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(This is the most important part of the website!) Near-Death Experience (NDE)
Questionnaire


TEST


 1.   Your first name and first letter of your last name (ex. John Smith entered as 'JohnS'):


2
Have your relationships changed specifically as a result of your experience?
   
If yes or uncertain, please describe:


43. 
Have your religious beliefs/practices changed specifically as a result of your experience?
   
If yes or uncertain, please describe:


44. 
Following the experience, have you had any other events in your life, medications or substances which reproduced any part of the experience?
    If yes or uncertain, describe.


 

   Thanks!!!

  Remember to Submit completed form! 



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Special thanks to Dr. Bruce Greyson and Dr. Ken Ring who graciously allowed questions they developed to be used as part of this project.
Some questions from Bruce Greyson, "The Near-Death Experience Scale: Construction, Reliability, and Validity," Journal of Nervous and Mental Disease, 171:369-375.  Copyright 1983, The Williams and Wilkins Co.