Deliverance Assessment

Welcome to the Deliverance Assessment. This assessment is designed to help you determine whether or not you're in need of deliverance and what you could potentially need deliverance from. Please note that this is an online assessment! While this assessment is designed to be as accurate as possible, please note that the results are not guaranteed. They just give you something to work with, but if you schedule a coaching call with Apostle Meadows, he will be able to give you a more definite answer.

Name* This field is required.

First Name

Last Name

Email* This field is required.

example@example.com

Confirm Email* This field is required.

example@example.com

Your Age* This field is required.

Are you saved? * This field is required.

YESNO

Have you ever spoke in your Heavenly language (tongues)?* This field is required.

YESNO

Have you ever been diagnosed with a mental illness or disorder?* This field is required.

YESNO

If you have been diagnosed with a mental disorder or illness, what were you diagnosed with?* This field is required.Choose all that apply. (Note: your answers are confidential, and there is no need to feel ashamed! Many disorders and dysfunctions are directly tied to demonic activity or the demons themselves, so knowing what you were diagnosed with helps us to determine what spirits may be working behind the scenes in your life.)

Depression

Bipolar Disorder

Generalized Anxiety Disorder

Social Anxiety Disorder

Panic Disorder

Obsessive Compulsive Disorder

Post Traumatic Stress Disorder

Paranoid Personality Disorder

Schizoid Personality Disorder

Schizotypal Personality Disorder

Antisocial Personality Disorder

Histrionic Personality Disorder

Borderline Personality Disorder

Narcissistic Personality Disorder

Avoidant Personality Disorder

Dependent Personality Disorder

Schizophrenia

An Eating Disoder

Other

Never Diagnosed

Do any of the following disorders or illnesses fun in your family?* This field is required.Choose all that apply. (Note: your answers are confidential, and there is no need to feel ashamed! Many disorders and dysfunctions are directly tied to demonic activity or the demons themselves, so knowing what runs in your family helps us to determine what spirits may have been passed down to you or in operation in your life.)

Depression

Bipolar Disorder

Generalized Anxiety Disorder

Social Anxiety Disorder

Panic Disorder

Obsessive Compulsive Disorder

Post Traumatic Stress Disorder

Paranoid Personality Disorder

Schizoid Personality Disorder

Schizotypal Personality Disorder

Antisocial Personality Disorder

Histrionic Personality Disorder

Borderline Personality Disorder

Narcissistic Personality Disorder

Avoidant Personality Disorder

Dependent Personality Disorder

Schizophrenia

An Eating Disoder

Other

Never Diagnosed

If you were diagnosed with a disorder and it wasn't on the aforementioned list, write the name of the disorder below.

Do you sometimes feel like you're being followed or monitored?* This field is required.

YESNO

If you answered yes to the previous question, please submit details here.

Does your church engage the ministry of deliverance?* This field is required.

YESNO

When was the last time you went through deliverance?* This field is required.

Less than a month ago

Between 1 - 3 months ago

Between 3 - 6 months ago

Between 6 - 9 months ago

Between 9 to12 months ago

Between 12 - 24 months ago

More than two years ago

Never

Are you a fearful or fear-filled person? * This field is required.

YESNO

What are your greatest fears?* This field is required.

Do you often regret how you reacted or responded to a situation? * This field is required.

YESNO

The Bible lists 17 works of the flesh. Which (if any) of these fruits are thriving in your life?* This field is required.Choose all that apply.

Adultery

Fornication

Uncleanness

Lasciviousness

Idolatry

Witchcraft

Hatred

Variance

Emulations

Wrath

Strife

Seditions

Heresies

Envy

Murders

Drunkenness

Reveling

None of them!

Do you wrestle with sexual lust?* This field is required.

YESNO

Within the last 12 months, have you had any sexual dreams?* This field is required.

YESNO

Have you practiced any of the following?* This field is required.Choose all that apply.

Satanism

Theosophy

Divination

Astrology

Hermeticism

Kabbalah

Neoplatonism

Gnosticism

Alchemy

Numerology

Wicca

Thelema

None of the Above

Other

Have you ever played with a Ouija board?* This field is required.

YESNO

Do you search for spiritual revelations/information outside of the Holy Bible?* This field is required.

YESNO

Do you feel like you have to be in control in order for your relationships to work?* This field is required.

YESNO

Which of the following statements are true regarding you?* This field is required.

I can't submit to anyone!

I am a stubborn individual!

