Intake – Part XXI Go backYour message has been sent Name(required) Warning Email(required) Warning Phone Warning 1. Have you ever tried drugs? If so, how much, and how did it affect you? Why did you try drugs? Warning 2. Have you ever thought about or attempted suicide? Warning 3. Do you have any physical or mental disabilities, diseases or illnesses? Explain. Warning 4. Do you want, and are willing to be delivered? Are you willing to make some lifestyle changes in order to be delivered? Warning 5. Do you experience unusual confusion that settles on you as you try to pray, attend Mass, and read the Bible? Warning 6. What kind of music do you like? (Please list all the styles of music you currently enjoy, and give examples in each category you list, such as some names of artists and songs) Warning 7. Have you previously enjoyed hard rock, metal, acid, alternative, rap, new age, or any other kind of worldly music? Please provide some examples of artists and songs from each genre or music you list) Warning 8. Have you ever had any nightmares or weird experiences at night while supposedly sleeping? Warning 9. Have you ever been in a trance or had an out of body experience? Warning 10. Have you ever noticed time slipped right out from under you? For example, you look at your watch and it’s 7pm, then you look again what seems like 15 minutes later and its 2am. This is a sign of a trance. Warning 11. Have you ever touched or kissed a dead body? If so, explain whom and why and what happened afterward. Warning 12. Do you feel that you somehow have to earn your forgiveness? Do you ‘wonder’ if your sins are truly forgiven – all of them? Warning 13. Do you have any physical infirmities, sickness, or disease? If so, please list them. Warning 14. Are you on any medications? If so, please explain. Warning 15. Have you ever had any other kind of weird encounter with the spiritual realm? Warning Warning. Submit Δ Like Loading...
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