| Email Address: |
|
| Screenname or pseudonym:
|
|
| What is immediately on your
mind? |
|
| How well did you sleep?
|
Like
a baby
Fairly well
Conscious half the night
Barely any sleep
Laid awake all night
Didn't go to bed
|
| What did you dream about?
|
|
| Fear Factor: |
Serene
Fairly calm
Distressed
Anxious
Full on attack
|
| What are you regretting?
|
|
| What are you daydreaming about?
|
|
| What fanciful projection have
you made? |
|
| What are you hoping for?
|
|
| Spiritual thoughts: |
|
| Fleeting moments of feeling
good: |
Not
at all
I somewhat sensed it
Long enough to realize
It continued awhile
I'm experiencing it now
|
| Anything paranormal? |
|
| Condemnation scale: |
Not
at all
Somewhat
Off
and on
A lot more today
Saturated
|
| How ashamed are you? |
Not at
all
Just
a little
The typical embarrassment
More than usual
Completely engulfed
|
| Negativity level: |
None
Some
Off
and on
Mostly negative
Black
|
| Has your soul been disfigured?
|
Yes
Almost
No
|
| Does your blood cry from the
ground? |
Yes
It
might as well
No
|
| Extroversion: |
Completely inhibited
Withdrawn
Indifferent
Somewhat outward
Reaching out
Radiantly projecting
|
| Anger level: |
Serene
I'm dealing with it
OK but disgusted
One disturbing moment
One moment of rage
Multiple disappointments
Completely livid
|
| Black Seed name: |
|
| Do you feel valid? |
|
| Do you have any pride?
|
|
| Are you desperate? |
|
| Do you feel dignified?
|
|
| Have you been denied your
dreams? |
|
| Have your achievements been
vandalized? |
|
| Do you still feel the effects
of being raped? |
|
| Are you paying for crimes you
didn't commit? |
|
| Is there a Spirit to existence?
|
|
| Do you have a heritage?
|
|
| Do you have a future?
|
|
| Have your circumstances been
given to Satan? |
|
| Has someone stolen your
intellectual property? |
Yes
They're profiting right now
In more than one venue
I'm suspicious
No
|
| Is there anything romantic
about life? |
|
| Have you seen a flash of light
or apparition? |
|
| Have you felt sensitive to
something otherworldly? |
|
| Have you been abducted?
|
|
| Are you missing any time?
|
|
| What is your incept? |
|
| Do you know who Conscious is?
|
|
| Is the Internet self aware?
|
Yes
It's getting there
I'm skeptical
No
|
| What are you grateful for?
|
|
| Song of the moment: |
|
| Last movie you watched
|
|
| Last book you read |
|
| Kinesthetic moment:
|
|
| Do you have a favorite symbol?
|
|
| Favorite sounds: |
|
| Do you have a favorite memory?
|
|
| Deja Vu moment: |
|
| Any additional thoughts:
|
|
| Would you like feedback?
|
|
| |
