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Pagan Complaint Form


SapphireMoon

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The Pagan Problem Report Form

(Please Print)

 

1. Describe your pagan problem:

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ __

 

2. Now, describe the pagan problem accurately:

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ __

 

3. Speculate wildly about the cause of the problem:

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ ___

 

4. Problem severity:

 

A. Minor

B. Minor

C. Minor

D. Trivial

 

5. Nature of the problem:

 

A. ___Attachment

B. ___Possession

C. ___Hex

D. ___Strange Smell

 

6. Is your Aura plugged in Correctly?

Yes __ No __

 

7. Is it turned on?

Yes __ No __

 

8. Have you tried to Cleanse or Vanquish it yourself?

Yes __ No __

 

9. Have you made it worse?

Yes __ No___

 

10. Have you had a friend who **knows all** about Witchcraft and

cleansing" try to fix it for you? Yes__ No__

 

11. Did they make it even worse? Yes __

 

12. Have you read a Book of Shadows?

Yes__ No__

 

13. Are you sure you've read a Book of Shadows?

Yes __ No__Maybe__

 

14. Are you absolutely certain you've read a Book of Shadows?

Yes__No__ MayBe__I think So___

 

15. If you read a Book of Shadows, do you think you understood it?

Yes__ No__

 

16. If 'Yes' then explain why you can't fix the problem yourself:

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ __

 

17. What were you doing with your Ritual circle when the problem

occurred?

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ __

 

18. If you answered 'nothing' then explain why you were on the Astral

plane:

____________ _________ _________ _________ _________ __

____________ _________ _________ _________ _________ __

 

19. Are you sure that you aren't imagining the problem?

Yes__ No__

 

20. Does the Cauldron in your circle work?

Yes__ No_ (Please Explaine this one)

 

21. Do you have a copy of 'Witchcraft for Dummies'?

Yes__ No__

 

22. Do you have any independent witnesses to the problem, either here

or passed over ? Yes__ No__

 

23. Do you have any magical tools, gifts or talents that DO work?

Yes__ No__

 

24. Is there anyone else you could blame this problem on?

Yes__ No__

 

25. Have you given yourself a good whack on the forehead?

Yes__ No__ (if 'no' do it now).

 

26. Is the group outside your home trying to set you on fire?

Yes__Not Yet __

 

27. Please Print Name Here:_______ _________ _________

 

28. Witness:_ _________ _________ _________ _________ _

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