OCCULT ASSESSMENT CHECKLIST: If you have had the experience described below circle “S.” If your generations like mother, father, grandparents “F” If you and your generations please mark “B” Describe when it happened, how often, where, under what conditions, and how it has affected you. Please go through and place a check for every area of participation for yourself or family members: Even if you have already repented I need to know.

I renounce in the generations of my family on both sides back to Adam and Eve. I renounce and repent for each participation and spirits I have entertained you with the following prayer.

FATHER GOD, I repent and renounce for embracing and participating with ______I take responsibility in my generation and in the generations of my family on my mother's side and on my father's side all the way back to Adam and Eve for participating with ______and I ask for your forgiveness and that the curse be broken in the name of Jesus Christ of Nazareth by the power of the Holy Spirit.

Divination:

Astrology S/A/B Horoscopes S/A/B Zodiac Signs S/A/B

Amulets* S/A/B Black Magic S/A/B Tarot Cards S/A/B

Spinning Knife S/A/B Fortune Telling S/A/B Palmistry S/A/B

Reading of Palms S/A/B Graphology S/A/B Rod, Pendulum, Twig, S/A/B Leaf to find out sex of child

Unscriptural dreams S/A/B Pyramid ology S/A/B Crystal Balls S/A/B interpretations Edgar (mystic powers) Cayce

8 Balls S/A/B Past life reading S/A/B Tea leaf or coffee cup S/A/B reading

Character analysis S/A/B Arura readings S/A/B Fortune cookies S/A/B Feng Shui S/A/B Reading intestines S/A/B Wedding cake under S/A/B pillow

Blowing birthday S/A/B Throwing the bones S/A/B Hypnotism (self- S/A/B candles (dolos) hypnotism, subliminal tapes

Spiritism:

Seances and/or trances S/A/B Materialization S/A/B Trumpet speaking (a S/A/B (physical appearance medium’s demonic of demons during way of speaking séances)

Apportations (objects S/A/B Spirit raps S/A/B Spirit photography S/A/B appear in the air)

Necromancy (talking, S/A/B Table tipping S/A/B Talking to the Dead S/A/B praying and speaking)

Imaginary friends S/A/B Automatic writings S/A/B Playing with the glass S/A/B and/or escape escorts and/or drawings (journaling)

Spirit guides S/A/B Ascended masters S/A/B Ouija Board S/A/B

Table rapping S/A/B Telekinesis (allowing S/A/B Consultation with a S/A/B objects to move or stop medium

Consultation with S/A/B Consultation with S/A/B Consultation with a S/A/B psychic healer clairvoyant familiar spirit

Poltergeists S/A/B Conjuration S/A/B Reincarnation S/A/B (including déjà vu experiences

Astral travel (Eccles. S/A/B Psychic experiences or S/A/B Psychic phenomena S/A/B 12:6, silver cord gifts (reading minds)

Paranormal S/A/B Pychokinesis (lighting S/A/B Non Christian S/A/B fire, fusing light bulbs) exorcism Levitation (person S/A/B Levitation game S/A/B Related literature* S/A/BA moving above ground) known as “stiff as a board, light as a feather or finger lift game

*Edgar Cayce, Lobsang Rampa, Alester Crowley, Manley Hall, Jean Dixon, Nostradamis)

ESP (Extra Sensory Perception:

Clairvoyance/Precognition S/A/B Materialization S/A/B S/A/B

Voodoo S/A/B Eastern meditation S/A/B Past Life Therapy S/A/B

Pyramid power (mystic S/A/B Spirit Guides S/A/B Teleportation S/A/B powers)

Contacting Ascended S/A/B Chiromancy S/A/B S/A/B Masters

Visualization/guided S/A/B Healing magnetism S/A/B Clairaudience S/A/B (irrational diagnosis of illness crystal ball gazing)

Interpreting/Reading Auras S/A/B Apports S/A/B Tantric yoga S/A/B

Telekinesis S/A/B Numerology S/A/B Vedic Philosophy S/A/B

Biorhythm Charts S/A/B Demonic glossolalia S/A/B E.S.P. S/A/B

Psychic Transference S/A/B Telepathy (knowing S/A/B Biofeedback S/A/B another’s thoughts)

Seeing into or through S/A/B Hypnosis S/A/B Remote viewing S/A/B

Past life therapy S/A/B Fire walking S/A/B In the church – False S/A/B Prophets

Visionary dreams or S/A/B Geomancy S/A/B multilocation - S/A/B prophetic insight not from Being in multiple Holy Spirit places at the same time.

