Remembering Your Past Lives

Self Analysis Form: Fears and Distastes

For each item, check off the description that best describes your response,
plus any comments you may want to note:

1 -- Causes me great fear, distress/discomfort
2 -- Gives me some anxiety/discomfort
3 -- I have a neutral response
4 -- I find rather pleasant or comfortable
5 -- I greatly enjoy/feel totally comfortable

 
Condition12345Comments
1. Being in water
2. Being in high places
3. Being in small, enclosed places
4. Being in wide open places
5. Snakes
6. Darkness
7. Heat
8. Cold
9. Sunlight
10. Wearing heavy clothing
11. Birds
12. Crowds
13. Solitude
14. Loud noises
15. Silence
16. Wearing high collars
17. Wearing hats
18. Mice
19. Arid climates
20. Humid climates
21. Certain nationalities or ethnic groups (list specific nationality or ethnic groups in "comment" space)
22. Certain foreign or regional accents (list specific accents in "comment" space)
23. People who are late
24. People who are early
25. Certain physical traits in others (i.e., hair color, body type, noses) List specifics in "comment" space.
26. The opposite sex
27. Authority figures
28. Fire
29. Wind
30. Lightening
31. Being abandoned
32. Hunger
33. Death
34. Tunnels
35. Bridges
36. High speed
37. Flying
38. Guns
39. Knives
40. Pregnancy/childbirth
41. Stairs

 

The items above are things that often come up when people list their
fears and distastes. You probably have your own. List them below and
mark your responses to them as you have for the others.

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Attractions to People and Places