapinophobia
  Taurophobia
  Technophobia
  Teleophobia
  Telephonophobia
  Teratophobia
  Testaphobia
  Tetanophobia
  Teutophobia
  Textophobia
  Thaasophobia
  Thalassophobia
  Thanatophobia
  Thantophobia
  Theatrophobia
  Theophobia
  Theologicophobia
  Thermophobia
  Tocophobia
  Tomophobia
  Tonitrophobia
  Topophobia
  Toxiphobia
  Toxophobia
  Toxicophobia
  Traumatophobia
  Tremophobia
  Trichinophobia
  Trichopathophobia
  Trichophobia
  Triskaidekaphobia
  Tropophobia
  Trypanophobia
  Tuberculophobia
  Tyrannophobia
  Uranophobia
  Urophobia
  Vaccinophobia
  Venustraphobia
  Verbophobia
  Verminophobia
  Vestiphobia
  Virginitiphobia
  Vitricophobia
  Walloonphobia
  Wiccaphobia
  Xanthophobia
  Xenophobia
  Xerophobia
  Xylophobia
  Zelophobia
  Zeusophobia
  Zemmiphobia
  Zoophobia


 

  Other: ________________________________________________________________________________

  None / Not Applicable

 

 

 

 

 

 

 

 

 

 

417.  Do your sleep cycles change seasonally or vary dramatically throughout the year?

 

  Yes

  No

 

If yes, describe in which manner your sleep cycles change seasonally:

 

______________________________________________________________________< Multiple Line Field >

 

418.  Do your sleep cycles change in relation to your need to vampirically feed?

 

  Yes

  No

  Not Applicable

 

If yes, describe in which manner your sleep cycles change in relation to vampiric feeding:

 

______________________________________________________________________< Multiple Line Field >

 

419.  Is your most comfortable or natural sleeping period at night or during the day?

 

  Daytime

  Nighttime

 

420.  Please provide the specific hours you currently sleep during a typical or normal 24 hour period. 

(Check All That Apply)

 


  12:00 AM

  1:00 AM

  2:00 AM

  3:00 AM

  4:00 AM

  5:00 AM

  6:00 AM

  7:00 AM

  8:00 AM

  9:00 AM

  10:00 AM

  11:00 AM

  12:00 PM

  1:00 PM

  2:00 PM

  3:00 PM

  4:00 PM

  5:00 PM

  6:00 PM

  7:00 PM

  8:00 PM

  9:00 PM

  10:00 PM

  11:00 PM


 

421.  Does your employment or lifestyle allow you to sleep on your natural schedule?

 

  Yes

  No

 

422.  If yes, do you feel that you most often wake up rested or still tired?

 

  Rested

  Tired

  Not Applicable (Not On Natural Schedule)

 

 

 

 

 

 

 

423.  Do you most often sleep straight through your designated sleeping schedule or do you wake often?

 

  Undisturbed (Straight Through)

  Disturbed (Wake Often)

 

424.  Do you find yourself more comfortable in confined spaces while sleeping?

 

  Yes

  No

 

425.  Do you prefer cooler or warmer temperatures while sleeping?

 

  Cooler

  Warmer

 

426.  Do you feel that your body heat increases or decreases while you sleep?

 


  Increases

  Decreases

  No Change

  I’m Not Sure


 

427.  Do you consider yourself a "light" (shallow) or "heavy" (deep) sleeper?

 

  Light

  Heavy

 

428.  Have you ever been diagnosed with insomnia?

 

Insomnia is characterized by an inability to sleep and/or to remain asleep for a reasonable period.  Insomnia may be classified as transient, acute (short-term), and chronic.  Insomnia lasting from one night to a few weeks is referred to as transient.  Acute insomnia is the inability to consistently sleep well for a period of three weeks to six months.  However, after this time, the person does not experience insomniatic episodes.  Insomnia is considered to be chronic if it persists almost nightly for at least a month, and sometimes longer.

 


  Yes - Transient

  Yes - Acute

  Yes - Chronic

  No


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

429.  Which if any of the following martial arts do you practice?

(Check All That Apply)

 


  Aikido

  Aikijujutsu

  Amateur Wrestling

  Baguazhang

  Bando

  Banshay

  Bartitsu

  Brazilian Jiu-Jitsu

  Capoeira

  Catch Wrestling

  Drunken Boxing

  Eskrima / Arnis

  Fencing

  Goya-Ra-Ru

  Hapkido

  Hung Gar

  Hwarangdo

  Jeet Kune Do

  Judo

  Jujutsu

  Kajukenbo

  Kalarippayattu

  Karate (Western)

  Karate (Eastern)

  Kempo

  Kendo

  Kenjutsu

  Kickboxing

  Krav Maga

  Kuk Sool Won

  Kung Fu

  Lau Gar

  Lethwei

  Mixed Or Hybrid

  Muay Thai

  Naban

  Ninjutsu

  Qigong

  Sabot

  Sambo

  Shaolin Kung Fu

  Shorinji Kempo

  Shotokai

  Shotokan

  Shuai Chiao

  Silat

  Subak

  Systema

  Taekwondo

  Taekyon

  Tai Chi Chuan / Taijiquan

  Tang Soo Do

  Wado Ryu

  Wing Chun

  Xingyiquan

  Yiquan

  Other: _______________

  None


 

430.  Do you meditate in the tradition(s) of your chosen martial art(s)?

 

  Yes

  No

  Not Applicable

 

431.  Do you relate your martial arts practice to your personal vampirism?

 

  Yes

  No

  Not Applicable

 

432.  If yes, discuss how you relate or incorporate your martial arts practices to your personal vampirism:

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

 

 

 

 

 

 

 

 

433.  Which, if any, of the following meditation traditions do you practice?

(Check All That Apply)

 


  Active / Dynamic Meditation

  Autogenic Training

  Bhakti Yoga (Hinduism)

  Christian Prayer

  Confucian Meditation

  Daoyin (Taoism / Daoism)

  Dhikr (Islam)

  Esoteric Meditation

  Hisbonenus or Hisbonenut (Judaism)

  Jnana Yoga (Hinduism)

  Karma Yoga (Hinduism)

  Koan (Buddhism)

  Monasticism (Any Religion)

  Muraqaba (Islam)

  Nam Japo (Sikhism)

  Neigong (Taoism / Daoism)

  Qigong (Taoism / Daoism)

  Raja Yoga (Hinduism)

  Reiki

  Samatha (Buddhism)

  Simran (Sikhism)

  Sufi Qawwali (Islam)

  Sufi Sema (Islam)

  Sufi Whirling (Islam)

  Surat Shabd Yoga (Hinduism)

  T'ai Chi T'u (Taoism / Daoism)

  Tantra

  Transcendental Meditation (New Age)

  Ts'o Ch'an (Taoism / Daoism)

  Vedanta (Hinduism)

  Vipassana (Buddhism)

  Yoga (Other Types)

  Zhan Zhuang (Taoism / Daoism)

  Other: _______________________

  None


 

434.  Do you relate your meditation practices to your personal vampirism?

 

  Yes

  No

  Not Applicable

 

435.  If yes, discuss how you relate or incorporate your meditation practices to your personal vampirism:

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

436.  Do you consciously utilize or exchange energy during sex?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

437.  Do you often experience long lasting euphoric highs during or after sexual activity or prolonged periods of natural stamina extending past several hours?  (Check All That Apply)

 

  Yes - Periods Of Conscious Euphoric Highs Lasting 3 Hours Or Longer During Sex (Foreplay / Afterplay)

  Yes - Periods Of Conscious Euphoric Highs Lasting 24 Hours Or Longer After Sex (Into The Next Day)

  Yes - Naturally Induced Periods Of Sexual Stamina Lasting Longer Than 3 Hours

  No

  Not Applicable

 

438.  Do you follow any tantric principles during sex?

 

Tantra is an Asian body of beliefs and practices which, working from the principle that the universe we experience is nothing other than the concrete manifestation of the divine energy of the godhead that creates and maintains that universe, seeks to ritually appropriate and channel energy within the human microcosm in creative and emancipatory ways.  There are a variety of Taoist / Daoist sexual exercises designed to improve the health, longevity, and spiritual development in both men (yang) and women (yin).

 

  Yes

  No

  Not Applicable

 

439.  To the best of your recollection, how many romantic relationships (not necessarily sexual) have you had during your lifetime?

 


  1

  2

  3
  4

  5

  6 to 10

  11 to 15

  16 to 20

  21 to 25

  26 to 30

  31 to 35

  36 to 40

  41 to 45

  46 to 50

  51 to 55

  56 to 60

  61 to 65

  66 to 70

  71 to 75

  76 to 80

  81 to 85

  86 to 90

  91 to 95

  96 to 100

  More Than 100

  None

  Decline To Answer


 

440.  To the best of your recollection, how many sexual partners have you had during your lifetime?

 


  1

  2

  3
  4

  5

  6 to 10

  11 to 15

  16 to 20

  21 to 25

  26 to 30

  31 to 35

  36 to 40

  41 to 45

  46 to 50

  51 to 55

  56 to 60

  61 to 65

  66 to 70

  71 to 75

  76 to 80

  81 to 85

  86 to 90

  91 to 95

  96 to 100

  More Than 100

  None

  Decline To Answer


 

441.  Have you ever engaged in a relationship(s) with another vampire? 

 

  Yes

  No

  Not Applicable

 

 

 

 

442.  Was this relationship(s) of a purely platonic, sexual, spiritual, or romantic nature?

(Check All That Apply)

 


  Platonic

  Sexual

  Romantic

  Spiritual

  Not Applicable


 

443.  In general, how long did this relationship(s) last in an average comparison with those you have dated who are mundane (non-awakened) in nature?

 


  Longer

  Shorter

  About The Same

  Not Applicable


 

444.  Have you ever been involved in a romantic relationship where the energy between the two of you formed a symbiosis or seemingly perfect union of complimenting energies?

 

  Yes

  No

  Not Applicable

 

445.  What is the predominant astrological sign of the majority of your romantic partners?


 

Aries

 

Libra

 

Equal Representation

Taurus

 

Scorpio

 

I Don’t Know

Gemini

 

Sagittarius

 

Not Applicable

Cancer

 

Capricorn

 

 

 

Leo

 

Aquarius

 

 

 

Virgo

 

Pisces

 

 

 

 

446.  Were you adopted or ever placed in long term foster care?

 


  Yes - Adopted

  Yes - Foster Care

  Yes - Both

  No


 

447.  Excluding the death of a parent(s), are both of your biological parents currently married to one another?

 


  Yes

  No

  I’m Not Sure

  Not Applicable / Parent(s) Deceased


 

 

 

 

 

 

 

 

 

 

448.  Prior to your birth (within two years) did your biological parent(s) experience a direct loss of either a parent, the other spouse, or another child?

