1. The individual displayed a strong personality or inner strength while on earth.

     Yes
     No

2. The person was creative/artistic (in some form of art, cuisine, invention, business, or hobby, for example - or with life in general.)

     Yes
     No

3. He/she experienced psychic phenomenon (prophecy, premonition, afterlife encounter, etc.)

     Yes
     No
     Don't know

4. How many times has the discarnate appeared to you? (May be approximate.)

     1-2
     3-5
     6-10
     More than 10 times

5. How many other people (including mediums) have encountered the same individual? (May be approximate.)

     0
     1-2
     3-5
     6-10
     More than 10 times
     Don't know

6. The discarnate was my:

	 parent
	 child
	 spouse
	 other family member
	 not related
	 pet
	 other, please specify
		

7. At the time of the encounter/s, how long had it been since the physical death? (Please check all that apply.)

     1 year or less
     2-5 years
     6-10 years
     more than 10 years

8. His/her gender:

     Female
     Male

Please include as many comments or questions as you would like:

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