Hacking the Human Experience: Can Energy Heal Depression Data Submission Form
If you have watched Episode 1 and would like to share your results please submit them here.
Email address *
We collect your contact information to combine multiple entries from the same person. We do not share your contact information with anyone.
In order to validate the findings of this study we must collect contact information for every participant. We appreciate you sharing your results so that we may validate the impact of energy on depression. Please use the same email address for each submission.
Please enter today's date
How many time have you experienced depression in your life?
Have you ever considered suicide?
How long are your typical depression cycles?
How long was the depression cycle you experienced when you watched Episode 1?
Were there any notable changes in the depression cycle after watching Episode 1 from your prior depression cycles?
Your answer
Are there any other things you would like us to know about the effect of the video in Episode 1?
Your answer
A copy of your responses will be emailed to the address you provided.
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