 

  Yes - Loss Of Your Biological Mother’s Parent (Either Their Mother Or Father)

  Yes - Loss Of Your Biological Father’s Parent (Either Their Mother Or Father)

  Yes - Loss Of Your Biological Mother During Childbirth

  Yes - Loss Of Your Biological Father

  Yes - Loss Of A Child By Your Biological Mother

  Yes - Loss Of A Child By Your Biological Father (Prior Marriage)

  I’m Not Sure

  No

 

449.  Did either of your parents (biological or adoptive) or legal guardians suffer from depression or anxiety disorders while you were a young child?

 


  Yes - Mother / Female Guardian

  Yes - Father / Male Guardian

  Yes - Both

  No

  I’m Not Sure


 

450.  As a child, did you ever directly experience or witness a traumatic event that occurred to you personally or those close to you?

 

  Yes

  No

 

If yes, describe:  ________________________________________________________< Multiple Line Field >

 

451.  As a child, did you ever experience a particularly memorable religious, spiritual, supernatural, or paranormal event?

 

  Yes

  No

 

If yes, describe:  ________________________________________________________< Multiple Line Field >

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

452.  Have you ever suffered a complete emotional breakdown that left you mentally and/or physically incapacitated or severely impaired for longer than 48 hours?

 

  Yes

  No

 

If yes, describe the circumstance(s) that led or contributed to the emotional breakdown:

 

______________________________________________________________________< Multiple Line Field >

 

453.  Did this emotional breakdown lead to any of the following in your life as a means to cope?

(Check All That Apply)

 


  Alcoholism

  Drug Use

  Depression

  Suicidal Thoughts

  A Turning Inward Of Emotions

  A Turning Outward Of Emotions

  Physical Abuse Of Self

  Physical Abuse Of Others

  Other: ____________________________

  Not Applicable


 

454.  Have you ever experienced or borne witness to something so profound (positive or negative) that it either stretched or surpassed the limits of what your mind or spirit could grasp?

 

  Yes

  No

 

If yes, describe this event and the resulting short and/or long term mental or psychological effect:

 

______________________________________________________________________< Multiple Line Field >

 

455.  Did this event lead to any of the following in your life as a means to understand or rationalize?

(Check All That Apply)

 


  Alcoholism

  Drug Use

  Depression

  Suicidal Thoughts

  A Turning Inward Of Emotions

  A Turning Outward Of Emotions

  Questioning Of Purpose / Meaning

  Questioning Of Self / Others

  Spiritual Or Religious Inquiry

  Spiritual Or Religious Conversion

  Physical Abuse Of Self

  Physical Abuse Of Others

  Negative Downward Spiral Of Life Choices

  Positive Uplifting Motivation Of Life Choices

  Other: _______________________________

  Not Applicable


 

 

 

 

 

 

 

 

 

 

 

456.  Would you consider yourself to harbor paranoid tendencies?

 

  Yes

  No

 

457.  I lose control of my emotions…

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never


 

458.  I lose control of my sense of self…

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never


 

459.  I lose control of my behavior or actions…

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never


 

460.  Have you ever participated in a DNA based family ancestral study?

 

  Yes

  No

 

461.  Are you aware of the detailed history of your family’s ancestry dating at least 200 years prior to your generation?  (Check All That Apply)

 

  Yes - Paternal

  Yes - Maternal

  No

 

If yes, briefly describe your familial (paternal and/or maternal) origin, status, and migration:

 

______________________________________________________________________< Multiple Line Field >

 

462.  Do you have a natural predisposition to excel at standard computational mathematics such as basic addition, subtraction, multiplication, division, or other similar basic functions?

 

  Yes

  No


 

 

 

 

463.  Do you have a natural predisposition to excel at abstract or conceptual mathematics such as critical thinking applications, theoretical, discrete, finite, or algorithmic functions?

  Yes
  No

464.  Do you ever play chess or other similar strategy games or mathematical / logic based puzzles?

(Check All That Apply)

 


  Yes - Chess

  Yes - Other Strategy Games

  Yes - Mathematical / Logic Puzzles

  No


 

465.  Please indicate numerically the order or frequency of your personal use of the following thinking systems common to general mental processes.

 

(Assign Numbers From 1 = Most Often Used To 6 = Least Often Used)

Abstract thinking uses a strategy of simplification, wherein formerly concrete details are left ambiguous, vague, or undefined; thus effective communication about things in the abstract requires an intuitive or common experience between the communicator and the communication recipient.

 

Creative thinking is a mental process involving the generation of new ideas or concepts, or new associations between existing ideas or concepts.  The products of creative or divergent thought usually have both originality and appropriateness.

 

Critical thinking consists of a mental process of analyzing or evaluating information, particularly statements or propositions that people have offered as true.  It forms a process of reflecting upon the meaning of statements, examining the offered evidence and reasoning, and forming judgments about the facts.

 

Lateral thinking is concerned with changing concepts and perception or the movement value of statements and ideas, how to move from them to other statements and ideas.

 

Linguistic thinking involves categorization of thought in defined, linear forms.  It is serial, and it concentrates on detailed parts in the stimulus.

 

Visual thinking involves visual processing, otherwise known as picture thinking.  It is nonlinear and often has the nature of a computer simulation, in the sense that a lot of data is put through a process to yield insight into complex systems, which would be impossible through language alone.




_____  Abstract

_____  Creative

_____  Critical

_____  Lateral

_____  Linguistic

_____  Visual



466. Which do you find easier to recall with a greater proficiency of accuracy?


  Long Series / Set Of Letters (ABCDEFG)

  Long Series / Set Of Numbers (9753124680)

  Long Series / Set Of Mixed Letters & Numbers (G2F4E6D8)

  Both Letters & Numbers (Separate & Mixed) Equally (HIJKL + 12345 + M7P9S1)

  None


 

467.  Would you characterize yourself as having a longer visual or auditory memory?

 

  Visual

  Auditory

  I’m Not Sure

 

468.  Which of the following forms of sensory based memory are you able to recall and/or utilize with a greater proficiency of accuracy?  (Check All That Apply)

 

  Iconic - Short Term Visual Memory

  Echoic - Short Term Auditory Memory

  Spatial - Environment & Orientation Cognitive Model Memory

  I’m Not Sure

 

469.  Do you, or have you ever suffered from a form of memory loss?  (Check All That Apply)

 


  Yes - Short Term Memory Loss

  Yes - Long Term Memory Loss

  Yes - Amnesia

  Yes - Other: ___________________

  I Don’t Remember

  No


 

470.  Would you characterize yourself as having a naturally intuitive nature?

 

  Yes

  No

 

471.  Do you have a naturally born talent or predisposition towards a previously untrained pursuit such as playing a musical instrument or the ability to perform at a superior level in a particular discipline or field of study, game, or sport?

  Yes
  No

If yes, which talent(s):  _______________________________________________________________________

 

472.  Do you find that you often notice certain specific times on the clock (12 or 24 hour) more so than others?





  Yes - 1:11

  Yes - 3:00

  Yes - 3:14

  Yes - 4:20
  Yes - 5:55

  Yes - 9:11

  Yes - 11:11

  Yes - 13:13

  Yes - 15:00
  Yes - 23:23
  Yes - Other: __________
  No


 

473.  Do you experience visual sensitivity to light?  (Check All That Apply)

 

  Yes - Fluorescent Lights

  Yes - Incandescent Or Halogen Lights

  Yes - Direct Sunlight On Non-Cloudy Or Clear Days

  Yes - Indirect Sunlight On Cloudy Or Overcast Days

  No

474.  Do you consider yourself to have a tendency to sunburn?

 


  Yes - Easily

  Yes - Averagely

  No - Not Easily

  Not Applicable


 

475.  Do you typically experience physical discomfort during normal exposure to direct sunlight?

 

  Yes

  No

 

476.  Is your skin particularly sensitive to ultraviolet (UV) light?

 

  Yes

  No

 

477.  How frequently do you use sunscreen?

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never


 

478.  What sun protection factor (SPF) of sunscreen do you typically use?

 


  SPF 15

  SPF 20

  SPF 25

  SPF 30

  SPF 40

  SPF 50

  SPF 55

  Other SPF:  ______

  Not Applicable


 

479.  Do you experience any of the following symptoms after a single period of prolonged or intense exposure to sunlight?  (Check All That Apply)

 


  Aching In Joints Or Muscles

  Chills

  Dizziness

  Drowsiness

  Irritability Or Anxiety

  Mild To Moderate Headaches

  Muscle Tremors

  Nausea

  Physical Fatigue

  Rash

  Severe Or Migraine Headaches

  Shortness Of Breath

  Sunburn

  Vomiting

  Other:  _______________________

  None


 

480.  If you experience any of the above, what is the typical period of continuous sunlight exposure necessary to start exhibiting the first noticeable symptoms?

 


  Less Than 15 Minutes

  15 To 30 Minutes

  30 To 60 Minutes

  1 To 2 Hours

  3 To 4 Hours

  5 To 6 Hours

  More Than 6 Hours

  Not Applicable


 

 

 

481.  Does continuing sun exposure after feeling the above symptoms result in more severe symptoms?

(Check All That Apply)

 

  Yes - Symptoms Increase In Severity

  Yes - Additional Types Of Symptoms Manifest

  Other: ____________________________________________________

  No - Initial Discomfort Continues But Does Not Increase Or Change In Nature

  Not Applicable

 

482.  Do the symptoms persist after you have removed yourself from direct sunlight?

 

  Yes - Symptoms Only Last For A Specific Amount Of Time

  Yes - Symptoms Vary In Relation To Severity Or Length Of Sun Exposure

  Other: ____________________________________________________

  No - Discomfort Only Experienced During Sun Exposure

  Not Applicable

 

483.  If yes, does repeating sun exposure after recovery tend to result in increased or decreased severity of symptoms?

 

  Symptoms Increase - Sensitivity To Sunlight Grows Worse After Multiple Exposures

  Symptoms Decrease - Tolerance To Sunlight Is Established After Multiple Exposures

  Other: ____________________________________________________

  Not Applicable

 

484.  Do you ever encounter any physiological problems resulting from a lack of sun exposure?

 

  Yes

  No

 

If yes, describe:  ____________________________________________________________________________

485.  Have you ever been treated for any of the following skin conditions sometimes related to sun exposure?  (Check All That Apply)

 

  Yes - Carcinomas

  Yes - Melanomas

  Yes - Other: ___________________

  No

 

486.  Have you ever been treated for any of the following physical abnormalities or conditions sometimes related to lack of exposure to sunlight?  (Check All That Apply)

 

  Yes - Psoriasis

  Yes - Rickets

  Yes - Other:  ___________________

  No

 

 

 

 

487.  Have you ever experienced or been diagnosed with Polymorphous Light Eruptions (PMLE)?

 

Polymorphous Light Eruption (PMLE) is a skin complaint caused by sunlight. Symptoms include skin irritations, which may be itchy or painful, and are sometimes confused with hives.  These irritations appear upon exposure to sunlight; sometimes as little as 15 minutes of exposure to the sun can bring onset of the condition and it may last from 1 to 7 days.

