Questionnaire – TI Help Now

This Questionnaire will facilitate your first consultation with Chief Jones, so that he may assess, and target your needs quicker. This questionnaire is confidential: Only Chief Jones will respond to it.

If you are going to use a fake name for any reason please state so, and stick to the same name, and the same email throughout our communication. Keeping track of specific clients, in time zones all over the country, is challenging when clients keep changing names and contact information. For efficiency and confidentiality, Chief Jones must positively identify you before he can start a dialogue with you.

Chief Jones believes in HIPPA and client privacy and discretion. He is Not an Attorney, Nor is he a Judge nor has he been one. Anything he says or does in his consulting is absent legal advice, absent legal intent, absent legal value. This is a part of his ministry as a Pastor, Retired Chief of Police, and based on his 40 Year Career in the Criminal Justice Field.

This form must be printed out, and filled out by you. Then you sign it and agree that you understand it. Chief Jones will not consult with anyone who does not fill this out, sign it, and make a $100.00 donation (yellow PayPal button above). Donations are used to offset his costs, and aid his Ministry.

To contact and consult with Chief Jones, after this form is submitted (green button below), he can use Skype, Watts app, Signal app, LINE app, or cell phone. (See Contact tab above.) He does not have a land line.

Full Name (Absolutely Required)

E-Mail Address - Permission for Chief Jones to Contact You (Absolutely Required)

Mailing Address (Absolutely Required)

Age/DOB (Optional)

Race/Gender (Optional)

1. Date you first became aware/suspicious that you were a target?

2. What type of targeting do you know/suspect?

3. Do you know who is doing this?

4. Do you know why this is being done to you?

5. How do you deal with this daily? i.e. grounding, protective head gear, minerals, live in an outdoor environment etc.

6. Do you have an idea of what you would expect from me? i.e. run your situation by me, use me as a sounding board, do research for you, make an open records request…prepare a law enforcement practitioners opinion, or other?

7. Have you had a complete physical in the last 365 days? If so when, and the outcome. If not, when was the last one done, and the results?

8. Have you been to a psychologist or psychiatrist in the last year - or last visit and diagnosis given - and therapy issued i.e. counseling, mind exercise, change of environment, and/or medication?

If listed in your response to question 8, please explain how well you’ve responded to the RX or therapy.

9. Do you have any specific religious beliefs that should be known, so that saying or doing anything offensive might be avoided?

10. Do you have any real evidence such as audio, visual, video, trace evidence, any open records that support your claim(s), any sworn affidavits of truth/fact by you or others that support your claim(s), any law enforcement reports/investigations? Please give details if applicable.

11. Any eyewitness statements?

12. Anything you think may be a clue or helpful...?

13. Have you made any typed or handwritten notes that may be of help to solve your case of targeting?