Past Life Analysis

Have you ever dreamed of being of the opposite sex? *	Yes No
If so has the dream occured a) once b) 2-10 times c) more than 10 times. If this question is not applicable please say so. *
Do you have recurring dreams or elements of dreams, i.e. buildings, people, places? *	Yes No
If so has the same dram (or specific elements of it) occured a) more than twice b) 3-5 times c) more than five times. If this question is not applicable please state so. *
Do you have any unusual birthmarks? *	Yes No
Do you have any phobias? *	Yes No
If yes, what is the phobia? *
If you have a phobia, did it start when you were between the ages of a) 2-5 years b) 5-12 years c)12-15 years d) 16-21 years e)over 21 years. If this question is not applicable please say so. *
Have you ever dreamed of being someone else? *	Yes No
If so describe in which way you were different from you are today. If this question is not applicable please state so. *
What is your name? *
What is your age? *
What is your email address? *
What is your telephone number? *
Please note that this analysis is done by a qualified psychologist who can use hypnosis.

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