 

  Yes

  No

 

488.  Do you believe in paranormal experiences?

 

  Yes

  No

  I’m Not Sure

 

489.  Do you believe in psychic (psi) experiences?

 

  Yes

  No

  I’m Not Sure

 

490.  Would you characterize yourself as hypersensitive to psi related experiences (PRE)?

 

  Yes

  No

  I’m Not Sure

 

491.  If you have psi related experiences (PRE) do they most often tend to be veridical (precognitive or future reality) or nonveridical (current or present reality)?

 


  Veridical

  Nonveridical

  Both Equally

  Not Applicable


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

492.  Please rank in order of frequency which occurs most often in relation to personal experience.

 

(Rank 1 - Most Often To 3 - Least Often; Or Enter 0 To Signify A Non-Experience)

 

Telepathy involves the ability of humans and other creatures to communicate information from one mind to another, without the use of extra tools such as speech or body language.  Telepathy is considered a form of extra-sensory perception or anomalous cognition.

 

Clairvoyance is defined as a form of extra-sensory perception whereby a person perceives distant objects, persons, or events, including "seeing" through opaque objects and the detection of types of energy not normally perceptible to humans (ie. radio waves). Typically, such perception is reported in visual terms, but may also include auditory impressions (sometimes called clairaudience) or kinesthetic impressions.

 

Psychokinesis ("mind-movement") or PK is the more commonly used term today for what in the past was known as telekinesis ("distant-movement"). It refers to the psi ability to influence the behavior of matter by mental intention (or possibly some other aspect of mental activity) alone.

 

_____  Telepathy

_____  Clairvoyance

_____  Psychokinesis

 

  Not Applicable

 

493.  If you experience extra-sensory perceptions (ESP) that involve telepathy between another individual and yourself on a regular or semi-regular basis would you classify the exchange that transpires as being most often contemporaneous (occurring concurrently) or precognitive (occurring in the future) for both the same or a different location?

 

Precognition involves the ability to perceive information about future places or events before they happen as opposed to merely predicting them based on deductive reasoning and current knowledge.

 

  Most Often Occurs Contemporaneously In Same Proximal Location

  Most Often Occurs Contemporaneously In Different Location

  Most Often Involves Precognition In Same Proximal Location

  Most Often Involves Precognition In Different Location

  Not Applicable

 

494.  If you have experienced precognitive ESP, how often are you later able to verify that events you perceived actually occurred?

 


  Always

  Usually

  Sometimes

  Rarely

  Never

  Not Applicable


 

495.  How would you characterize your more dominant form of personal expression?

 

  Verbal

  Visual

  Not Applicable

 

 

496.  Which of the following attributes describe the majority of your ESP experiences?

(Check All That Apply)

 


  Intuitive

  Hallucinatory

  Realistic Visual Imagery

  Unrealistic Visual Imagery

  Not Applicable


 

497.  Compare and contrast the different forms of personal visual and intuitive interpretation as they apply to your various ESP experiences.  Describe in detail in which manner (ie: dreams, visions, etc.) these ESP experiences typically manifest.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

498.  How would you characterize the majority of your ESP experiences?  (Check All That Apply)

 


  Compelling

  Meaningful

  Truthful

  Important

  Mundane

  Pointless

  Dishonest

  Unimportant


  Not Applicable

 

499.  When you have an ESP experience is your mental state generally active or at rest?

 

  Generally Active (Challenging Period)

  Generally At Rest (Dormant Period)

  Not Applicable

 

500.  Do you ever confide in others the details of your ESP experiences?

 

  Yes

  No

  Not Applicable

 

If no, explain why not: ______________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

501.  Did any individual psi related experience (PRE) as a child dramatically influence your decisions into adulthood or otherwise alter the course you suspect your life would have taken absent of such experience?

 


  Yes - Positive Influence

  Yes - Negative Influence

  No

  Not Applicable


 

If yes, describe this particular experience: 

 

______________________________________________________________________< Multiple Line Field >

 

502.  Do you ever experience either a transference or countertransference with another individual as a result of either an existing relationship or a precognitive vision or auditory experience of a future relationship that is to knowingly occur in the near future?  (Check All That Apply)

 

Transference involves the redirection of feelings and desires, especially those unconsciously retained from childhood, toward a new object or person.

 

  Yes - Transference With Individual Already Met

  Yes - Countertransference Experienced By Individual You Already Met

  Yes - Precognitive Vision Or Auditory Experience With Individual You Are To Meet In Future

  Yes - Precognitive Vision Or Auditory Experience By Individual To Meet You In Future

  No

  Not Applicable

 

503.  Describe a particular personal psi related experience that you would characterize as significant or pronounced in comparison with typical PRE / ESP experiences. Provide as additional background information your state of mind, physical condition, external conditions or stimuli, and the medium of expressive form for the experience.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

504.  Describe a short series of personal psi related experiences that you would characterize as generally ordinary or commonplace.  Provide as additional background information your state of mind, physical condition, external conditions or stimuli, and the medium of expressive form for the various experiences.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

505.  Does a large part of your profession involve helping others?

 

  Yes

  No

  Not Applicable

 

506.  Does a large part of your profession involve influencing or manipulating others?

 

  Yes

  No

  Not Applicable

 

507.  Does a large part of your profession involve empathizing with customers, clients, or patients?

 

  Yes

  No

  Not Applicable

 

508.  Do you intentionally use the perceptions or influence of energy interactions or empathy to do a better job at your chosen profession?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

509.  In which of the following is your personal vampirism to be an important influence? 

(Check All That Apply)

 

  Choosing A Profession

  Doing Your Job On A Day-To-Day Basis

  Professional Interaction With Mundane Co-Workers, Clients, Or Customers

  Dealing With Stressful Or Difficult Situations At Work

  Social Interaction With Mundane Co-Workers

  Other:  _______________________________________________

  No - It Doesn't Influence The Way I Approach My Professional Life

  Not Applicable

 

510.  Formal education is necessary to the process of learning.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

511.  In general, vampires tend to be well-educated.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

512.  In general, formal education is relevant to vampiric individuals to help them understand their personal vampirism.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

513.  Did you or do you have the opportunity to study topics that you feel are relevant to vampirism while in school?  (Check All That Apply)

 


  Yes - High School

  Yes - College

  Yes - Other: _________________

  No


 

514.  Did you ever undertake a course of study while in school which was chosen for its relevance to either vampirism in general or your personal vampirism?

 

  Yes

  No

 

515.  If yes, what was the general area of study?  (Check All That Apply)

 


  Anthropology / Cultural Studies

  Biology

  Folklore

  Foreign Language

  History

  Linguistics

  Literature

  Medicine

  Religion

  Sociology

  Other: _____________________

  Not Applicable


 

 

 

516.  Did you ever undertake a course of study outside of formal education which was chosen for its relevance to either vampirism in general or your personal vampirism?

 

  Yes

  No

 

517.  If yes, what was the general area of study?  (Check All That Apply)

 


  Anthropology / Cultural Studies

  Biology

  Folklore

  Foreign Language

  History

  Linguistics

  Literature

  Medicine

  Religion

  Sociology

  Other: _____________________

  Not Applicable


 

518.  In which of the following mundane community activities do you participate?

(Check All That Apply)

 

  Adult Illiteracy Programs

  Elderly Or Disabled Care Programs

  Formal Neighborhood Association

  Garden Club

  Parent Teacher Association (PTA)

  Religious Institution (Church, Synagogue, Temple, Mosque, etc.)

  Social Activities In Neighborhood

  Volunteering (Library, Parks, Homeless Shelters, etc.)

  Other:  ______________________________________

  None

 

519.  Is your personal vampirism a major influence in how you participate in mundane community activities?

 

  Yes

  No

  Not Applicable

 

If yes, explain:  _____________________________________________________________________________

 

520.  Vampires have a useful role to play in their local mundane communities.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

 

 

 

 

 

 

 

 

521.  To which of the following charities have you voluntarily donated monies, goods, or more than five hours of time to over the last 12 months?  (Check All That Apply)

 

  Animal Welfare Organizations Or Charities (WWF, Humane Society, Animal Shelters, etc.)

  CARE

  Child Welfare Organizations Or Charities

  Environmental or Conservation Charities

  Goodwill

  Missionary Or Religious Based Organizations Or Charities

  Red Cross (National Or International)

  Salvation Army

  Social Charities (Homeless Shelters, Women's Shelters, Food Bank, etc.)

  United Nations (UNICEF, etc.)

  Other:  ____________________________________________________

  Not Applicable

 

522.  To which of the following disasters or events did you donate money, goods, or volunteer work to benefit victims?  (Check All That Apply)

 

  Asian Tsunami - 2004

  Hurricane Katrina - 2005

  July 7, 2005 London Terror Attacks

  September 11, 2001 (911) NYC / DC Terror Attacks

  Other: ____________________________________________________

  None

 

523.  Is your personal vampirism a major influence in whether you choose contribute to volunteer efforts, charities, or organizations?

 

  Yes

  No

  Not Applicable

 

524.  Is your personal vampirism a major influence in which volunteer efforts, charities, or organizations you choose to contribute?

 

  Yes

  No

  Not Applicable

 

If yes, explain:  _____________________________________________________________________________

 

525.  Do you consider yourself to be superstitious?

 

Superstition involves the belief that future events are influenced by specific behaviors, without having a direct correlative relationship.  Also considered to be any folk belief expressed in if/then format in which there is no evident correlation between the if and then conditions.