Reading Cards S/A/B Reading Cards S/A/B psychoscopy - S/A/B Obtaining information about a person or object,

Comments: ______

Occult/Non-Christian Religious Literature:

Carlos Castaneda S/A/B Necronomicon S/A/B The Satanic S/A/B Bible

Book of Mormon S/A/B Teachings of Buddha S/A/B The Koran S/A/B

Science and Health S/A/B Course of Miracles S/A/B Urantia Book S/A/B (Eddy)

Edgar Cayce Books S/A/B Bhagavad-Gita S/A/B Book of the S/A/B Dead

Gospel of Thomas S/A/B Doctrines & Morals & S/A/B Pearl of Great S/A/B Dogma (Pike) Price

Dianetics S/A/B Upanishads S/A/B Koran S/A/B

Comments: ______

BELIEF SYSTEM (S) EVALUATION

Religious Affiliations Have you been involved in one or more of the following:

Mormonism S/A/B Church of Satan S/A/B Jehovah’s S/A/B Witness Children of God S/A/B S/A/B Santeria S/A/B Scientology S/A/B Swedenborgianism S/A/B Islam / S/A/B Hinduism Rosicrucian’s S/A/B Hare Krishna S/A/B Unity S/A/B Theosophy S/A/B The Way S/A/B Edgar Cayce S/A/B International Buddhism/Zen S/A/B Mythology S/A/B Science of Mind S/A/B Eckankar S/A/B Anthroposophy S/A/B Spiritism S/A/B Atheism /Agnosticism S/A/B Kabbalism S/A/B S/A/B A Course in Miracles S/A/B Rastafarianism S/A/B Satanism S/A/B Druids/Celtic religion S/A/B Baha’ism S/A/B Polo Mayombe S/A/B Unification Church S/A/B Reincarnation S/A/B Hinduism S/A/B The Church Universal S/A/B TM S/A/B EST/The Forum S/A/B Umbanda/Macumba/Condombles S/A/B Taoism S/A/B UFO’s S/A/B Nichiren S/A/B Shoshu S/A/B Devotion to S/A/B Swamis/Gurus British Israelistism S/A/B Gnostism S/A/B Worship of S/A/B Mother Earth / Gaia New Thought S/A/B Moonies S/A/B Block Muslim S/A/B Church Zen S/A/B Chrislam S/A/B Death and S/A/B Dying Movement

Comments: ______

Mysticism: is that belief that man can acquire spiritual truth through intuition by fixed meditation, human reason being set aside Seeing demons S/A/B Hearing demons S/A/B Demons tormenting S/A/B you

Not believing in demons S/A/B Sex with demons S/A/B Sex demons incubus S/A/B (spiritual spouse – and succubus marine spirits

Sex with demons S/A/B Transcendental S/A/B Altered state of S/A/B purposely as initiation meditation consciousness (concentration, moving meditation to higher level) (emptying mind)

Chanting / Mantras S/A/B Centering prayer, S/A/B Yoga including S/A/B (mind to passivity) contemplative prayer Kundalini yoga

Reiki S/A/B Eckankar (soul S/A/B S/A/B traveling)

Martial arts (karate, S/A/B Pilates S/A/B I Ching S/A/B judo, kung fu, ninja)

Chi S/A/B Self-Hypnosis S/A/B Subliminal Tapes S/A/B

Hypnosis (Deut. 18:10; S/A/B Ikebana flower S/A/B S/A/B Rom. 6:16) arrangements (sun worship)

Fung Shei S/A/B Mind expansion to S/A/B Soaking Prayer S/A/B higher consciousness - drugs, music, mind techniques

Inner Healing calling S/A/B Evil Eye – putting a S/A/B Jesus into your pain raw egg under baby crib

Superstitions:

Blood packs S/A/B Lines & Cracks S/A/B Broken mirrors S/A/B

Black cats S/A/B Turning Apple Stem S/A/B Walking under a ladder S/A/B

Spilled salt S/A/B Potions S/A/B Candle burning S/A/B

Rabbits foot S/A/B Horse Shoe for Luck S/A/B Wishing on a star S/A/B

Reading Fortune S/A/B Wishbone wishes S/A/B Reading Intestines S/A/B Cookies

Wedding cake under S/A/B Blowing birthday S/A/B Throwing the bones S/A/B pillow candles and making a (dolos) wish

Throwing salt over S/A/B Not stepping on a crack S/A/B Not going under ladders S/A/B shoulder

Comments: ______

Spiritual Objects:

Kashina dolls S/A/B Pagan artifacts S/A/B Charms/medallions S/A/B

Tiki Figures S/A/B Voodoo dolls S/A/B Mormon undergarments S/A/B

Dream catchers S/A/B Native African arts S/A/B Tallisman S/A/B

Native American S/A/B Spirit Masks S/A/B Alaskan native arts S/A/B crafts

Status of gods S/A/B Owls S/A/B Frogs S/A/B

Angels for protection S/A/B 8 Ball S/A/B

Comments: ______

Fraternal Organizations & Secret Societies: Have any family members been involved in any organizations or you have one time or another joined fraternity and made a pledge:

