HW5: Actual Survey Form

Gender: _____

Age: _____

How often do you seek a fortune teller?

______ Always

______ Sometimes

______ Never 

 In your opinion, fortune telling is a….

______ Business

______ Counseling

______ Fraud

______ Talent/gift from God

______ Other (Please specify: ____________________________)

Which fortune telling method do you prefer?

______ Cartomancy (using a deck of cards)

______ Astrology (celestial bodies)

______ Palmistry or chiromancy (palm reading)

______ Crystallomancy (gazing at a crystal globe, a pool of water, 
               a mirror, or any transparent object)   

______ Other (Please specify: ____________________________)

How would you describe your experience/s with a fortune teller?

______ Pleasant or positive

______ Convincing or believing

______ Traumatic or negative

______ Skeptical or doubtful

What might be the reason/s on why you want to go on a fortune teller?

______ To ask for advice

______ To ask about my future

______ For experience/s

______ Other (Please specify: ____________________________)

What are the questions/matters that you would ask a fortune teller?

__________________________________________________

Based on your experience/s with a fortune teller, how did it affects/influences you?

______________________________________________________

Do you believe in fortune telling?

______ Yes

______ No

______ Reliant/dependent to other matters (please specify: ______________)