MLT Combined Deliverance Form 

Part A

To be completed by all applicants who wish to to receive ministry from MLT. You will need to be a member of the Messianic Evangelicals (ME) Network before going any further

https://www.facebook.com/groups/messianicevangelicals/

so that we can get to know you better through fellowship and where you can use our backup materials.

Please complete the following Form accurately and fully. When you have done so, please email it to the Group Moderators Lev/Christopher and Avah.

This Form will not be read by anybody except the moderators.

All questions marked with an asterisk * are compulsory. You do not need to answer questions without an asterisk * if you don't want to, but the more you share builds trust and enables us to get a better handle on your problems.

Key to use: Y=Yes N=No DK=Don't Know

1. Your Skype nic/email address: (e.g. HisGlory75@yahoo.com): *

2. The name (if different from your nic) you want to be known by:

3. Your gender (male/female): *

4. Your age: *

5. Are you married?:

6. The country you live in (e.g. USA): *

7. Your state, province, district, or county (e.g. Florida, Quebec):

8. The town/city you live in (e.g. Phoenix, London):

9. Have you accepted Yah'shua the Messiah (Jesus Christ) as your Master/Lord and Deliverer/Saviour? (Y/N): *

If your answer to the above is No,

9a. Do you want to make Him your Master/Lord? (Y/N/DK): *

If your answer is still No, then I'm afraid we cannot help you. There is no deleiverance without Yah'shua/Jesus

Personal comments:

10. Do you accept the Bible as Yahweh's (God's) Infallible Word? (Y/N/DK): *

Personal comments:

11. Do you have, or do you believe you have, a demon problem? (Y/N/DK): *

If your answer to the above is Yes,

11a. Do you want to have your demons expelled? (Y/N/DK): *

11b. Are you willing to do everything Yahweh asks you to do to be free? (Y/N/DK): *

If your answer is No, we cannot help you. If your answer is Don't Know, then you are probably not ready for deliverance yet

12. Are you, to your knowledge, a victim of Satanic Ritual Abuse (SRA)? (Y/N/DK): *

13. Do you know if you have Multiple Personality Disorder (MPD/DID)? (Y/N/DK): *

14. Do you ever lose time (have unaccountable memory lapses)? (Y/N/DK): *

15. Have you received deliverance minisry outside this Group before? (Y/N): *

If your answer to the above is Yes,

15a. Please share in your own words who you received helped from, whether it was successful or not, what they did, what you experienced, and whether you are continuing to receive help from them . It is important that you are as detailed as possible:

15b. Did you have any negative experiences that have made it difficult coming back for more help (as to this ME Group, for instance)?

16. Are you currently a member of a Wiccan, Satanist, or devil-worshipping coven? (Y/N): *

17. Are you recently escaped from a coven? (Y/N): *

18. Are you looking for a safe house? (Y/N)

19. Are you willing to tell the truth and whole truth if your membership is accepted? (Y/N): *

We cannot work or waste time with people who are dishonest. Our time is precious and we must prioritise it for those who are genuine deliverance seekers.

20. Unlike most deliverance groups, we work within a framework of trusting Yah'shua and Torah-obedience (keeping the commandments). Are you willing to work within this framework as a member of the group? (Y/N): *

Commandment-disobedience gives demons grounds to continue to oppress. In our experience, those not willing to follow the Torah rarely maintain the deliverance they receive for any length of time because of the legal grounds disobedience gives the enemy.

21. Many people coming for deliverance want to be 'in charge' because they feel they 'know better' than their ministers. In our experience they usually don't and their resistance to the program we offer either slows down or inhibits deliverance altogether. We do expect those coming to us to follow our leadership. Are you willing to follow the deliverance pattern that we use? (Y/N):*

Finally, before we are willing to help you, you must be willing to make a Statement forsaking Satan, Satanism, the occult, and all the devil's works, whether you are a Christian/Messianic or not. This is the first level of committment we require and indicates that you are serious about deliverance. If you are uncertain about wanting deliverance, you should remain in MLT Reception and talk to the Moderators there until you are.

