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Share Your Experience with the Rhine

Thank you for taking the time to provide this confidential information.
If we have more questions about your experience may we contact you? Please leave your contact information below if we may contact you (optional).

Describe Your Experience

Thank you for sending us a report of your experience, which will be anonymously added to our collection of psychic phenomena (psi).

Use the space below, and in your own words, please describe the event in detail and as clearly as possible. If you have had more than one experience, chose the one that is most meaningful to you at this time. If you have more than one experience you wish to share, please fill out a new form.

Additional Information

In order to assist our understanding of the experience, would you be willing to answer the following questions? Answering these questions is optional, and all information is completely confidential.  

(The button to submit your experience to the Rhine is at the bottom of this page.)  



Gender
 


Where did this event occur?


Have you had other psychic experiences similar to this?
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Have other members of your family had a similar kind of experience?
 

Have you ever discussed this with someone related to you, or anyone else?
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Thank you for taking the time to complete this confidential questionnaire.

If we have more questions about your experience may we contact you? Please leave your contact information at the top of this form if we may contact you.


Would You Like To Be Part of Our Research?
 
Your report will be anonymously added to our large collections of psychic phenomena. It will be stored in a secure location and all personal identification will be omitted. Your confidentiality is always our first concern. 

By submitting your report and filling out the questionnaire you will be helping us analyze and further our understanding of these experiences. Some reports might also be used to illustrate certain types of experiences and may be included in an article, lecture or media.

Would you give us permission to include your report in our research? This is voluntary and no compensation will be given. *

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