 

  Yes

  No

 

526.  Which of the following superstitions do you believe or practice? 

(Check All That Apply)

 


  A Cat Will Try To Take The Breath From A Baby

  A Cricket In The House Brings Good Luck

  Breaking A Mirror Will Bring Seven Years Of Bad Luck

  Evil Spirits Cannot Harm You When You Are Standing In A Circle

  Finding A Four-Leaf Clover Will Bring Good Luck

  If The Flame Of A Candle Flickers & Turns Blue There's A Spirit In The Room 

  If You Shiver Someone Is Casting A Shadow On Your Grave

  If You Spill Salt You Must Toss A Pinch Of It Over Your Left Shoulder To Avoid Bad Luck

  It Is Bad Luck For A Black Cat To Cross Your Path

  It Is Bad Luck To Cross Silverware Or Items Made Of Silver

  It Is Bad Luck To Open An Umbrella Indoors

  It Is Bad Luck To Rock An Empty Rocking Chair

  It Is Bad Luck To Walk Under A Ladder

  Knocking On Wood Will Bring Good Luck

  One Should Wear Charms To Ward Off The Evil Eye

  The Number 13 Is An Unlucky Number (Triskaidekaphobia)

  You Can Break A Bad Luck Spell By Turning Seven Times In A Clockwise Circle

  You Must Get Out Of Bed On Same Side You Got In Bed Or You Will Have Bad Luck

  Specific Animal Superstitions:  _____________________________________________________________

  Specific Weather Anomaly Superstitions:  ____________________________________________________

  Specific Geographic Superstitions:  _________________________________________________________

  Omens: _______________________________________________________________________________

  Other: ________________________________________________________________________________

  None

 

527.  Do you have an aversion to being photographed?

 

  Yes

  No

 

If yes, explain why:  _________________________________________________________________________

 

528.  At what age were you first exposed to stories or imagery related to vampires of either myth, legend, fiction, or popular horror genre?

 


  Under 5 Years Of Age

  5 - 7 Years Of Age

  8 - 10 Years Of Age

  11 - 13 Years Of Age

  14 - 15 Years Of Age

  16 - 17 Years Of Age

  18 - 19 Years Of Age

  20 - 24 Years Of Age

  Over 24 Years Of Age

  I Don’t Remember


 

 

 

 

 

 

 

529.  On a scale of 0 to 10 how would you characterize your interest in vampires of myth, legend, or folk belief?

 

Weak

Interest

 

 

 

Average

 

 

 

Strong

Interest

0

1

2

3

4

5

6

7

8

9

10

 

  Not Applicable

 

530.  On a scale of 0 to 10 how would you characterize your interest in vampires of classical or contemporary fictional literature, film, theatre, or popular horror genre?

 

Weak

Interest

 

 

 

Average

 

 

 

Strong

Interest

0

1

2

3

4

5

6

7

8

9

10

 

  Not Applicable

 

531.  Which of the following lore, terminology, or references which have been related to mythological vampirism are you familiar with?  (Check All That Apply)



  Adze (African)

  Algul/Algula (Arabian)

  Alp (German)

  Alukah (Babylonian)

  Ancient Druidic Lore (Druidic)

  Asanbosam (African)

  Asema (South American)

  Aswang (Filipino)

  Aulak (Arabian)

  Avarcolac (Romanian)

  Axeman (Surinam)

  Azeto (Haitian)

  Baital/Baitala (East Indian)

  Bajang (Malysian)

  Baobhan Sith (Scottish)

  Bebarlangs (Filipino)

  Bhuta (East Indian)

  Blutsauger (German)

  Brahmaparush (East Indian)

  Bruculaco (Greek)

  Brujos/Brujas (Spanish)

  Bruxsa (Portuguese)

  Cain & Lilith (Biblical)

  Callicantzaros (Greek)

  Camazotz (Mayan)

  Catacano (Greek)

  Chedipe (East Indian)

  Ch'ing Shih (Chinese)

  Chordewa (East Indian)

  Churel (East Indian)

  Cihuacoatl (Aztec)

  Cihuateteo (Aztec)

  Civatateo (Aztec)

  Coatlicue (Aztec)

  Dakhanavar (Armenian)

  Dakini/Khandro (Tibetan)

  Danag (Filipino)

  Dearg-due (Irish)

  Doppelsauger (German)

  Ekimmu (Assyrian / Babylonian)

  Empusas (Greek)

  Eretica/Erestun/Eretik (Russian)

  Estrie (Jewish)

  Farkaskoldus (Hungarian)

  Fifollet (American)

  Gaki (Japanese)

  Gayal (East Indian)

  Gede (Haitian)

  Ghul (Arabian)

  Givach/Gierach (Prussian)

  Gnod Sbyi (Tibetan)

  Hahn Saburo East (Indian)

  Hannya (Japanese)

  Hecate (Greek)

  Impundulu (African)

  Incubus (European)

  Itzapaplaotl (Aztec / Mayan)

  Jaracacas (Brazilian)

  Jigarkhwar (East Indian)

  Judas Iscariot (Biblical)

  Jumlin (Native American)

  Kali/Kalika (East Indian)

  Kappa (Japanese)

  Kasha (Japanese)

  Kathakano (Greek)

  Kephn (East Indian)

  Keres (Greek)

  Kosac (Croatian)

  Kozlak (Croatian)

  Krvopijac (Bulgarian)

  Kuang-shi/K'uei (Chinese)

  Kukuthi/Kukudhi/Lugat (Albanian)

  Kwakiutl/Kwakiytl (Native American)

  Lamia (Greek / African)

  Lampir (Bosnian)

  Langsuir (Malysian)

  Larvae/Lamiae/Lemures (Roman)

  Leanhaum-shee/Leanhaum-sidhe (Irish)

  Liderc Nadaly (Hungarian)

  Lilitu (Babylonian / Mesopotamian)

  Lobishomen (Brazilian)

  Loogaroo (West Indian)

  Lupi Manari (Croatian)

  Maneden (Malysian)

  Mara (Western European / Canadian)

  Masan (East Indian)

  Masani (East Indian)

  Melusine (French / German)

  Mictecacuatl (Aztec / Mayan)

  Mjertovjec (Belarus)

  Mormo (Greek)

  Moroii (Romanian)

  Motetz Dam (Jewish)

  Mulo/Mullo (Serbian)

  Muroni (Romanian)

  Nachzeher (Northern European)

  Nelapsi (Slovenian)

  Nephilim (Enoch)

  Neuntoter (Germa)

  Nosferatu (Romanian)

  Obayifo (African)

  Ogolen (Bohemian) 

  Ohyn (Polish)

  Olgolgen (Czechoslovakian)

  Order Of Xanastasia (Alien)

  Osiris & Isis (Egyptian)

  Otgiruru (African)

  Owenga (Guinea)

  Pacu Pati (East Indian)

  Pelesit (Malysian)

  Penanggalan (Malysian)

  Pijavica (Slovenian)

  Pisacha (East Indian)

  Pishtaco (Peruvian)

  Polong (Malysian)

  Pontiannak (Malysian)

  Pumapmicuc (Peruvian)

  Rakshasa (East Indian)

  Ramanga (Madagascar)

  Ro-lang (Tibetan)

  Sampiro/Liugat (Albanian)

  Sanguisuga (Roman)

  Sekeht (Egypt)

  Sep Tepy (Egyptian)

  Sharabisu (Babylon)

  Siberian Vampire (Russian)

  Srin-Po (Tibetan)

  Sriz (Eastern European)

  Stregoni benefici (Italian)

  Striges (Macedonian)

  Strigoii (Romanian)

  Strix (Roman)

  Succubus (European)

  Talamaur (Australian)

  Tenatz (Montenegrin)

  Tenjac (Croatian)

  Thaye/Tasei (East Indian)

  Tlaciques (Mexican)

  Tlacteulty (Mexican)

  Tlahuelpuchi (Spanish)

  Trazgos (Spainish)

  U`tlun'ta Vampire (Native American)

  Ubour (Bulgarian)

  Ubour/Upior/Upyr/Upi (Russian)

  Upier (Polish)

  Upir (Ukranian)

  Ustrel (Bulgarian)

  Utukku (Babylonian)

  Vampir/Wamphyr (Serbian)

  Vampire Cats (Japanese)

  Varcolac (Romanian)

  Vere-Impaja (Estonian)

  Veripard (Estonian)

  Veshtitza (Montenegrin / Serbian)

  Vetal/Vetala (East Indian)

  Viesczy/Vjiesce (Eastern European)

  Volkodlak/Vukodlak (Slovenian)

  Vourdalak (Russian)

  Vrykolatios (Greek)

  Vyrolakos/Vrykolakas (Greek)

  Wendigo (Native American)

  Yara-ma-yha-who (Australian)

  Zmeu (Moldavian)

  Other: ________________________

  None





532.  Vampires as defined in myth and legend once existed.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

533.  Vampires as defined in myth and legend exist to this day.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

534.  If you believe that the vampires described in myth and legend exist today describe or hypothesize where you think they dwell, their traits, characteristics, and how they have survived amongst mankind?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

535.  With which superstitions, lore, or myths associated with vampires are you familiar?

(Check All That Apply)

 


  Allergic To Garlic

  Allergic To Holy Water

  Allergic To Silver

  Allergic To Sunlight

  Asexual Or Homosexual

  Being Cursed By Parents May Cause Vampirism

  Capable Of Controlling Animals

  Capable Of Controlling Weather

  Capable Of Flight

  Capable Of Mesmerism To Lure Victims

  Capable Of Turning Into Mist Or Other Forms

  Cast No Reflection In Mirror

  Cat Jumping Over Corpse May Cause Vampirism

  Demonic Creatures

  Do Not Consume Food Or Drink

  Drinking A Vampire’s Blood Turns People

  Foul Breath

  Guarded By Protectors During Daylight

  Immortal

  Killed By Being Detected By A Dhampir

  Killed By Cutting Off The Head

  Killed By General Burning

  Killed By Jabbing Stake Through The Heart

  Killed By Pouring Boiling Water Next To Grave

  Killed By Removing & Burning Organs

  Long Sharp Fangs

  Must Be Invited To Enter A Residence

  Must Count Grains Of Rice / Sand In Path

  Must Sleep In The Earth Or Dirt

  Offspring Of An Incubus May Be A Vampire

  Pale Skin

  Prefer The Blood Of Babies

  Repelled By Religious Symbols Or Crosses

  Returned From The Dead (Living Dead)

  Should Be Buried Upside Down w/Head At Feet

  Should Be Pinned In Grave By Stake Or Spike

  Should Be Trapped In Grave By Tying Of Limbs

  Sleep In Coffins

  Suicides May Come Back As Vampires

  The Seventh Son May Be A Vampire

  Those Bitten By Vampire Will Turn Into Vampire

  Unable To Cross A Line Of Salt

  Unable To Cross A Thicket Of Wild Rose

  Unable To Cross Running Water

  Unbaptized Persons May Come Back As Vampires

  Victim Of Unavenged Murder May Be A Vampire

  Werewolves May Come Back As Vampires

  Witches / Wizards May Come Back As Vampires

  Other: __________________________________

  None


 

 

 

 

 

 

536.  Do you agree that the historical European folk beliefs in vampires as the walking dead who feed on the living was influenced by the existence of real vampires as the modern vampire community would describe them?