The purpose of this Statement is, amongst other things, to exclude Satanist infiltrators and others hostile to this ministry, who are out to disrupt or destroy such work. If you have demon problems, you may get demonic opposition from doing so. Your willingness to exercise choice and moral will in making this Statement will be the first of many that will lead you to a full deliverance. In other words, this will be your first contrete committment to freedom.

Please type (do not copy and paste it) the following Statement using small letters (NOT CAPITALS or bold or italic or coloured text) like in the paragraph above:

I HEREBY UNRESERVEDLY RENOUNCE AND FORSAKE ALL THE WORKS OF SATAN, SATANISM, THE OCCULT, AND ALL THE DEVIL'S WORKS SO THAT I MAY BE HEALED AND FIND FREEDOM

Type the text in this font and style below, read it out aloud, and sign your name after it: *

Finally, in making this application, you hereby agree to take responsibility for any ministry you accept (or reject) and absolve MLT of any liability.

Signed (Your Skype nic* and name if you want): *

This information will be kept confidentially in our records.

You should now begin completing Part B
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Part B -Detailed QUESTIONNAIRE

If you have honestly and soberly completed Part A and still want to go on with deliverance, you should now complete Part B.

If you just want to wait a bit, send us Part A only and tell us that you want to hold on a bit before committing further. Otherwise, read on.

Because people coming for deliverance come from many different backgrounds in terms of involvement with the occult, SRA, or other forms of abuse, it is very important for us as deliverance ministers to identify demonic problems as quickly and as thoroughly as possible. In most instances demonic strongholds are not known to the victims and these have to be discovered during the process of deliverance. In the meantime, though, much time can be saved by asking some basic questions.

We ask all those seeking help to complete the following questionnaire. Not everything will apply to your situation and in some cases very little will. Honesty is important if you want to be rid of your demons. Please make a copy of this questionnaire, paste it into an email, answer the questions, and forward it on to me or to the deliverance minister I refer you to. DO NOT POST IT IN ANY ONLINE GROUP.

Before you start filling it in, go into prayer and ask our Heavenly Father, in the Name of Yah'shua (Jesus), to reveal to you areas of activity relevant to deliverance which you may have forgotten about. Not everything will come to your memory necessarily now but it is important to be as thorough as you can. 

If there is a second person who can be an on-the-spot assistant during deliverance (he/she must be a committed believer), such support may be needed at some points during the deliverance to support you and give us feedback. Having a church/assembly for nurturing and on-the-spot care is very desirable which is why we want to know about where you worship. At some point, your local fellowship has to be involved.

In Messiah Yah'shua (Jesus),

The Moderators

PERSONAL INVENTORY CHECKLIST

Date _______________________________________________________

Name _______________________________________________________

Phone _______________________________________________________

Church/Assembly/Fellowship _____________________________________ ____________________________________________________________

Name of Pastor(s) ______________________________________________

Address of fellowship or pastor: __________________________________ ____________________________________________________________
___________________________________________________________

Pastor's phone number and/or email address: ________________________
___________________________________________________________

PLEASE READ INSTRUCTIONS CAREFULLY!!!!!

From this checklist, mark sins and issues which have been recent problems (last six months for example) with a (+) in the spaces next to them. Past sins and issues from as far back as you can remember, which are not problems now, should have an (X) mark next to them. If nothing applies to a listed issue or sin, please leave blank. You must be honest and open: bring everything into the light before Yahweh-Elohim, our Heavenly Father, if you want to be free!

SEXUAL IMPURITY

__Pornography __Fornication __Incest __Rape __Adultery __Lust __Homosexuality/Lesbianism __Prostitution __Pedophilia __Lesbianism __Abortion __Exhibitionism __Venereal Disease __Masturbation __Molestation

OCCULT INVOLVEMENT

__Fortune Told __Tarot Cards __Palm Read __Séance/channeling

__Astrology, Horoscopes __Numerology __Table Tipping __Rune Stones

__White or Black Magic __Role Playing Games/D&D __Ouija Board

__Voodoo/Spell Casting __Wicca __Satanism/Devil Worship __Levitation

__Charms, Fetishes, Crystals __Yoga __Automatic Writing __Martial Arts

__Hypnotism __Auras __Astral Projection/Out of Body __Other  (__________________________________________)

RELIGIOUS BACKGROUND

__Roman Catholicism __Eastern Orthodox __Mormonism __Native American
__New Age __Jehovah's Witness __Christian Science __Unitarian __United Pentecostal __Charismatic (Hagin, Hinn, Copeland, Toronto, Pensacola, Howard-Brown) __Transcendental Meditation __Lodges (Religious/Masonic) __Spiritual Abuse
__Other (______________________________________)

