Wufoo
The Violet Generation questionnaire
Are YOU part of the Violet Generation? Please help Kathryn write her latest book about emerging psychic abilities as we age.
Your Name (first only is fine if you wish)
First
Last
Date
/
MM
/
DD
YYYY
Phone
-
(###)
-
###
####
Email
May Kathryn use your real name in the book?
Yes, first name only
Yes, first and last name
No, please give me an assumed name
May Kathryn call you if she needs more information?
Yes, at the number above
yes, e-mail me
no, please don't contact me
How old are you?
Do you feel that you have psychic ability?
yes
no
maybe, but I am not sure
At what age did you first feel this ability? (please describe)
Do you feel that your interest in psychic things and/or your psychic ability has changed since or around age 50?
Yes
No
Not sure
Did anything happen to prompt or trigger these abilities or change in abilities? If so, please describe.
Have you experienced any of the following after you were (approximately) 50 years old?
Death of a spouse or partner
Death of a child
Serious physical illness
Loss of an important job or interest
A sudden life changing event such as divorce
Serious emotional difficulty such as depression
If so, did you sense an increase in intuitive or psychic abilities during or after any of these happenings? Please describe.
Have you noticed any of the following in yourself? (particularly after age 50)
Desire to spend more time alone
Desire to spend more time in prayer or meditation
Change in sleep habits
Less interest in day to day life and money concerns
A change in friendships or interests in friendships
A desire for a new spiritual community
Reading the obituaries more often
Your taste in books, magazines, and movies has changed
More vivid dreams
A knowing when things will happen
A fear of certain people for no reason
A liking of certain people without knowing them well
Acting on your "gut" instincts more often
A feeling of being isolated or different that others
A sense of disapproval from family or friends
A desire to learn more about mystical matters
Anxiety or nervousness for no reason
Less interest in world affairs
Seeing signs: birds, coins appearing or other things that seem to have messages for you
Electronic things sometimes work strangely around you
Having things disappear and reappear for no reason
knowing who is calling before picking up the phone
feelings of forgetfulness about unimportant things
Have you noticed any changes in yourself since you turned 50 that have not been mentioned above. Please expand.
Have you noticed any changes in the way your friends and/or family treat you since these changes and awakened abilities? Please discuss.
Have you ever felt direct contact or conversation with a Spirit (deceased person)? If so, please discuss.
Have you taken any steps to enhance, learn or control your psychic ability? If so, discuss.
What knowledge or skill would you MOST like to pass on to the next generation?
Please add any stories, anecdotes or other information that you believe would be interesting to Kathryn. You may also e-mail this to her.
Hey, Kathryn, You completely didn't ask me what I wanted to tell you! (Add it here and thanks)
Do Not Fill This Out