OBE/NDE Survey

For the more specific questionnaire that concerns
OBE/NDE experience that occurs to a
woman during childbirth,
CLICK HERE!
To participate in our survey about OBE/NDE's,
please use the following NON-BIRTH RELATED OBE FORM.
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50 questions about Out of Body Experiences, or Near Death Experiences

Created by Catherine Feltham

as a Research Project for her Masters of Midwifery Degree

RESEARCH QUESTIONNAIRE

TOPIC:  Out of Body Experience/Near Death Experience

1

 Could you briefly describe  your OBE/NDE.
2 Please state your age at the time your OBE/NDE occurred. I was years old.
3 What event may have triggered your OBE/NDE to occur? (Accident, Meditation, etc.)
4 Did you understand after your experience what had happened to you?

Immediately
Upon reflection months afterwards
Upon reflection years afterwards.
5 Did you attempt to describe your OBE/NDE experience to anyone else?

Yes
No
6

     If so, were they:

Family Friends Medical Staff      Clergy Others

7 Would you describe their reaction as: Supportive Mildly Interested   
Not interested Nonsupportive
8 At the time of your OBE/NDE, what was your marital status? Married  Single  Divorced
Widowed Unmarried / Partnered
9 Would you describe your OBE/NDE as more real than a dream?

Yes   
No
10 Was the form of your out of body figure similar to your physical body?

Yes      

No
11 Was your out of body figure in the same environment as your physical body?

Yes      

No
12

During your OBE/NDE did you feel that part of your awareness was still in your Physical Body?

 Yes          
No
13 Did you hear noises in the early stage of the experience? Yes          
No

I yes, can you describe it/them?
14

Would you describe your out of body figure as being disembodied or without form?

 Yes
No
15 During your OBE/NDE did you feel a sense of energy and well being? Yes           
No
16 During your OBE were you able to pass through physical objects? Yes  
No
17 During your OBE/NDE did you want to return to your physical form?

Yes         

No
18 During your OBE did you experience a change in the sense of time? Yes            
No
19 During your OBE were you aware of the presence of Non-Physical beings? Yes            
No
20 During your OBE did you feel vibrations in your physical body? Yes             
No
21 During your OBE were you able to touch physical 'objects'? Yes            
No
22 During your OBE did you feel attached to your physical body? Yes    
No
23

During your OBE/NDE did you feel that people not “out of body” were aware of your presence?

 Yes   
No
24 During your OBE/NDE   did you feel a sense of border or limits? Yes            
No
25 During you OBE/NDE did you experience a panoramic or holographic vision? Yes          
No
26

During your OBE/NDE  did you experience being in a dark tunnel with a white light at the end of it?

 Yes  
No
27 During your OBE?NDE did you see a brilliant white light? Yes          
No
28 During your OBE/NDE did you feel the presence of Guides or Helpers? Yes        
No
29 At the time of your OBE/NDE were you near death? Yes          
No
30
During your OBE/NDE would you describe it as:
Calm, peaceful, quiet. 
Sense of freedom. 
Sense of purpose. 
Sense of joy. 
No special feelings. 		 Going crazy. 
Sense of fear. 
Sense of sadness. 
Sense of power. 
Other:
31 Immediately after the OBE/NDE did you:

Become interested in psychic phenomena.

Become curious about OBE/NDEs.
Feel possessed of psychic abilities.
Talk about it to others.
Keep it a secret.
Forget about it.
Feel confused. 		Feel it was an ordinary event.
Feel your life had changed.
Feel you had a spiritual experience.
Feel upset and frightened.
Feel you were going crazy.
...None of these.
32 In retrospect was your OBE/NDE  something you would want to experience again? Yes      
No
33 During your OBE/NDE did you hear any music or singing? Yes     
No
34 Were you given gas or drugs by medical staff before your OBE/NDE? Yes 
No
35 Would you describe your OBE/NDE as feeling like being drunk or high?

Yes  

No
36 Did your OBE/NDE change your beliefs in life after death? Yes  
No
37 At the time of your OBE/NDE were you in severe pain? Yes   
No
38 At the time of your OBE/NDE were you under general anaesthesia? Yes  
No
39 During your OBE/NDE were you aware of nonphysical beings that were close, but had already died? Yes  
No
40 During your OBE/NDE did you see your physical body from a distance? Yes  
No
41 During your OBE/NDE could you see a silver cord connecting you to your physical body? Yes  
No
42 Did your OBE/NDE conflict with your religious beliefs? Yes  
No
43 Was this your first experience of an OBE/NDE?

Yes  

No
44 Were you familiar with the term “out of body” experience before you had one yourself? Yes  
No
45 Did you feel that you had any 'control' during your OBE/NDE?

Yes  

No
46 Did you have a belief in the afterlife before this experience? Yes  
No
47 Has your OBE/NDE altered/changed/influenced your fear of death? Yes  
No
48 Were you a member of a religious denomination before your OBE/NDE? Yes  
No
49 Have you become a member of a religious denomination since your OBE/NDE? Yes  
No
50 Can you think of anything pertinent to this subject that has not been covered in this questionnaire? Yes   
No

If Yes, please explain:
You may also use this space for any  personal Comments you may have:

I wish to thank you sincerely for participating in this research project and  taking the time  to answer this questionnaire.

Please be assured that your answers to this questionnaire are strictly confidential and no names are used during the presentation  and compilation of this research.

Catherine Feltham

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