Freemasonry S/A/B DeMolay S/A/B Eastern Star S/A/B

Rainbow Girls S/A/B Ku Klux Klan S/A/B Job’s Daughters S/A/B

Aryan Nations S/A/B Shriners S/A/B Skinheads/Neo-Nazi S/A/B

Daughters of the Nile S/A/B Esoteric temples S/A/B Gnostic groups S/A/B

Skull and Bones – S/A/B Eucleian Society S/A/B Ordo Templi Orientis S/A/B Yale

Knights of Columbus S/A/B Knights of Pythias S/A/B Nights of the Golden S/A/B Eagle

Fraternal Order of S/A/B Sons of the Revolution S/A/B Pledges to S/A/B Owls Fraternities / Sororities

Brotherhood S/A/B The Brotherhood of S/A/B Son of Satan S/A/B Ram The Order of Temple S/A/B Knights of Columbus S/A/B Gangsterism S/A/B of Set

Knights of Pythias S/A/B Bilderberg Group S/A/B Inner Peace S/A/B Movement

Committee 300 S/A/B Hermetic Order the S/A/B S/A/B Golden Dawn

Theosophical Society: Helena Blavatsky, Henry Steel Olcott, William Quan Judge, S/A/B Elizabeth Clare Prophet, Benjamin Crème, Alice Bailey (The Plan).

New Age Modalities:

American Indian: S/A/B Feminism – S/A/B Goddess Worship S/A/B Powwows, medicine female goddesses wheel, dream catcher, in wicca totem poles

Mother eArth S/A/B Fetishes S/A/B Power Objects S/A/B

Self-realization S/A/B Humanism S/A/B Human potential movement S/A/B

Actualization S/A/B The Forum S/A/B Life Spring – Christian S/A/B version

EST (Erhard Seminar Actualization S/A/B Training)

In The Church Occult:

Centering Prayer S/A/B Soaking Prayer S/A/B Contemplative Prayer S/A/B

Necromancy S/A/B Kundalini S/A/B Manipulative prayers S/A/B

Calling Priest Father S/A/B Trance Dancing S/A/B Inner Healing S/A/B

Praying to Angels S/A/B Visualization S/A/B Praying to Mary S/A/B

Praying to Saints S/A/B Mantras S/A/B Saying the same prayer S/A/B over and over as a chant

S/A/B

Other:

Movies (are you pulled or attracted to the types of movies: Aliens, Ghosts, Paranormal, S/A/B Murder movies, violent movies, Psychic movies, witchcraft movies, warewolves, New Age Movies,

Signs and Symbols of the New Age: Unicorns, Rainbows, Hippi Memorabilia, see link S/A/B http://www.crossroad.to/Books/symbols1.html

Occult Fictional Characters: Elves, Genies, Leprechauns, Easter Bunny, Mother Earth, S/A/B Gaia, Tooth Fairy, Santa Clause, Harry Potter, Mermaids, Pokemon, Digimon, Furbis, Teletubbies (promote same sex).

Occult Music: Demonic rock – Kiss, Led Zeppelin Rolling Stones, Stephen Halpern, Slam S/A/B Music, Gothic Rock Music, Punk Rock Music

New Age Music: see website: http://simplicityinchrist.wordpress.com/list-of- S/A/B pretendersteachers/

Medical Occultism – Anything you use as divine healing over God become occultism – Much research has been done today about new age medicine. It is again disease management and does not cure. Vitamins that you give power over dinvine healing of God you made it an occult

Acupuncture S/A/B Colour Therapy S/A/B Magnets for healing S/A/B

Crystals for healing S/A/B Hypnosis S/A/B Iridiology (eye S/A/B diagnosis)

Pendulum diagnosis S/A/B Psychic healing S/A/B Homeopathic S/A/B

Attitudinal Healing S/A/B S/A/B S/A/B

Therapeutic Touch S/A/B Tai Chi and Gong S/A/B Quigong S/A/B S/A/B S/A/B Bioenergy S/A/B

Guided Imagery S/A/B Past-lives Therapy S/A/B Polarity Balancing S/A/B

Rebirthing S/A/B Shiatsu S/A/B Bach Flower Remedy S/A/B

Hypnotherapy S/A/B Alexander Techniques S/A/B S/A/B

Chelation therapy S/A/B medicine S/A/B Light Therapy S/A/B

Macrobiotic S/A/B S/A/B Moxibustion S/A/B

Nutritional healing S/A/B Pranic Healing S/A/B Quantum healing S/A/B

Primal Scream Therapy S/A/B S/A/B Water Cure S/A/B

Electrohomeopathy S/A/B Herbalism S/A/B Holistic S/A/B

Chinese Medicine S/A/B Metaphysics S/A/B Radesthesia S/A/B

Macro Diet S/A/B Attitudinal Healing S/A/B Waving a Radonics S/A/B Wand

Trance Diagnosis S/A/B Deepak Chopra S/A/B Color Therapy S/A/B

Bioenergetics S/A/B

Psychology:

Carl Jung, Sigmund S/A/B Dream Works: Jungian, S/A/B Parapsychology S/A/B Freud, Fritz Perls, Sinoi Abraham Maslow