 

  Yes - Directly Influenced Or Inspired

  Yes - Partially Or Indirectly Influenced Or Inspired

  No - They Are Separate Beliefs Or Phenomena

  I’m Not Sure

 

537.  Do you agree that the modern vampire community’s understanding of vampirism was influenced or inspired by the traditional vampire folk beliefs of historical Europe?

 

  Yes - Directly Influenced Of Inspired

  Yes - Partially Or Indirectly Influenced Or Inspired

  No - They Are Separate Beliefs Or Phenomena

  I’m Not Sure

 

538.  Have you ever engaged in vampire-specific live action roleplaying games (LARP) or similar online or offline activities?

 

  Yes

  No

 

539.  Vampire role-players sometimes confuse escapism with reality, delving into beliefs and physical actions that inappropriately cross the line from the fantasy gaming world to that of real world.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 

540.  Are you familiar with accounts of vampire “hunters” or “slayers” who physically or by cyber-stalking methods incite hate, slander, destruction of personal property, or assault on suspected vampires (either those they perceive as vampires of myth or legend or psi/sang/pranic modern vampires)?

 

  Yes

  No

 

541.  Are you afraid that such individuals may seek you or someone you know out as a result of your involvement with the vampire community or personal association with vampirism?

 

  Yes

  No

  Not Applicable

 

If yes, describe in what capacity you fear these individuals: 

 

______________________________________________________________________< Multiple Line Field >

 

 

The following questions represent one of the qualitative portions of this study.  Please answer these questions in the space provided, keeping answers as short and concise as possible.  Do NOT include responses of a personally identifiable nature or cite either historical or specific community entities or persons as a basis for your answer.  (All Questions Assume Respondent To Be A Vampire - If Not, Leave Blank)

 

542.  From the viewpoint of your own personal vampirism, how would you describe the scope and strength of the relationship with your family, friends, and co-workers?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

543.  If you have ever encountered hostility from either a mainstream religious body, a publicly recognized social organization, or law enforcement regarding either the practice or knowledge of your personal vampirism describe this encounter and subsequent outcome.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

544.  In what ways does vampirism interfere with your daily personal routine?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

545.  What mundane, business, or personal decisions arise based on standards, priorities, or values directly pertaining to your personal vampirism?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

546.  What are your feelings on restriction of information relating to advanced vampirism or sanguine feeding practices in public online arenas such as web sites, newsgroups, or non-member based forums? 

 

______________________________________________________________________< Multiple Line Field >

 

  No Opinion

  Not Applicable

 

547.  What information, if any, do you believe should not be made publicly available on forums which do not require verification that members are over a certain age?

 

______________________________________________________________________< Multiple Line Field >

 

  No Opinion

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

548.  Do you support the advent of national or international conferences being established by the vampire community to promote education and self-awareness?

  Yes
  No

If yes, what components should be integral to the formation of such conferences or gatherings?

______________________________________________________________________< Multiple Line Field >

 

 

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Advanced Energy Perception, Tools, & Techniques


549. Do you ever notice a drain, uncommon to the life cycle of a normal charge, in batteries of electronic or other equipment that are in close proximity to your body?

 

  Yes

  No

 

550.  How often does this phenomenon occur?

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never

  Not Applicable



551.  If this occurs with regularity, how long after being in contact with this equipment does it begin to drain?

 


  Almost Instantly

  Less Than 30 Minutes

  Less Than 1 Hour

  1 - 2 Hours

  3 - 4 Hours

  5 - 6 Hours

  7 - 8 Hours

  9 - 10 Hours

  11 - 12 Hours

  More Than 12 Hours

  Not Applicable


 

552.  Do you ever notice a charge or replenishment, uncommon to normal function, in batteries of electronic or other equipment that is in close proximity to your body?

 

  Yes

  No

 

553.  How often does this phenomenon occur?

 


  Very Often

  Fairly Often

  Occasionally

  Rarely

  Never

  Not Applicable


 

554.  If this occurs with regularity, how long after being in contact with this equipment does it begin to recharge?

 


  Almost Instantly

  Less Than 30 Minutes

  Less Than 1 Hour

  1 - 2 Hours

  3 - 4 Hours

  5 - 6 Hours

  7 - 8 Hours

  9 - 10 Hours

  11 - 12 Hours

  More Than 12 Hours

  Not Applicable


 

555.  Does electrical equipment behave noticeably differently around you?

 

  Yes

  No

556.  If yes, how would you characterize this aberration in behavior of electrical equipment?

 


  Positive Reaction

  Negative Reaction

  Neutral Reaction

  Not Applicable


 

557.  Do you find that light bulbs dim or burn out at a faster rate around you than with others?

 

  Yes

  No

 

558.  If yes, is this phenomenon limited to only specific areas or does it occur everywhere?

 

  Everywhere

  Specific Areas:  ______________________

  Not Applicable

 

559.  Have mirrors, glass, light bulbs, or similar silica-based composites ever unexpectedly shattered, cracked, or broke around you without direct physical interaction?

 

  Yes

  No

 

560.  Do you ever feel strong electromagnetic fields?

 

  Yes

  No

 

561.  Is this perception positive, negative, or neutral?

 


  Positive

  Negative

  Neutral

  Not Applicable


 

562.  Do you ever sense others looking at you? 

 

  Yes

  No

 

563.  If yes, does this disrupt your flow of energy or concentration?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

 

 

 

 

564.  If you experience incidents in which events seem to pass noticeably more slowly or rapidly than for others around you (known in scientific communities as time dilation) do these events most often seem to slow down or speed up?

 

Time dilation is the phenomenon whereby an observer finds that the rate at which time passes for ("in") an object (anything: such as a subatomic particle, spacecraft, living being, electromagnetic field, etc.) moving relative to that observer, has decreased - "time has slowed down."  Thus a moving clock which is physically identical to the observer's own is ticking at a slower rate than that of the stationary observer.

 

Special Relativity Time Dilation (Lorentz)    or    Gravitational Time Dilation (Schwarzschild)

 

\gamma \equiv \frac{1}{\sqrt{1 - \frac{v^2}{c^2}}}                                             t_0 =  t_f \sqrt{1 - \frac{2GM}{rc^2}}

 

  Speed Up

  Slow Down

  Not Applicable

 

565.  With what frequency does this commonly occur? 

 


  More Than Once A Day

  Almost Every Day

  A Few Times A Week

  About Once A Week

  Two Or Three Times A Month

  About Once A Month

  Less Than Once A Month

  A Few Times A Year

  Once A Year Or Less

  Not Applicable


 

566.  Can you control this phenomenon? 

 

  Yes

  No

  Not Applicable

 

567.  To the best of your knowledge does it most often happen by accident or on purpose?

 


  Accident

  Purpose

  I’m Not Sure

  Not Applicable


 

568.  It is possible for some individuals to utilize a technique known as blinking, allowing them to accomplish greater tasks than would be otherwise possible in a given period of time.  Their perception of time is altered; “speeding up” time while others perceive time as passing normally.

 


  Completely Agree
  Generally Agree
  Generally Disagree
  Completely Disagree


 

569.  It is possible for some individuals to utilize a technique to slow or freeze time, allowing them to accomplish greater tasks than would be otherwise possible in a given period of time.  Their perception of time is altered; “slowing down” time while others perceive time as passing normally.

 


  Completely Agree
  Generally Agree
  Generally Disagree
  Completely Disagree


570.  Can you exchange or “clean” the energy of another person?

 

Exchanging energy (also known as recycling) involves the removal and subsequent infusion of new energy from your own person or other sources into that of another person in order to alleviate the symptomatic ailments from harmful energies (or healthy).  Energy that causes an individual harm or otherwise counterproductive is sometimes classified as negative; whereas the converse of these types of energies are known as positive.

 

  Yes

  No

 

571.  If yes, how is the negative (harmful) energy sensed?

 


  Sight

  Texture

  Frequency

  Other: _______________

  Not Applicable


 

572.  Is the negative (harmful) energy taken into yourself to be modified and then put back into the other person or do you make modifications to it without moving it from its location?

 

  Modify & Put Back

  Modify At Source

  Not Applicable

 

573.  Have you ever used energy techniques for healing either yourself or others?

 


  Yes - Myself

  Yes - Others

  Yes - Both

  No


 

574.  If yes, were these self-taught or learned from classes or teachers (ie: Reiki)?

 


  Self-Taught

  Learned

  Combination Of Both

  Not Applicable


 

575.  Does the technique you use entail the removal of negative (harmful) energy, or the infusion of positive (healthy) energy?

 

  Removal Of Negative Energy

  Infusion Of Positive Energy

  Both Removal & Infusion (If Both Provide Order):   1st ___________    2nd ___________

  Neither

  Not Applicable

 

576.  If you engage in cleansing techniques to rid your body from negative (harmful) energies in your body or others describe the technique you use.

______________________________________________________________________< Multiple Line Field >


  Not Applicable

577.  If you are involved in energy healing techniques with others do you sometimes utilize the energies of these persons as either a part or by-product of your technique?

 

  Yes

  No

  Not Applicable

 

578.  If yes, do you consider the use of their energy in this situation ethical?

 

  Yes

  No

  Not Applicable

 

579.  Does the technique you employ in the act of healing or an alleviation of pain positively manifest as a result of the subject’s belief in the power of your method or plausibility of energy healing or is belief by the subject not a prerequisite for effective energy healing techniques?

