The Light Project

A research study in the area of Near Death Experiences. Founded by Natalie Smith-Blakeslee and Staff on Feb. 1st, 2000.

Click here to download an MS Word 2000 Formatted document.

When complete, please mail to:

Natalie Smith-Blakeslee
P.O. Box 295
Wattsburg, PA 16442-0295

1. Please describe your Near-Death Experience.

2. How was your health before your NDE? Fair? Poor? Good?

3.Has your health changed for the better or worse since the NDE?

4 Have you developed any serious illnesses since the NDE? if so what kind of illness how long after the NDE?

5. How many Near death experiences have you had?

6. Age at time of NDE.

7. Age at time of Illness if any?

8. What was your treatment plan if you had a life threatening illness?

9. How has your life changed since your NDE?

10. Have you had any nights that you could not sleep after your NDE?

11. If so, how often did this occur?

12. How many nights on the average do you sleep?

13.Has this changed since your NDE?

Please use additional sheets of paper if needed for your answers and mark your answers on the extra pages accordingly.[FrontPage Include Component]

Note: This is a printer friendly version of our questionnaire. If you have any questions, please write (send Email) to Natalie or contact her at the above address on this questionnaire. Thank you.