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TARGETED SURVEY
Anonymously contribute to our efforts by filling out the survey below. Thanks for your assistance!
Symptoms
*
Voice to Skull (V2K)
Zapping/ Vibrations
Holograms
Organized/ Gang Stalking
Sleep Deprivation
Induced Thoughts/ Dreams
Mood Swings
Homicidal/ Suicidal Thoughts
Hot Flashes
Nausea, Diarrhea
Headaches/ Body Aches
Anxiety/ Panic Attacks
Paranoia
Tremors
Depression
Memory Loss
Poisoned Air/ Food/ Drinks
Vehicle Tampering
Animal Abuse
Narcolepsy-Like "Instant" Sleep
Staged Accidents/ Car Accidents
Street Theater
Body Modification (Loss of Hair/ Vision, Damaged Teeth, etc. )
Hear "Clicking" Noises
Age
*
-----
Under 25
25-40
40-65
Over 65
Race
*
-----
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Gender
*
-----
Male
Female
Transgender
Level of Education
*
-----
Did Not Graduate
High School Diploma
Some College
Associates Degree or Higher
Political Preference
*
-----
No Preference
Democrat
Independent
Republican
Other Party
Religion
*
-----
Christianity
Islam
Hinduism
Buddhism
Atheism
Agnoticism
None of the Above
Are you a single birth, twin, or triplet?
*
-----
Single Birth
Twin
Triplet
Submit
Home
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Related Articles
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Targeted Publications
Flyers
In Memoriam
