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ONLINE ASSESSMENT

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confidential-of-ruqyaservices — Assessment Questionnalres
The accurate answers to these questions will help us with the correct diagnosis of your problem.

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Your Preferred Name *

Your Email *

Your Real Age *

Select Gender *

Male Female

Part 1 Questions

Questions

Answers

1.Do you feel lonely? *

yes No

2.Do you have blue or brown, painful spots on your arms, body or thighs? *

Yes No

3.Do you fear the dark? *

Yes No

4.Do you feel shivers in your stomach? *

Yes No

5.Do you feel outcast like a stranger? *

Yes No

6.Do you feel like crying especially before Maghrib (evening)? *

Yes No

7.Do you feel that everyone is leaving you and abandon you? *

Yes No

8.Do you complain of moving pain in the right or left of your body? *

Yes No

9.Do you feel that all the door are shut on your face but open for others? *

Yes No

10.When you get angry, do you lose control/temper? *

Yes No

11.When listening to verse of the holy Quran about black magic (ayahs of sihr) do you feel like throwing up? *

Yes No

12.Do you feel drowsy when listening when listening to the Holy Quran? *

Yes No

13.Do you have low self-esteem? *

Yes No

14.Do you feel like to cry without a reason? *

Yes No

Part 2 Questions

6.Does your face occasionally colour change black? *

Yes No

7.Do you feel occasionally with cool or warm in your extremities? *

Yes No

Part 3 Questions

1.Do you feel heaviness in your arm when waking up from sleep? *

Yes No

2.Do you complain of gas and bloating stomach? *

Yes No

3.Do you complain of recurrent vomiting? *

Yes No

4.Do you see your spouse in the form of pig or monkey? *

Yes No

5.Do you smell foul odors from your spouse mouth? *

Yes No

6.Do you feel lazy to perform pray? *

Yes No

7.Do you feel like committing suicide or running away? *

Yes No

8.Did you ever read the magicians book or magic text and tried to use it? *

Yes No

9.Do you feel pain in your stomach or colon? *

Yes No

10.Do you get jerks in the beginning of sleep? *

Yes No

Part 4 Questions

1.Do you feel heaviness on the back of your head and this feeling extends to your neck and back? *

Yes No

2.Do you feel: constant or interrupted pain in your left side? *

Yes No

Part 5 Questions

Do you suffer from nightmares? *

Yes No N/A

Powerful Ruqyah against the demons and jinns damages

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أقوى رقية شرعية لعلاج الحسد و العين والسحر

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Spiritual Cure-according to the Holy Quran and Sunnah

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HOME
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