The following
questionnaire evolved to its present state from its beginning in 1967 as an
effort by Brad Steiger to form a pattern profile of paranormally talented
individuals, contemporary mystics, and/or spiritually oriented men and women. In
1968, Steiger developed the questionnaire further and it became associated with
the worldwide phenomenon known as "The Star People."
In 1987, he combined
elements from the research of Sherry Hansen, who had created a similar
analytical questionnaire in 1970 as a counselor at the State University of New
York at Stoneybrook. Both Steiger and Hansen found that their respondents were
often the "helpers" here on Earth, for they spoke of being often
sought out for advice and counsel by friends and strangers alike. Steiger and
Hansen found such individuals in all ethnic groups, all social strata, all
occupations and professions. Although these men and women expressed the feeling
of being "strangers in a strange land," great numbers of them actively
served in such helping professions as nurses, doctors, teachers, clergy, social
workers, law enforcement, media professionals, and psychic and psychological
counselors.
In 1993, Brad Steiger and
Sherry Hansen Steiger fashioned the questionnaire that you now perceive. Over
90% of the approximately 30,000 individuals who have returned the questionnaire
report having experienced a sense of "oneness with the universe." A
remarkable 86% claim some kind of contact with other-worldly or
other-dimensional beings. The greatest single commonality is a desire to be of
service to the planet and to all of its creatures, great and small.
Thank you for
participating in our ongoing research. Please feel free to write as much as you
wish in response to the questions. (Your responses will remain completely
confidential).
Name___________________________________
Age______ Sex___ Birth
date Month:______ Day:_______ Year:______
Date of Questionnaire
Response___________
Occupation________________________
Address_______________________________
City___________________________State____
Zip or Postal ID
#_____________
Place of
birth________________________________
Education level
achieved__________________
Marital
Status____________________
Religious affiliation or
spiritual philosophy___________________________
Ethnic background:
Paternal_________ Maternal_________
Does any member of your
family share your interest in subjects of a paranormal nature?
____________________________________________
Do you or any member of
your family have demonstratable psychic abilities?
__________________________________________
How would you characterize
your relationship with your parents?
__________________________________________
With your siblings?
______________________
How would you characterize
your basic attitude toward life?
________________________________________________________________
How would you characterize
your basic attitude toward a Supreme Being?
_____________________________________________________________
What are your expectations
for the future of our planet?
____________________________________________________________
List your primary hobbies,
the ones that give you the most pleasure
____________________________________________________________________
In your own personal
research, what are your special interest areas?
___________________________________________________________________
Please tell us.... Your
favorite reading matter ___________________________________________
Favorite types of motion
pictures_________________________________________
Television
programs___________________________________________________
Types of
music________________________________________________________
Sports
activities_______________________________________________________
Have you experienced any
of the following?
Please indicate your age(s)
at the time of the encounter(s).
An out-of-body
experience_______________
A near-death
experience________________
A life-threatening
illness_______________
The death of a family
member or a close friend ___________________________________
An altered state of
consciousness, such as that experienced under hypnosis______________
______________________________________________________________________
A trance
state_____________________________________
A deep meditative
state______________________________
A psychological
"peak" experience_______________________________
An illumination experience
_____________________________________
An intense religious
experience__________________________________
A clear answer to
prayer________________________________________
The presence of the Holy
Spirit___________________________________
A state of
grace_______________________________________________
A sense of Oneness with
all of life and the universe_______________________
The appearance of a holy
figure, such as Mother Mary, Jesus, Moses, Buddha
______________________________________________________________________
The appearance of angelic
beings___________________________
The use of hallucinogenic
or mind-altering drugs_________________
The viewing of the human
aura______________________________________
Telepathy______________________________________________________
Clairvoyance____________________________________________________
Past life
memories________________________________________________
Feeling that you've
recognized someone from a past-life experience____________
A dramatic
healing________________________________________________
A dramatic healing of
others_________________________________________
Seen a
ghost______________________________________________________
A Deva or nature
spirit______________________________________________
An elf or
fairy_____________________________________________________
An entity from a
UFO________________________________________________
Contact with a UFO
being_____________________________________________
An abduction by a UFO
being___________________________________________
Hearing unseen
voices________________________________________________
Automatic
writing___________________________________________________
Precognitive
dreams_________________________________________________
Teaching
dreams____________________________________________________
Warning
dreams_____________________________________________________
Made prophetic statements
that came true__________________________________
ESP with a
pet_______________________________________________________
ESP with a wild
animal_________________________________________________
Spoken in tongues or a
strange language___________________________________
Communication with a
Higher Intelligence__________________________________
Communication with an
Unknown Intelligence________________________________
Communication with
benevolent spirit beings_________________________________
Communication with
disruptive spirit beings__________________________________
Were you interested in the
paranormal, UFOs, and the unknown before your initial personal experience
occurred?
______________________________________________________
Have any members of your
family or close personal friends had paranormal or UFO experiences?
_____________________________________________________________
Were there any unusual
circumstances occurring in your life before any of the above experiences
manifested? __________________________________________________________________
Describe your emotions and
any physical responses that you experienced before the onset of your encounter
___________________________________________________________________
What were your feelings
immediately after the experience?
___________________________________________________________________
Did you feel in any way
that you underwent the above experiences against your will?
