Visitor's Questionnaire

Questionnaire

Dolphins

Tell Us Something About Yourself:

Dolphins

Personalize your questionnaire with a pen name:

Your age group:	Male Female
Family Income:	General Interests (choose two): Sports Arts Entertainment Educational
Single Married Divorced Widowed	With children Without children
Favorite types of literature: Fact:	Fiction:

Chimera One Encounters Questionnaire:

1) Have you any memory of an unusual event or certain phenomenon which was unexplainable by you or the people around you? Yes No	2) Have you experienced dreams which were extremely vivid, (i.e. acutely sensorial) yet unexplainable? Yes No
3) Have you ever felt an unusual sense of time distortion or missing time? Yes No	4) Was anyone with you? Yes No If yes, did they notice anything? Yes No
5) Have you ever discovered any strange marks on any part of your body that were not explainable? Yes No	6) If these marks are recurring, how often have they appeared?
7) Do you feel you have had an anomalous encounter at any level?	8) If you yourself have not experienced any of the above, but know of someone who has confided in you, what was your reaction to their disclosure?
9) Do you still feel comfortable with that person? Yes No	10) Do you believe we are not alone? Yes No
11) If yes, do you believe the military and\or governments are involved in an intimate-interactive cover-up? Yes No	12) Do you think you have been "pinned"?


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