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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 - 183

Atlanta, GA  30339

 

 

 

 

 

 

 

 

 

 

International Post

 

V. Survey

6300 Powers Ferry Rd. NW

Suite 600 - 183

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