____________________________________________________________________
In retrospect, would you
now assess the experiences in general as having a positive or negative effect on
your life? ___________________________________________________________________
Please explain briefly
your answer
___________________________________________________
Were any of the
aforementioned experiences life-altering for you? If so, in what way?
______________________________________________________________________
If you believe that you
experienced "missing time" or "altered time" during any of
the aforementioned occurrences, have you since received any memories of what may
have taken place during those "missing" minutes or hours?
______________________________________________________________________
Do you believe that your
mystical, paranormal, or UFO experiences were truly physical, actually occurring
in our finite, three-dimensional world - or were the encounters really
mental/spiritual ones, taking place in a dream, a vision, or an out-of-body
experience?
_________________________________________________________
If you received
communication from spirit entities, angelic beings, or UFO occupants, do you
feel that you were given any message or information that should be shared with
others?__________
If your answer is
"yes," please briefly summarize the essence of that message.
______________________________________________________________________
Have you ever had dreams
which contain any of the following scenarios? Place a check mark in the blank in
front of those descriptions that best describe your dream experience.
___Meeting a deceased
loved one and conversing with him/her.
___Receiving inspiration
or information from angelic beings.
___Viewing a city or a
planet that appears to made out of crystal.
___Being in an unknown
doctor's examination room.
___Receiving teachings in
an unusual classroom.
___Being able to fly, like
Superman.
___Walking in a strange,
unearthly terrain
. ___Viewing Earth from a
perspective that seems to be away from the planet.
___Reliving what seems
upon awaking to have been a past-life experience.
___Seeing people from your
present-life experience in what seems to be a scene from a former lifetime.
___Drinking a peculiar,
yet strangely familiar liquid, that an unknown person offers to you.
___Seeing Earth as it
might have appeared in prehistoric times.
___Perceiving yourself as
a member of a UFO crew.
___Observing yourself
coming to Earth as a Light Being.
___Being shown a strange,
unknown mathematical formula.
___Observing unusual
geometric shapes and patterns.
___Attending your own
funeral.
___Having the sensation of
being drawn aboard a spacecraft to be given instructions regarding your mission
in life.
___Watching yourself in
what appears to be biblical times, communicating with figures from that
historical period.
___Visiting Heaven or a
higher plane of beingness.
___Receiving a glimpse of
hell.
Check only the items in
which you believe.
___A Supreme Being
___A God of unconditional
love
___A God of judgment and
wrath
___A God who both rewards
and punishes.
___An afterlife in Heaven
___In Hell
___Time spent in purgatory
___A period spent in Limbo
___A spiritual plateau
between incarnations and/or spiritual progression or regression
___An astral realm
___A Summer Land where a
vastly improved version of Earth life continues
___An afterlife created of
our individual hopes, dreams, and memories
___All things eventually
work for good
___Evil exists and one
must be constantly vigilant
___It doesn't what we do,
the earth plane is negative and destructive
___The reality of demonic
entities
___Spirit possession
___Disruptive or negative
entities
___Destiny
___Miracles
___The power of prayer
___The possibility of
receiving direct communication from God
___The possibility of
receiving communication from God through angelic beings
___Reincarnation
___The Akashic Records
___Ghosts
___Channelled messages
from the spirit world
___Earth Spirits
___Dream teachings
___The ability to channel
healing
___Receiving valuable
guidance from personal visions
___Extraterrestrial
lifeforms
___Alien contact with
humans
___A government conspiracy
to suppress UFO information
___A secret government
that works behind the scenes of our figurehead government
___We are living in the
End-Times
___We are living in an Age
of Transition
___We are living in a time
of Earth Changes
___We are living in a time
that Native American Shamans call the Great Cleansing
___There are several alien
groups visiting Earth at this time, each with its own agenda
___There are many secret
alien UFO bases hidden throughout our planet
___Aliens from other
planets have come to enslave us or to do us harm
___ETs are basically
benevolent beings
___ETs are basically
indifferent to us as individual entities and have come to study us in an
objective scientific manner
___Aliens have come to
create mutants through a process of interbreeding accomplished by their superior
science
___The human species was
seeded on Earth millions of years ago and was assisted in its planetary
evolution by alien intervention
___You, yourself, are a
member of an alien species secretly visiting Earth
___You, yourself, feel
strongly that you are descended from ancientastronauts
___You believe that your
spiritual essence comes the stars, thus making you often feel as though you are
a stranger in a strange land
___You have experienced
past lives on other planets
___You have felt since
earliest childhood that you have a special mission to accomplish on Earth
Place a check mark beside
any of the difficulties listed below that may have troubled you at some time in
your life.
___Chronic sinusitis
___The sudden discovery of
scars or marks from unknown or unidentified causes
___Unusual skin rashes
___A debilitating physical
illness
___A severe accident
___Divorce--yours or your
parents
___Abusive parents or
family members
___Painful or swollen
joints
___Chronic neck pain
Do you have any of the
following?
___Extra or transitional
vertebrae
___Very sharp eyesight
___Keen hearing
___Strong sense of smell
___Very low blood pressure
___An unusual blood type
___Rh negative blood type
___Hypersensitivity to
electricity or electromagnetic fields
___The peculiar ability to
interfere with or to disrupt the function of electrical appliances
___A "normal "
body temperature lower than the standard 98.6
___An adverse reaction to
high humidity
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