 


  Yes - Successful Because Of Belief In Method Or General Energy Healing Concept

  No - Belief In Method / Concept Is Unrelated To The Success Of Energy Healing

  I’m Not Sure

  Not Applicable


 

580.  Do you purposefully incite aggravated energy states in others in order to facilitate vampiric feeding?

 


  Yes - By Energetic Means

  Yes - By Situational Means

  Yes - Both

  No


 

581.  Do you have an affinity towards specific natural elements?

 

  Yes

  No

 

582.  If yes, to which of the following natural elements (Western, Eastern, & Other Traditions) do you share this affinity?  (Check All That Apply)

 


  Air

  Earth

  Ether

  Fire

  Ice

  Metal

  Spirit (Wind)

  Water

  Wood

  Other: _______________

  Not Applicable


 

583.  Do you feel you can influence or control the natural elements?

 

  Yes

  No

  Not Applicable

 

 

 

584.  Is contact with the natural elements a necessary part of your spiritual expression as a vampire?

 

  Yes

  No

  Not Applicable

 

585.  Can you sense the presence of a large body of water without prior knowledge as to its location?

 

  Yes

  No

 

586.  Do you have psychological or other non-physical related difficulties crossing large bodies of water? 

 

  Yes

  No

 

If yes, explain:  _____________________________________________________________________________

 

587.  What form of process do you most often undergo to break down or modify the energy gained through natural sources so that it is more compatible with your energy system?

 

  Conscious Process

  Unconscious Process

  None - Breaking Down Or Modifying Energy Not Needed

  Not Applicable

 

588.  Can you sustainably feed from natural elements or sources?

 

  Yes

  No

  Not Applicable

 

If yes, which natural elements:  __________________________________________

 

589.  Is this feeding method for natural elements or sources active or passive?

 


  Active

  Passive

  Variable

  Not Applicable


 

590.  Do you feed more deeply or fully from natural elements / sources or from human sources?

 


  Natural Elements Or Sources

  Human Sources

  Both Equally

  Not Applicable


 

591.  How long does the energy gained from natural sources last between feedings in comparison to human sources?

 


  Longer

  Just As Long

  Not As Long

  Not Applicable


 

592.  Are you capable of creating concentrated spheres of energy known as "psi balls" or other shaped or non-rigid form constructs?

 


  Yes - Psi Ball Only

  Yes - Other Constructs

  Yes - Both

  No


 

593.  How long have you been practicing this technique?

 


  Weeks

  Months

  1 Year

  2 Years

  3 Years

  4 Years

  5 Or More Years

  Not Applicable


 

594.  How often do you practice this technique?

 


  Once Daily

  More Than Once Daily

  Once Weekly

  More Than Once Weekly

  Monthly

  More Than 6 Times A Year

  Rarely

  Not Applicable


 

595.  Typically for how long does it take to create an average (hand size) psi ball or similar construct?

 


  Instantly

  Less Than 5 Minutes

  5 Minutes

  10 Minutes

  15 Minutes

  20 Minutes

  25 Minutes

  30 Minutes

  Less Than 1 Hour

  1 Hour

  Longer Than 1 Hour

  Not Applicable


 

596.  Typically for how long does the psi ball or similar construct stay formed or bound together?

 


  Less Than 5 Minutes

  5 Minutes

  10 Minutes

  15 Minutes

  30 Minutes

  1 Hour

  2 - 3 Hours
  4 - 6 Hours

  More Than 6 Hours

  More Than 12 Hours

  24 Hours Or More

  Not Applicable


 

597.  Are you ever able to move or send the psi balls or similar constructs to interact with or affect another object or person?

 

  Yes

  No

  Not Applicable

 

598.  Do you ever assign them extreme hot or cold temperatures? 

 

  Yes

  No

  Not Applicable

 

599.  Do you ever assign them a specific color? 

 

  Yes

  No

  Not Applicable

 

600.  Do you ever assign them individual protective shields?

 

  Yes

  No

  Not Applicable

 

601.  On a scale of 0 to 10 how would you characterize the average density of your psi balls or similar constructs in comparison to the perceived density of your own energy field?

 

  Low

Density

 

 

 

Medium

 

 

 

High

Density

0

1

2

3

4

5

6

7

8

9

10

 

  Not Applicable

 

602.  Typically for what distance can they travel?

(Please Indicate Unit Of Measurement)

 

  Measure Of Inches / Centimeters:  _________

  Measure Of Feet / Meters:  _________

  Measure Of Miles / Kilometers:  _________

  Not Applicable

 

603.  With which kinds of surfaces, objects, or entities can they typically interact?

(Check All That Apply)

 


  Animals

  Astral Entities

  Ceiling

  Electrical Equipment

  Floors

  Glass

  Humans

  Mechanical Equipment

  Metal

  Mist Or Fog

  Other Energy Constructs

  Passenger Vehicles

  Plants

  Stone

  Synthetic Materials

  Trees

  Walls

  Water

  Wood

  Other: ______________

  Not Applicable


 

604.  Which kinds of surfaces, objects, or entities can they typically pass through?

(Check All That Apply)

 


  Animals

  Astral Entities

  Ceiling

  Electrical Equipment

  Floors

  Glass

  Humans

  Mechanical Equipment

  Metal

  Mist Or Fog

  Other Energy Constructs

  Passenger Vehicles

  Plants

  Stone

  Synthetic Materials

  Trees

  Walls

  Water

  Wood

  Other: ______________

  Not Applicable


 

605.  Which kinds of surfaces, objects, or entities are they typically unable to pass through?

(Check All That Apply)

 


  Animals

  Astral Entities

  Ceiling

  Electrical Equipment

  Floors

  Glass

  Humans

  Mechanical Equipment

  Metal

  Mist Or Fog

  Other Energy Constructs

  Passenger Vehicles

  Plants

  Stone

  Synthetic Materials

  Trees

  Walls

  Water

  Wood

  Other: ______________

  Not Applicable


 

606.  Are you capable of creating psi balls or similar constructs that possess the ability or “intelligence” to move and make decisions on their own?

 

  Yes

  No

  Not Applicable

 

If yes, describe past experiences with such constructs: 

 

______________________________________________________________________< Multiple Line Field >

 

607.  On a scale of 0 to 10 how would you characterize your level of skill at being able to successfully program advanced energy constructs?

 

Not

Skilled

 

 

 

Average

 

 

 

Very

Skilled

0

1

2

3

4

5

6

7

8

9

10

 

  Not Applicable

 

608.  Are you capable of creating an animal or human shaped energy construct?

 

  Yes

  No

  Not Applicable

 

609.  Are you capable of creating wards?

 

Wards are energy constructs which emit energy used for disrupting or repelling other energies, both human, psychic, or astral.

 

  Yes

  No

 

610.  Can you sense the emotions of others at a distance?

 

  Yes

  No

 

 

611.  If yes, for how great a distance?  (Check All That Apply)

 


  In The Same Room Or Close Proximity

  In The Same Building

  In The Same City

  In The Same Region

  In The Same Country

  In The Same Continent

  In The Same Hemisphere

  Not Applicable


 

612.  Can you do this with anyone or only specific persons?

 


  Anyone

  Specific Persons

  Random Persons

  Not Applicable


 

613.  Do you perceive with regularity when you are being discussed amongst others at a distance?

 

  Yes

  No

 

614.  Do you ever get an empathic impression of others who you are talking to on the phone or the computer?

 


  Yes - Phone

  Yes - Computer

  Yes - Both

  No


 

615.  If yes, do these empathic impressions generally occur before or after the first physical meeting with the person?

 


  Before

  After

  Mixed

  Not Applicable


 

616.  Do you get these impressions consistently?

 

  Yes

  No

  Not Applicable

 

617.  Are you ever able to manipulate the energy of persons though mediums such as the telephone or internet either prior or post physically meeting such said individuals?  (Check All That Apply)

 

  Yes - Telephone (Before First Meeting)

  Yes - Telephone (After First Meeting)

  Yes - Internet (Before First Meeting)

  Yes - Internet (After First Meeting)

  No

  Not Applicable

 

618.  Do you ever sense heightened states of energy upon entering a church, sanctuary, cathedral, synagogue, temple, mosque, or other place of worship or ritual?

 

  Yes

  No

 

619.  If yes, if this energy more concentrated than what you typically feel in a building not used for spiritual purposes?

 

  Yes

  No

  Not Applicable

 

620.  Do you find that you are hypersensitive to the empathetic energies of others who are in an agitated state?

 

  Yes

  No

  Not Applicable

 

621.  Have you ever experienced rosettes (or red patches on skin also known as nerve burns) caused by prolonged energy work involving the channeling of energy?

 

  Yes

  No

  Not Applicable

 

622.  Do you often notice an increased ability to feed or manipulate energy at certain times in the day? 

 

  Yes

  No

  Not Applicable

 

623.  If yes, which times during the day?  (Check All That Apply)

 


  Early Morning (2 AM - 5 AM)

  Mid Morning (5 AM - 8 AM)

  Late Morning (8 AM - 12 PM)

  Early Afternoon (12 PM - 3 PM)

  Mid Afternoon (3 PM - 6 PM)

  Early Evening (6 PM - 9 PM)

  Mid Evening (9 PM - 11 PM)

  Late Evening (11 PM - 2 AM)

  Not Applicable



624.  Do you often notice an increased ability to feed or manipulate energy in certain geographic locations? 

 

  Yes

  No

  Not Applicable

 

 

 

 

 

 

 

 

 

 

625.  If yes, where or what kind of places?  (Check All That Apply)

 


  Deserts

  Fields

  Forests

  Lakes

  Mountains

  Oceans

  Rivers

  Valleys

  High Population Areas

  Low Population Areas

  High Altitudes

  Low Altitudes

  Facing North

  Facing East

  Facing South

  Facing West

  Closer To The Equator

  Closer To The Poles

  Warmer Climate Areas

  Colder Climate Areas

  High Humidity Areas

  Low Humidity Areas

  Other: ________________

  Not Applicable


 

626.  Do you ever notice lull periods in ambient or environmental energy at certain times in the day?

 

  Yes

  No

 

627.  If yes, which times during the day?  (Check All That Apply)

 


  Early Morning (2 AM - 5 AM)

  Mid Morning (5 AM - 8 AM)

  Late Morning (8 AM - 12 PM)

  Early Afternoon (12 PM - 3 PM)

  Mid Afternoon (3 PM - 6 PM)

  Early Evening (6 PM - 9 PM)

  Mid Evening (9 PM - 11 PM)

  Late Evening (11 PM - 2 AM)

  Not Applicable


 

628.  Do you ever notice location-specific lulls in ambient or environmental energy? 

 

  Yes

  No


629. If yes, where or what kind of places? (Check All That Apply)

 


  Deserts

  Fields

  Forests

  Lakes

  Mountains

  Oceans

  Rivers

  Valleys

  High Population Areas

  Low Population Areas

  High Altitudes

  Low Altitudes

  Facing North

  Facing East

  Facing South

  Facing West

  Closer To The Equator

  Closer To The Poles

  Warmer Climate Areas

  Colder Climate Areas

  High Humidity Areas

  Low Humidity Areas

  Other: ________________

  Not Applicable


 

