[SURVEYS] Long Survey Questionnaire Form
The long survey questionnaire has additional questions. First copy and paste the short survey questionnaire into a new self post:
Then copy questions from this long questionnaire. Title your post '[SURVEYS] Long survey by (your anonymous username)'
- Diagnosis of radio wave sickness (RWS)
________ Did a medical doctor commit you to a mental institution for reporting being attacked by DEWs? _______ Did you show your report of meter measurements?
_______ Did you ask your environmental medicine doctor for a diagnosis of radio wave sickness (RWS)? If yes, did you receive diagnosis? ______________
______ Did you ask your environmental medicine doctor to order lab tests for biomarkers of RWS and inflammation markers? Write a H for high and a L for low. Biomarkers:
_____ Histamine in blood _______ HSP27 _____ HSP70 _____ S100B _____ anti myelin antibodies ______ Voltage-Gated Calcium Channel Antibody ______ Nitrotyrosine _______ cerebral hypoperfusion ____ acidosis (pH of urine is acidic)
Which inflammation markers were high? ____ C-reactive protein ______ tumor necrosis factor _______ interferon gamma ______ IDO
Hormone deficiencies: ______ thyroid _____ melatonin _____ pregnenolone ____ DHEA _____ cortisol ____ oxycotin
Neurotransmitters: _____ PEA _____ Dopamine _____ serotonin _____ GABA _____ histamine ______ norephrine _____ acetylcholine
Amino acids deficiencies: _____ lysine ____ serine ____ glutathione
Nutritional deficiencies: _____ calcium ____ magnesium ____ iodine _____ lithium ____ selenium _____ omega 3 _____ B6 _____ B12 ____ vitamin D ____ vitamin C
_____ Methylation pathway
Other: _______________________________________________________________________________
- Which treatments reduced radio wave sickness (RWS)?
_____ Nrf2 _____ lipoic acid ______ iodine ______ glutathione ______ low dose lithium _____ B12 _______ SAMe _____ MSM ____ DMSO _______ holy basil ______ lion's mane _______ mucana ____ shitaki ________ sunshine on skin ______ drinking baking soda _____ making and drinking alkaline water _____ epsom salt & baking soda baths _____ epi-paleo diet ____ raw omnivore diet
Earthing: ____ sleeping on earth _____ walking barefoot on wet dew ____ grounded mat or sheet _____ grounded laptop
Placing feet on or placing bottle of water on and drinking water or wearing: ____ orgonite _____ basalt ___ shungite ____ crystals
_____ Replacing digital smart meter with analogue meter ____ dirty electricity filters
_____ Replacing smartphone with landline phone and PC with ethernet cable
Other treatments: ______________________________________________________________
- Disability
_____ Applied for disability due to radio wave sickness (RWS) and submitted medical records of diagnosis and biomarkers and report of your meter measurements? _____ Application approved ___ Appealed _____ Appeal prevailed
- Report of meter measurements
____ Body voltage meter ____ RF meter ____ spectrum analyzer ____ dirty electricity meter
Frequencies measured near your brain: _______________________________________________
Frequencies measured near your feet: ________________________________________________
Measurements at wall outlets: ________________________________________________________
- Police and FBI reports
_____ Was a report taken? _____ Did you ask for case number?
_____ Did making a report reduce DEW?
_____ Has a police or FBI officer commited you to a mental institution because you made a police report?
_______ Did a police offer commit you to a mental institution even though you showed your medical records containing a diagnosis of radio wave sickness by an environmental medicine practitioner and biomarker tests and your report of meter measurements?
______ Did a police officer commit you to a mental institution even though you showed your state's or country's statute requiring you to be a threat to others and yourself and you stated you were not a threat?
______ Did mental institution retain you after you showed your state's or country's statute requiring you to be a threat to others and yourself and you stated you were not a threat?
______ Did mental institution force medication after you showed your state's or country's statute or court case prohibiting forced medications?
- Filing with Government Agencies
_____ Did you file a FOIA with FBI, CIA, DHS, GCHQ, etc? ____ Were you on a watch list?
_____ Did filing a complaint with the Department of Justice stop the targeting?
- Number of hours per week do you:
______ watch TV, movies and videos ______ use internet
______ socialize on the telephone or in person
______ earth while getting a sun tan
______ reading, writing or talking regarding how to stop the targeting?
______ researching and trying medical lab tests and treatments for RWS?
______ meditate or contemplate or plan
______ Work on your to do list, household chores, personal hygiene
- Relationships
Due to DEW reducing oxycotin, did you stop loving your:
______ partner ____ family ____ friends ____ pets
Did perps attempt to isolate you by:
_____ Distorting the voice quality of your phones?
_____ Terminating your internet connection?
_____ Delaying text messages and emails?
______ Increase the strength of DEW while you socialize?
- Identity of the Perps
Instigation of targeting by:
_____ Corporation you sued? _____ Corporation you exposed? _____ Government agency you sued? _____ Government you exposed? ____ Bilderberg ______ Person you make a police report against? _____ organized crime
Paid by instigators or complicit:
_____ Police _____ veterans _____ ex-felons _____ illegal immigrants ___ organized crime ____ teenagers
15
Mobbing. ______ When you hear insults and rude comments outside your home do you actually see people saying them (see lips, jaw moving)? ______ Or do you assume they said them because of proximity or that they are the only ones who are in the area?
What are the subliminal (subconscious) messages modulated in buzzing or humming?
_____ Subliminal messages the same as V2K messages? If not, what are the V2K messages? ____________________________________________________________________________
To be continued.
Posted Dec 4, 2015, 8:57 PM UTC