Student Questionnaire Online Student Questionaire Your Name First Last Email Address 1. How did you find the Clairvoyant Transcendence Program?FriendLeafletsFacebookAdvertisementsWebsiteOne of Our GraduatesOtherIf "other" please explain.2. Have you ever studied other methods of mediation, psychic, intuitive, spiritual, occult, mindfulness, mental awareness levels or mediumship, spiritual healing, yoga, clairvoyancy, intuitive massage, rolfing, Tai Chi, Martial Arts or out of body exercises?YesNoIf yes could you share this with us? What?When?With Whom?3. Do you belong to any spiritual organizations or groups now?YesNoIf "yes" what?4. Did your parents or any significant person in your family belong to any psychic, occult, spiritual or mystical groups, or an esoteric religion or study the intuitive arts?YesNoIf "yes" what?5. What is your basic philosophy in life right now?6. What is your living arrangement?Live AloneWith FamilyWith FriendsWith RelativesWith SpouseWith Roommate7. Do you have any hobbies? If so, what are they?8. Do you have any skills? ( word processing, painting, carpentry, cooking, carpentry, Sewing)9. What would you like to learn, know or do, that you do not know how to do now?10. Do you consider yourself primarily a:ThinkerDoerObserverOne Who FeelsOne Who Just KnowsOne Who AnalysesOne Who Creates11. Do you consider yourself an external or internal person?ExternalInternal12. Is it easy for you to visualize or do you consider it difficult?EasyDifficult13. Do you make your decisions based on logic, thought, feelings, intuition, gut level response, off the top of your head or what?14. What do you do in your spare time?15. Do you have any metaphysical toys? Crystals Gongs Chimes Bells Tibetan Singing Bowls Incense Tarot Cards New Age Music Books Energy Generators Magazines Pendulums Healing Tools Grids Stones Spiritual Objects Crystal Jewelry Magnets Oils Paintings Shamanic Masks 16. Do you have any physical ailments you would like to heal such as high blood pressure, heart problems, allergies, cancer, MS, migraines, severe back aches?17. Have you ever been hospitalized?YesNoIf "yes" for what?18. Do you have any family history of physical ailments?YesNoIf "yes" what?19. Are you taking any medications?YesNoIf "yes" what?20. Have you ever taken any alternative mind altering drugs, such as LSD, Cocaine, Marijuana, Barbituates, Amyl Nitrate, Opiates, Nitrate, Fentanyl, Heroin, or Ecstacy in the past?YesNo21. What is your opinion of these drugs?22. Do you feel you take on other people’s energy like becoming a sponge for them?YesNoDo you feel that you have unresolved issues with anger?YesNoDo you feel that conflicted about your life goals?YesNoDo you sometimes have difficulty making important decisions?YesNoDo you feel that you are not living up to your full potential?YesNo23. To what level has your formal education progressed?Grammer SchoolHigh SchoolCollegeMastersDoctorateIf you have a degree what in?24. Are you using your degree or education in your work now?YesSecond Choice25. Do you like your work?YesNo26. Do you have any special licenses or special or trade or education degrees? (real estate, apprenticeships, massage, acupuncture, medical, nursing, engineer, architecture, etc.)?27. What do you do for a living?28. What is your work schedule like?---In SchoolPart TimeFull TimeRetiredUnemployed29. Have you ever been a member of the U.S. Armed Forces?YesNoIf "yes", which branch?30. Are your parents living?YesNo31. Were/Are your parents happy together?32. What is it that you have inherited from your parents that you like or dislike? (genetically, personality, abilities, etc.) What I like from my mother:What I like from my father:What I dislike from my mother:What I dislike from my father:33. Are your parents still together, divorced, separated?34. Do you have any brothers or sisters? If so, who and how many?35. At what age did your mother have her first child?36. What are/were your parent's hobbies or interests?37. What did/do your parents do for a living? Mother:Father:38. What religion are/were your parents?39. What religious belief did you grow up with?40. What religious belief are you now?41. Do you attend any church or spiritual group regularly?42. What is your concept of spirituality?43. What is the single most important or usable spiritual skill you have learned in your life thus far?44. What is your marital status?SingleMarriedDivorcedWidowed45. Do you have any children?YesNoIf "yes", how many? What age(s)? What sex?46. Do they live with you?YesNoPlace of BirthTime of BirthAstrological SignSun SignRising SignMoon SignWhat do you hope to attain from attending the Clairvoyant Transcendence Online Program?PLEASE NOTE THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL. And only shared with people who teach you in this program1. Are you willing to devote the time to attend lectures and practices to develop your ability? Yes No 2. Do you take any medical prescription drugs and if so what?3. Do you take any alternative drugs (Marijuana, Cocaine, LSD, etc.)? If so what and how often?4. Have you been diagnosed with any major disease such as epilepsy, cancer or diabetes?5. 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