630.  Do you ever notice peak periods in ambient or environmental energy at certain times in the day?

 

  Yes

  No

 

 

 

 

 

 

 

631.  If yes, which times during the day?  (Check All That Apply)


 


  Early Morning (2 AM - 5 AM)

  Mid Morning (5 AM - 8 AM)

  Late Morning (8 AM - 12 PM)

  Early Afternoon (12 PM - 3 PM)

  Mid Afternoon (3 PM - 6 PM)

  Early Evening (6 PM - 9 PM)

  Mid Evening (9 PM - 11 PM)

  Late Evening (11 PM - 2 AM)

  Not Applicable


 

632.  Do you ever notice location-specific peaks in ambient or environmental energy? 

 

  Yes

  No


633. If yes, where or what kind of places? (Check All That Apply)

 


  Deserts

  Fields

  Forests

  Lakes

  Mountains

  Oceans

  Rivers

  Valleys

  High Population Areas

  Low Population Areas

  High Altitudes

  Low Altitudes

  Facing North

  Facing East

  Facing South

  Facing West

  Closer To The Equator

  Closer To The Poles

  Warmer Climate Areas

  Colder Climate Areas

  High Humidity Areas

  Low Humidity Areas

  Other: ________________

  Not Applicable


 

634.  If you ever experience an erosion of your energy shielding to which of the following causes do you attribute this event?  (Check All That Apply)

 


  Direct Psychic Attack

  Environmental Or Natural External Changes

  Failure To Create A Flexible Shield

  Multiple Psychic Attacks

  Passage Of Time

  Poor Structure In Forming Shield

  Uncontrollable Energy Bombardment

  Weakened Energy State

  Other: ___________________________

  Not Applicable


 

635.  Do you ever perceive friendly energy from the environment in natural places?

 

  Yes

  No

 

If yes, what geographic region or specific location(s):  ______________________________________________

 

636.  Do you ever perceive hostile energy from the environment in natural places?

 

  Yes

  No

 

If yes, what geographic region or specific location(s):  ______________________________________________

 

 

 

 

637.  Have you ever encountered an individual that you were completely unsuccessful in forming a shield against or if the shield was formed was easily penetrated by such said person?

 

  Yes

  No

  Not Applicable

 

638.  Have you ever encountered an individual whose personal energy was difficult to sense, manipulate, or avoid?  (Check All That Apply)

 

  Yes - Difficult To Sense

  Yes - Difficult To Manipulate

  Yes - Difficult To Avoid

  No

  Not Applicable

 

639.  Aside from normal shielding, have you ever had to purposely shield yourself from friends, family, or loved ones?

 

  Yes

  No

  Not Applicable

 

If yes, explain why:  _________________________________________________________________________

 

640.  Have you ever experienced an “energy storm” where you felt that you were being bombarded by a rain of static or chaotic energy from an unknown source over a period of time before the area subsided to a normal ambient state of energy flux?

 

  Yes

  No

  Not Applicable

 

641.  Have you ever experienced a level of ambient energy that would be most aptly described as intoxicating?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

642.  If yes, where have you experienced this increased concentration or intoxicating level of energy?

(Check All That Apply)

 

  Alone By Yourself

  Large Public Crowd

  Dance Club Or Concert With Exclusively Mundane Audience

  Dance Club Or Concert With Suspected Vampiric Or Energy Workers In Audience

  While Meditating Alone

  While Meditating Or Practicing Energy Work In A Group Setting

  While Conducting Or Participating In A Spiritual, Religious, Or Ritualistic Act

  Traumatic Or Emotional Place Or Event

  Cemetery Or Mortuary

  Nature Or Environmental Area

  Other: _______________________________________________________

  Not Applicable

 

643.  Do you consider yourself sensitive to particular types of energy work such as non-directed Reiki?

 

  Yes

  No

  Not Applicable

 

644.  If you feed (sanguine or psi) from donors who are at least 10 years older or younger than yourself, do you ever notice a discernable difference in your personal physiology after consuming their blood, energy, or prana that differs from feeding from individuals closer to your age group?

 

  Yes

  No

  Not Applicable

 

If yes, describe the difference:  ________________________________________________________________

 

645.  Do you prefer to feed from those who are younger or older than yourself?

(Check All That Apply)

 


  Younger - Sanguine

  Younger - Psi

  Older - Sanguine

  Older - Psi

  No Preference

  Not Applicable


 

646.  What would your preferred age of donor be for sanguine feeding?

 


  Under 18 Years Of Age

  18 - 20 Years Of Age

  21 - 25 Years Of Age

  26 - 30 Years Of Age

  31 - 35 Years Of Age

  36 - 40 Years Of Age

  41 - 45 Years Of Age

  46 - 50 Years Of Age

  51 - 55 Years Of Age

  Over 55 Years Of Age

  No Age Preference

  Not Applicable


 

 

 

 

647.  What would your preferred age of donor be for psi feeding?

 


  Under 18 Years Of Age

  18 - 20 Years Of Age

  21 - 25 Years Of Age

  26 - 30 Years Of Age

  31 - 35 Years Of Age

  36 - 40 Years Of Age

  41 - 45 Years Of Age

  46 - 50 Years Of Age

  51 - 55 Years Of Age

  Over 55 Years Of Age

  No Age Preference

  Not Applicable


 

648.  If you sanguine feed do you notice a difference in taste or potency of the energy consumed?

(Check All That Apply)

 

  Yes - Taste Is Different (Either Younger Or Older)

  Yes - Energy Is Less Potent (Concentrated) In Younger Individuals

  Yes - Energy Is More Potent (Concentrated) In Younger Individuals

  Yes - Energy Is Less Potent (Concentrated) In Older Individuals

  Yes - Energy Is More Potent (Concentrated) In Older Individuals

  No

  Not Applicable

 

649.  Do you have any moral reservations about feeding from those outside of your general age group?

 

  Yes

  No

  Not Applicable

 

650.  If you feed outside of your general age group do you ever fear there could be negative effects on the donor or that doing such could interfere with the natural energy cycle within your own body?

(Check All That Apply)

 

  Yes - Possible Negative Physical Effects On The Donor

  Yes - Possible Negative Psychological Effects On The Donor

  Yes - Possible Interference With Personal Energy Cycle

  No

  Not Applicable

 

651.  Do you ever suffer from an energy surplus as a result of overfeeding?

 

  Yes

  No

  Not Applicable

 

652.  If yes, what physical effects do you experience as a result from overfeeding?  

(Check All That Apply)

 


  Blackout

  Dizziness or Nausea

  Headache

  Hyperactivity

  Impaired Concentration

  Impaired Coordination

  Insomnia

  Seizure

  Other: _________________

  No Adverse Physical Effect

  Not Applicable


653.  If yes, do you utilize different objects to composite this energy as a means to rid the energy from your body or to store (charge) for future use?  (Check All That Apply)

 

  Yes - Utilize Objects To Purge Energy From Body

  Yes - Store The Energy In An Object (Charging) For Future Use

  Yes - Grounding Of Energy Into The Earth

  No - Internalize The Excess Energy Over Time

  Other Method: _____________________________________________

  Not Applicable

 

654.  If you charge an object with energy for later consumption is this part of a larger magick, occult, or spiritual ritual outside of normal vampirism?

 

  Yes

  No

  Not Applicable

 

655.  Do you have a particular item you routinely charge for use in ritual or personal energy work?

 

  Yes

  No

  Not Applicable

 

656.  If yes, what type or kind of object?

 


  Amulet

  Candle

  Cloth

  Dagger

  Oil

  Relic

  Scythe

  Sigil

  Staff

  Stone

  Symbol

  Wand

  Water

  Other: ___________

  Not Applicable


 

657.  Do you believe that vampires share a unique and recognizable energy signature that is noticeable to other vampires without the need for a direct manipulation of the energy body?

 


  Yes - All Vampires

  Yes - Some Vampires

  No

  I’m Not Sure

  Not Applicable


 

658.  Do mutations or shifts in auras, the astral or dream body, or other non-corporeal bodies highlight or obscure the recognition of this unique energy body among other vampires?

 


  Yes

  No

  I’m Not Sure

  Not Applicable


 

659.  Do you believe that this energy signature or energy body (normal or modified state) can be viewed by the mundane population, therian, were, otherkin, or other energy workers?  (Check All That Apply)

 


  Yes - Mundane

  Yes - Therian

  Yes - Were

  Yes - Otherkin

  Yes - Energy Workers

  No

  I’m Not Sure

  Not Applicable


660.  Do you ever sense other vampires in your presence when surrounded by a crowd of people?

 

  Yes

  No

  Not Applicable

 

661.  If yes, would you describe this sense of vampiric energy as attracting or repelling?

 


  Attracting

  Repelling

  Neutral

  Variable

  Not Applicable


 

662.  Are you psychically linked to certain individuals on a permanent or semi-permanent basis?

 


  Yes - Permanent

  Yes - Semi-Permanent

  No

  Not Applicable


 

If yes, describe this experience:  _______________________________________________________________

 

663.  If yes, how would you characterize this linking?  (Check All That Apply)

 


  Easy To Establish

  Difficult To Establish

  Easy To Break

  Difficult To Break

  Not Applicable


 

664.  Do you find that different forms of vampiric feeding create different strengths of linking bonds?

 

  Yes

  No

  Not Applicable

 

If yes, explain:  _____________________________________________________________________________

 

665.  Would you consider yourself to have the ability to influence others through energy manipulation techniques?

 

  Yes

  No

 

If yes, explain:  _____________________________________________________________________________

 

666.  If you do not believe you can be affected by psi or psychic energy then you will not be affected.

 


  Completely Agree

  Generally Agree

  Generally Disagree

  Completely Disagree


 


667.  Does your food metabolize at a faster or slower rate after either sanguine or psi feeding?

 


  Faster

  Slower

  No Discernable Difference

  Not Applicable


 

668.  Do you ever experience extreme mood changes that could potentially affect your emotional stability or judgment due to prolonged or irregular absence of feeding?

 

  Yes

  No

  Not Applicable

 

669.  If you are sensitive to empathic energies what physical effects do you feel with a heightened energy state in close proximity to an emotionally saturated individual or group or persons? 

(Check All That Apply)

 


  Anxiety

  Confusion

  Distractedness

  Flashing Lights / Tunnel Vision

  Headache

  Increased Telepathy

  Irritability

  Light-Headedness / Dizziness

  Looping Of Energy Through Others

  Out Of Body Experience (OBE)

  Pressure On Chest / Shortness Of Breath

  Ringing In Ears

  Spontaneous Visions

  Trigger Of Pre-Existing Medical Condition

  Other: ____________________________

  Not Applicable


 

670.  If you are sensitive to empathic energies what physical effects do you feel with a heightened energy state in close proximity to an emotionally saturated location or geographic area? 

