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Hello:
You are invited to participate in our Energy Medicine Case Study. In this questionnaire, only a few select people will be asked to complete this questionnaire that goes through a series of phrases and feelings to analyze each individual's Energy Type. It will take approximately 15-30 minutes to complete the questionnaire depending upon each individual.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the questionnaire at any point. It is very important for us to learn your opinions.

Your questionnaire responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the questionnaire or the procedures, you may contact Micheala Sanders at 720-369-3399 or by email at the email address specified below.

Thank you very much for your time and support. Please take a deep breath and let it out slowly. After reading each phrase, thought, or question answer with the available options without thinking too much. Select the answer that you are drawn to first. Please start with the questionnaire now by clicking on the Continue button below.

 
 
 
 
I experience sudden physical aches or pains when in the company of others.
 
Often
 
Sometimes
 
Rarely
 
 
 
The feelings and emotions of others affect me.
 
Often
 
Sometimes
 
Rarely
 
 
 
I have an interest in extraterrestrials, crop circles, or other nonphysical intelligences.
 
Often
 
Sometimes
 
Rarely
 
 
 
I have dreams or visions that don’t seem to relate to anything in my life.
 
Often
 
Sometimes
 
Rarely
 
 
 
I fail to lose weight, despite constant dieting.
 
Often
 
Sometimes
 
Rarely
 
 
 
I long for the elevated love of a spiritual soul mate.
 
Often
 
Sometimes
 
Rarely
 
 
 
I feel I am being taught at night while I sleep.
 
Often
 
Sometimes
 
Rarely
 
 
 
I see streaks or sparkles of light, energy, or color.
 
Often
 
Sometimes
 
Rarely
 
 
 
I experience anxiety or panic in crowded places.
 
Often
 
Sometimes
 
Rarely