Founding Orgone Committee Initial Questionnaire. Answer all questions completely. Please answer these questions on separate paper, or audio or video tape (VHS format only!). This document is confidential should you decide to join or not. Name (given) Name (Artistic/Magickal) Age Height Weight Hair Eyes Sex Race Parents Religion Address Phone # 1. Do you think of yourself as behaving like a robot at least 90% of the time acting and perceiving on the basis of unconscious assumptions, instincts, emotions, defense mechanisms, and cultural programming? (Yes or no will do!) 2. Do you often find yourself interacting with people who just do not have as full a view of things as you do? 3. What do you believe in? 4. True or false: Beauty is in the eyes of the beholder. 5. True or false: Ugliness is in the eyes of the beholder. 6. True or false: "Evil" is misplaced force. 7. True or false: There is an objective standard of morality which we all try to attain. 8. True or false: Human Will is a force distinct in the human body similar to gasoline in a car, or electricity in a computer. 9. Do you find that it is other people who cause the worst problems in your life? Give examples. 10. Do you find that it is your parents who are responsible for the worst problems in your life? Give examples. 11. On a scale of 1 to 15, please rate yourself in the following qualities: a. Strength b. Intelligence c. Memory d. Will power e. Imagination f. Dexterity g. Constitution h. Charisma 12. Do you see yourself as wanting a mentor or guru as it were to help you on your path? 13. Do you know what your path is? 14. Have you ever lost consciousness of yourself during Orgasm? 15. Which sexual acts do you know to be inherently "immoral"? 16. Do you have any hobbies, interests, skills or crafts if so tell us about them: 17. Complete these sentences: a. I hate.... b. I love.... 18. What is/are your favorite color(s)? 19. What is/are your favorite sound(s)? 20. What is/are your favorite sensation(s) of touch? 21. What is/are your favorite smell(s)? 22. What is/are your favorite taste(s)? 23. What is your best childhood memory? 24. What is your worst childhood memory? 25. Define your concept of "art". 26. What was the best movie you ever saw? 27. List your other favorite nine movies in order: 28. What was the best book you ever read? 29. List your other favorite nine books in order: 30. List your 10 favorite TV programs in order: 31. What is the best work of visual art you ever saw? 32. List your other favorite nine art works in order: 33. How much TV do you watch on the average per day? 34. Do you belong to any Organizations? List All. 35. What system or tradition of consciousness expansion (Magick, Psychology, Psychobiology, Psychopharmacology, Psychoanalysis, Wicca, Yoga, Martial Arts, Scientology, etc.) if any have you studied to date? 36. What system or tradition of consciousness expansion if any have you actually practiced as well as studied to date? 37. List, in order, your greatest single fear, and your nine next greatest. 38. Have you ever detected any signs of paranormal abilities, ESP, etc. in yourself or your associates? 39. Which of these questions upset you the most? 40. Which of these questions made you feel good? 41. What do you think and feel about tests like this? 42. What is the sense that you use the most? 43. What is the sense that you use the least? 44. Have you answered all these questions completely, and told the truth as you are conscious of it at this time? Interested in communicating? Write to: Orgone Committee P.O. Box 614 Vanbrunt Station Brooklyn, NY 11215 SEX IS PEACE TRUE WILL NOT SLAVERY CONCIOUSNESS IS STRENGTH ... ...-....1200 N81N ........