ADDICTIONS, SUBSTANCE ABUSE / USE

__Drugs __Alcohol __Rock Music/Rap ____ Heavy Metal  __Tobacco___ __Prescriptions (past/present) ___Psychotropic meds __Money/Greed __Gluttony/Metabolism __TV/Video Games/ Computer/Shopping __Gambling/Lottery __Gluttony/Metabolism ____ Other (_______________________________________)

MENTAL PROBLEMS

__Delusions __Concentration __Procrastination __Hallucinations __Schizophrenia __Paranoia __Persecution Complex __Accident Prone __Inferiority __Past Traumas __Confused State __Childbirth Trauma / Miscarriage __Compulsive Behaviour

SPIRITUAL PROBLEMS WITH

__Bible Reading __Prayer __Church Attendance __Witnessing

I HAVE DONE THE FOLLOWING

__I speak in Tongues __I'm willing to test the spirit of the Tongue (I John 4:1-4)

__I was slain in the spirit

It is important that we test these because many demonic problems come through these channels. If you are not willing to have these tested, we cannot do a complete deliverance.

RELATIONSHIP PROBLEMS

__Spiritual __Frigidity __In-Laws __Emotional __Impotence __Sexual __Other (_______________________________________________________)

BEHAVIORAL CHARACTERISTICS

__Bitterness or Resentment __Stress, Tension __Hearing Voices in Mind __Unforgiveness __Anger or Rage __Anxiety or Worry __Fear or Doubt __Depression/Grief __Suicide Thoughts __Lying, Deceit __Cursing, Swearing __Jealousy or Envy __Pride or Self-righteousness __Rebellion or Disobedience __Critical Spirit, Gossiping __Daydreaming or Fantasizing __Nightmares __Coveting Other's Possessions __Impatience or Irritability __Stealing __Laziness __Discouragement __Self Pity __Arrogance __Hatred __Controlling or Manipulating __Shame, Guilt, Regret __Insecurity or Low Self-Esteem __Distrust __Belittling __Fighting or Quarreling __Rejection, Abandonment __Isolation, Loneliness

PHYSICAL PROBLEMS

__Stress/Tension __Tired/Exhaustion __Hypoglycemia __AIDS __Allergies, Hay Fever __Anorexia, Bulimia __Dizziness, Blackouts __Menstrual Problems, PMS __Sudden Sleepiness __Insomnia __Nose, Sinus Trouble __Eye Problems __Seizures, Epilepsy __Headaches __Pain or Arthritis __Throat Problems __Infirmities __Ear Problems __Asthma __Diabetes __Chronic Back Trouble __Memory Loss __Hyperactivity/ADD or ADHD __Forgetfuless __ Alzheimer's ___ Schizophrenia ___ Asperger's ___ Austism ___

OTHER

__Veteran __Racism/Prejudice/Minority __Slavery/BDSM (Background) __Abuse from Parents (Physical/Emotional) __Financial

OTHER (not covered above)

________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

We want to bring everything into the light of Yahweh's presence. Call sin SIN, confess everything to Yahweh audibly.

Now thank our Heavenly Father for forgiveness and cleansing through the blood of Messiah/Christ. (1 Jn.15:10) Come boldly to the throne of grace that we may obtain mercy and find grace to help in time of need (Heb 4:16).

Reminder: you will also need to be a member of the Messianic Evangelicals (ME) Network on Facebook:

https://www.facebook.com/groups/messianicevangelicals/

Please make sure the form is completed accurately and fully. When you have done so, please contact (IM/FB email) the Group Moderator Lev/Christopher and you will be given a secure email address to forward Part B to. If you are female you will be assigned a female minister to deal with any sensitive ladies' matters.

Because of health and other committments we only ever take on one or two people at a time. Accordingly we only take those who are totally honest and committed. Thank you and Yahweh bless you.

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