Experience description:

Playing in the road slid in water, in the path of oncoming traffic and saw myself in the middle of the road first I was looking down at myself then I was looking across at myself.

Any associated medications or substances with the potential to affect the experience?     No      

Was the kind of experience difficult to express in words? No      

At the time of this experience, was there an associated life threatening event?          Yes    

What was your level of consciousness and alertness during the experience?           high

            Was the experience dream like in any way?   I can't recall

Did you experience a separation of your consciousness from your body?     Yes     I can't recall

What emotions did you feel during the experience?            calm

Did you observe or hear anything regarding people or events during your experience that could be verified later?          Yes    

Did you notice how your 5 senses were working, and if so, how were they different?          No response      Did you have any sense of altered space or time?   Yes     time slowed down

Did you have a sense of knowing, special knowledge, universal order and/or purpose?    No      

Did you reach a boundary or limiting physical structure?             No      

Did you become aware of future events?       No      

Were you involved in or aware of a decision regarding your return to the body?       No       Did you have any psychic, paranormal or other special gifts following the experience that you did not have prior to the experience?   Uncertain      able to sense danger

Did you have any changes of attitudes or beliefs following the experience?   No      

How has the experience affected your relationships? Daily life? Religious practices? Career choices?       no effect

Has your life changed specifically as a result of your experience?         No      

Have you shared this experience with others?         Yes     nonchalant, no influence.

What emotions did you experience following your experience?  doubt

What was the best and worst part of your experience?      can't recall

Following the experience, have you had any other events in your life, medications or substances which reproduced any part of the experience?         Yes     an earthquake

Did the questions asked and information you provided accurately and comprehensively describe your experience?               Yes     best as I can remember cause of the long time since it happened

Please offer any suggestions you may have to improve this questionnaire.    no suggestions