(Check All That Apply)

 


  Anxiety

  Confusion

  Distractedness

  Flashing Lights / Tunnel Vision

  Headache

  Increased Telepathy

  Irritability

  Light-Headedness / Dizziness

  Looping Of Energy Through Others

  Out Of Body Experience (OBE)

  Pressure On Chest / Shortness Of Breath

  Ringing In Ears

  Spontaneous Visions

  Trigger Of Pre-Existing Medical Condition

  Other: ____________________________

  Not Applicable


 

671.  If you feed hybrid (both sanguine and psi) how would you characterize the difference in energy consumed from blood as opposed to that of psi energy taken from a human donor?

(Check All That Apply)

 

  Energy From The Blood Is More Concentrated

  Energy From The Blood Is Less Concentrated

  Psi Energy Is More Concentrated
  Psi Energy Is Less Concentrated

  No Discernable Difference Of Energies From Either Source

  Other: ________________________________________________________________________________

  Not Applicable

 

672.  Do you ever experience a stagnation in the need to feed, a period of lesser need?

 

  Yes

  No

  Not Applicable

 

673.  If yes, how long does this period of decreased need typically last?

 


  A Matter Of Days

  1 Week

  2 Weeks

  1 Month

  2 - 3 Months

  4 - 5 Months

  5 - 6 Months

  More Than 6 Months

  Longer Than 1 Year

  Not Applicable


 

674.  If you experience periods of lesser need does this happen with regularity or at random?

 


  Regularly

  Random

  Variable

  Not Applicable


 

675.  Can you correlate this phenomenon with any environmental, physical stimuli, or other circumstance in your life?

 

  Yes

  No

  Not Applicable

 

If yes, describe:  ____________________________________________________________________________

 

676.  Do you ever experience an increase in the need to feed, a period of greater need?

 

  Yes

  No

  Not Applicable

 

677.  If yes, how long does this period of increased need typically last?

 


  A Matter Of Days

  1 Week

  2 Weeks

  1 Month

  2 - 3 Months

  4 - 5 Months

  5 - 6 Months

  More Than 6 Months

  Longer Than 1 Year

  Not Applicable


 

678.  If you experience periods of greater need does this happen with regularity or at random?

 


  Regularly

  Random

  Variable

  Not Applicable


 

679.  Can you correlate this phenomenon with any environmental, physical stimuli, or other circumstance in your life?

 

  Yes

  No

  Not Applicable

 

If yes, describe:  ____________________________________________________________________________

 

 

680.  Which of the following affect your ability to retain energy after feeding?

 


  Ambient Temperature

  Emotional State Or Mood

  Metal Health / Activity

  Physical Health / Activity

  Quality Of Energy Obtained

  State Of Etheric Body

  Strength Of Shielding

  Time Of Day

  Other: ___________________________

  Not Applicable


 

681.  Which of the following changes in environmental, planetary, or geological energy affect your normal function or psychic sensitivity?  (Check All That Apply)

 


  Below Sea Level Influence

  Celestial Event (Eclipse / Comet / Solar Flare)

  Geo-Magnetic Influence (Poles / Hemispheres)

  Geo-Thermal Event (Magma / Geyser Eruption)

  Ionospheric Anomalies

  Ley Line Influence

  Lunar Change

  Planet In Retrograde (Mercury +)

  Tectonic Shift (Earthquake)

  Tidal Change

  Weather Phenomena

  Other: ___________________________

  I’m Not Sure

  None

  Not Applicable


 

682.  Which of the following man-made structures or devices affect your normal function or psychic sensitivity?  (Check All That Apply)



  Cell Phone Towers

  Computers & Personal Electronics

  Copper Shielded Buildings / Rooms

  Electric Rail Lines

  Hydroelectric Dams / Stations

  Power Substations Or High Lines

  Radio Antenna (RF) Towers

  Television (UHF) Towers

  X-Ray / Ultrasound / MRI Machines

  Other: ___________________________

  I’m Not Sure

  None

  Not Applicable


 


683.  Do you ever find that it is harder to perceive the energy of some persons who you do not suspect of being either vampires or energy workers?

 

  Yes

  No

  Not Applicable

 

684.  Do you believe that some individuals are able to shield naturally or maintain a permanent barrier between themselves and others they encounter?

 

  Yes

  No

  Not Applicable

 

 

 

 

 

685.  If one were to characterize specific events (historical or contemporary) perpetuated by the human populace where energy work or manipulation was consciously utilized, which events would be pertinent or worth noting in your opinion?

 

______________________________________________________________________< Multiple Line Field >

 

  None

 

686.  Do you ever engage in pranic (energy-based) healing for either your donors or unrelated individuals?

 


  Yes - Donors

  Yes - Others

  Yes - Both

  No

  Not Applicable


 

687.  Vampires who possess unique energy healing abilities should help others by utilizing these abilities.

 


  Strongly Agree

  Agree

  Disagree

  Strongly Disagree


 

688.  How often do you integrate sigil work into your vampiric or spiritual rituals?

 

A sigil in this sense can either be a drawn graphic, sound, or physical material by which magickal properties and specific meanings have been assigned.

 


  Very Often

  Fairly often

  Occasionally

  Rarely

  Never

  Not Applicable


 

689.  Do you engage in any protection or banishing rituals in relation to your vampirism?

 


  Yes - Protection

  Yes - Banishing

  Yes - Both

  No

  Not Applicable


 

If yes, describe: 

 

______________________________________________________________________< Multiple Line Field >

 

690.  What tools do you utilize during your own personal energy work?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

 

 

 

 

 

691.  As a part of your meditation practices do you ever engage in exercises to aid in chakra balancing?

  Yes
  No
  Not Applicable

692.  Indicate the general health of your seven primary (Hindu Tradition) chakra points.

The Crown chakra (Sahasrara) is said to be the chakra of consciousness, the master chakra that controls all the others.  Its role would be very similar to that of the pituitary gland, which secretes hormones to control the rest of the endocrine system, and also connects to the central nervous system via the hypothalamus.  The thalamus is thought to have a key role in the physical basis of consciousness.

 

The Third Eye chakra (Ajna) is linked to the pineal gland.  Ajna is the chakra of time and awareness and of light.  The pineal gland is a light sensitive gland that produces the hormone melatonin, which regulates the instincts of going to sleep and awakening

 

The Throat chakra (Vishuddha) is said to be related to communication and growth, growth being a form of expression.  This chakra is paralleled to the thyroid, a gland that is also in the throat, and which produces thyroid hormone, responsible for growth and maturation.

 

The Heart / Lung chakra (Anahata) is related to love, equilibrium, and well-being. It is related to the thymus, located in the chest.  This organ is part of the immune system, as well as being part of the endocrine system. It produces T cells responsible for fighting off disease, and is adversely affected by stress.

 

The Solar Plexus chakra (Manipura) is related to energy, assimilation and digestion, and is said to correspond to the roles played by the pancreas and the outer adrenal glands, the adrenal cortex.  These play a valuable role in digestion, the conversion of food matter into energy for the body.

 

The Sacrum chakra (Swadhisthana) is located in the groin, and is related to emotion, sexuality, and creativity.  This chakra is said to correspond to the testes or the ovaries, that produce the various sex hormones involved in the reproductive cycle, which can cause dramatic mood swings.

 

The Root chakra (Muladhara) is related to security, survival and also to basic human potentiality.  This centre is located in the region between the genitals and the anus. Although no endocrine organ is placed here, it is said to relate to the inner adrenal glands, the adrenal medulla, responsible for the fight and flight response when survival is under threat.

 

Chakra Point

Balanced

Unbalanced

Blocked

Damaged

 

 

 

 

 

Crown

Third Eye

Throat

Heart / Lung

Solar Plexus

Sacrum

Root

 

  I’m Not Sure

  Not Applicable

 

693.  Apart from standard social engineering methods, do you consider yourself to possess the ability to influence others, specifically, the utilization of mesmerism techniques as an influence enabling mechanism.

 

Mesmerism is a hypnotic induction believed to involve animal magnetism where an individual’s thoughts and actions are influenced by the hypnotist.


  Yes
  No

If yes, describe:  ____________________________________________________________________________

 

694.  Which of the following forms of energy are you capable of feeding from effectively to sate the needs of your own body?  (Check All That Apply)

 


  Positive (Healthy)

  Negative (Harmful)

  High Intensity Patterned Energy
  Low Intensity Patterned Energy

  High Intensity Unpatterned Energy

  Low Intensity Unpatterned Energy

  Not Applicable


 

695.  Describe the specific methods you employ when engaging in surface feeding?

 

Surface feeding involves feeding off the energy of a specific person’s astral or etheric energy.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

696.  Describe the specific methods you employ when engaging in deep feeding?

 

Deep feeding involves feeding off the energy of a specific person’s core soul energy.

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

697.  Describe the specific methods you employ when using visualization exercises or techniques (either imagery or tactile such as temperature, sound, taste, smell, or speed) as applicable to grounding, centering, shielding, perceiving (sensing), filtering, charging, or exchanging of energy?

 

______________________________________________________________________< Multiple Line Field >

 

  Not Applicable

 

698.  How would you describe the energy found in the majority of the cemeteries you’ve visited?
(Check All That Apply)




  Anger

  Confusion

  Despair
  Evil
  Foreboding
  Peaceful
  Restful
  Sadness
  Serene
  Static
  Unrest
  Unsettling
  Other: ________________

  Not Applicable


 

699.  According to your own perception, do certain sections of a cemetery give off different energies? 

(Examples:  Battle or war burials, child’s grave, younger or older parts of the cemetery, etc.)

 

  Yes

  No

  Not Applicable

 

If yes, describe the specific areas and their corresponding types of energy:

 

______________________________________________________________________< Multiple Line Field >

 

700.  If you have ever visited a cemetery where a loved one was not interred, on a scale 0 to 10 how would you characterize your ability to accurately discern the different energies present?

Not

Well

 

 

 

Average

 

 

 

Very

Well

0

1

2

3

4

5

6

7

8

9

10

 

  Not Applicable

 

 

 

 

 

 

 

 

 

 

 

 

701.  How important are the utilization of chakras or other energy centers as described in different systems to your shielding or grounding techniques?


  Always Important
  Usually Important
  Sometimes Important

  Rarely Important

  Never Important

  Not Applicable