I wrestle with pride!

If someone says no to me, I panic or get extremely angry!

I am intimidated by authority figures!

I hate authority figures!

I punish people for not giving me what I want!

None of the aforementioned statements apply to me!

Does witchcraft run in your family?* This field is required.

YESNO

Do you sometimes dream of snakes?* This field is required.

YESNO

List two of your most prevalent dreams/nightmares.* This field is required.

Do you often feel what others are going through? * This field is required.

YESNO

Do you often wrestle with unforgiveness? * This field is required.

YESNO

Have you ever been involved in a séance? * This field is required.

YESNO

Do you watch porn?* This field is required.

YESNO

Do you struggle with masturbation?* This field is required.

YESNO

How would you define your relationship with God?* This field is required.

Close and Intimate

Stable

It could use some work

It's non-existent!

Which of the following issues run in your family?* This field is required.

Divorce

High Blood Pressure

Diabetes

Cancer

Mental Illness

Incest

Promiscuity

Other Sexual Perversion

Anger/Rage

Poverty

Premature Death

Suicide

Drug/Alcohol Addiction

Abortion

Rebellion

Theft

Hatred of Men/Women

None of the Above

Which of the following statements are applicable to your life?* This field is required.Choose all that apply.

I don't know who my biological father is!

I know who my biological father is, but he has never been present in my life!

I know who my biological father is, but he is (or was) in and out of my life!

I know who my biological father is, but he's not mentally or emotionally healthy!

My biological father abused me.

My stepfather or one of my mother's boyfriends/lovers abused me.

My mother physically abused me.

My mother mentally abused me.

My mother neglected me.

My mother was very religious, but evil.

I wasn't raised by either of my parents.

I was abused by the family that fostered me.

My mother favored one or more of my siblings over me.

One or both of my parents wrestled with drug or alcohol addiction.

One or both of my parents sexually abused me.

I was sexually abused by a step parent or one of my parents' lovers.

None of the above are applicable to my life!

Are you suicidal?* This field is required.

YESNO

Have you ever attempted suicide?* This field is required.

YESNO

Do you believe that one of your deceased loved ones has been or is attempting to make contact with you?* This field is required.

YESNO

Have you underwent any of the following?* This field is required.Choose all that apply. No shame!

Rape

Molestation

Incest

Sex Trafficking

None of the above

Do you like to cut yourself?* This field is required.

YESNO

Have you ever dreamed of someone marrying you?* This field is required.

YESNO

Do you wrestle with same-sex attraction?* This field is required.

YESNO

Which (if any) of the following statements are true regarding you?* This field is required.Choose all that apply.

I often hear voices when no one else is around.

I communicate with the dead or I have attempted to communicate with the dead.

I believe my phone lines are tapped.

I believe that the United States government is monitoring my activity.

I believe that there are cameras hidden in my home.

I believe that there is a tracking device on or in my car.

I believe that I've been microchipped, and the government is using that chip to monitor me.

I believe someone is using drones to spy on my life.

I believe that someone has hacked my computer and is using it to monitor me.

I believe that my neighbors are always watching me.

None of the aforementioned states are applicable to me!

If you've ever undergone deliverance, what demons were cast out of you?

Do you commonly reference your horoscope? * This field is required.

YESNO

Have you ever had your palm read? * This field is required.

YESNO

Have you ever went to a psychic? * This field is required.

YESNO

Do you dabble in any of the following?* This field is required.Choose all that apply.

Witchcraft

Sage (to remove negative energy or to protect yourself)

Numerology

Zodiac signs

Tarot card readings

Crystals (for healing)

Necromancy

Palm reading

No, I do not dabble in any of the aforementioned arts.

Do you believe in the legitimacy of the Bible? * This field is required.

YESNO

If you do not believe in the legitimacy of the Bible, briefly explain why?!* This field is required.

Which of the following statements apply to you?* This field is required.

When I walk into a room, I feel like everyone is watching and judging me.

Most people are jealous of me because I'm remarkably attractive!

I reject people when I sense that they are about to reject me!

I often compare myself with others.

I have negative views of the opposite sex.

I have negative views of people who are the same gender as I am.

I often isolate myself.

I have no friends.

Are you suffering through depression?* This field is required.

YESNO

Is there a sin or bad habit that you're trying to stop, but can't seem to eliminate from your life?* This field is required.

YESNO

List anything else you'd want Apostle Meadows to know or believe that he should know before he begins your assessment.* This field is required.