Vision During
Experience, and Healing Ability After
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Vision During, and Healing Ability After Experience.
You are being contacted
because you previously shared your experience with us at the Near Death
Experience Research Foundation (NDERF,
www.nderf.org) or Out of
Body Experience Research Foundation, www.oberf.org).
In sharing your experience, you indicated
approval to be contacted by a NDERF approved researcher, and approval to be
contacted via e-mail. You may
be assured we have and will continue to keep your contribution and your
contact information confidential to the extent you desire.
For those of you who
have not shared your experience with us but who wish to participate in the
survey, please give us a description of what happened to you so that we can
properly classify your experience and include it in the survey results.
This confidential survey should take less than ten minutes
to complete. For those completing the survey who are interested, we will send
you a summary of the results of this survey when complete (a check box for this
is at the end of the survey).
The purpose of this
investigation is to study vision during the out of body part of the experience, at a time
when earthly, every day events may be seen.
This investigation will also study possible healing ability after the experience. We recognize many
experiences do not involve visualizing earthly, every day
events, and healing ability afterwards.
It is important that you complete this survey even if you did not visualize
earthly, every day events during your experience, or do not believe you experienced
healing ability after the experience.
Participation in this
survey is voluntary. There is no
compensation for participation in this study.
All survey
information shared, including e-mail addresses, will be maintained in strict
confidence and will not be released to any third party without explicit prior
authorization of the respondent.
Analysis of the results of this survey may be published without identifying any
respondent individually. It is anticipated that
the results of this survey will be presented at the IANDS (International
Association for Near-Death Studies) annual conference in January,
2003.
If you had more than
one experience, please complete the survey with regard to only one experience
which involved visualization of every day, earthly events during the experience.
If you are unable to
send the form results electronically, please print the form, write your
responses on the form as appropriate, and mail or fax the form to:
Fax:
(253) 568-7778
Postal Address:
NDERF
P.O. Box
Federal Way
Submission of your responses will constitute informed consent
to participate in this study. Please
submit your responses only once.
1. Please fill out the form below as completely and accurately
as you can. Your contribution, including your e-mail address, will remain
confidential.
2. Please do not forget to press the "Submit" button
at the end, or the information will be lost!
3. After you press the "Submit" button, a review of your
responses will be shown, and the information will have been sent. A button
will allow you to return to this page. The form may or may not have your
responses in the boxes, but all information will have been sent. If you
have any questions or concerns please
E-mail me.
Below you will
find further information regarding this study's
co-investigators.
4. Text that you enter in the following boxes will scroll automatically if needed, allowing you to enter as long a response to each question as you want.
Thank you so much for your participation in our study!
Copyright1999 by Dr. Jeff and Jody Long
e-mail:
Webmaster: Jody A. Long