DELIVERANCE QUESTIONAIRRE
1. What year did you accept Jesus Christ as your Lord and Savior?
2. Have you done deliverance before? Yes or No
3. Do you used to dream and remember your dreams? Yes or No
4. How often do you dream in a week? Once, more than once, always
5. Did you constantly eat in a dream? Yes or No
6. Have you been sexually abused or you abused someone sexually? Yes or No
7. Have you visited a witchcraft doctor, native doctor or a voodoo man before? Yes or No
8. Before your conversion, have you carried sacrifice? Yes or No
9. Do you come from a family that worship idol? Yes or No
10. Do you know if your family has a shrine or an altar? Yes or No
11. Is your father a chief priest, high priest or an occultist man? Yes or No
12. Do you have or had a name associated to idol? Yes or No
13. Have you participated in a festival, ceremony or anniversary involving the shedding of blood of animal? Yes or No
14. Do you belong to any group involved in occultism? Yes or No
15. Do you have any marks, incision or tattoos on your body? Yes or No?
16. Have you visited any psychic, palm reader, card reader, tarots reader or astrologer before? Yes or No
17. Do you have any problem with memory loss, loss of hair, blur vision or speech ? Yes or No
18. Are you afraid of darkness or being alone in a dark place? Yes or No
19. Do you have problem in telling the truth always? Yes or No
20. Do you ever or always think that you will die suddenly? Yes or No
THIS SECTION FOR SINGLE SISTERS OR BROTHERS ALONE. JUMP IT IF YOU ARE MARRIED.
21. Do you constantly dream of having sex? Yes or No
22. Have been raped or join in a rape before? Yes or No
23. Have you been disappointed in previous relationships ? Yes or No
24. Have you promised to marry someone but suddenly broke your promise? Yes or No
25. Do you dream of swimming in river, stream or oceans sometimes? Yes or No
26 . Have you ever dreamt of becoming pregnant at any time in the past? Yes or No
27. Do you know if you have dreamt of being married before/? Yes or No
28. Have you involved in same sexual relationship before? Yes or No
29. Do you know if you have involved in sex with same family member before? Yes or No
30. As a lady do you ever used someone jewelry, underwear or shoes before? Yes or No.
THIS SECTION IS FOR ALL DELIVERANCE CANDIDATED.
31. Do you feel a movement in your body? Yes or No
32. Have you ever repeated a class, an exam or a test before? Yes or No
33. Have you ever felt pity for your self or deeply depressed? Yes or No.
34. Have you ever thought of killing yourself or completely tired of living? Yes or No.
35. Do you owe any debt greater than your monthly income (Car & mortgage loan) not included? Yes or No
36. Do you think you make enough money but don’t know how you spent the money? Yes or No.
37. Have you dreamt of going back to your village or country or county of birth constantly? Yes or No.
38. Do you dream of wearing rags in your dreams? Yes or No
39. Do you think that your parents (mum or dad) put curse on you before? Yes or No.
40. Do you think that you earn below your worth now? Yes or No.
41. Are you the first child of your father? Yes or No.
42. Do you pay your tithes always ?Yes or No
43. Have you blessed servant of God or the poor in the recent times? Yes or No.
44. Have ever been out of jobs for more than one year before? Yes or No.
45. Do your name has anything to do with poverty or sorrow like Jabez? Yes or No.
Deliverance note: Write your prayer request below.
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