Course Surveys - Batch 1 - Measurement 1
THANK YOU VERY MUCH FOR YOUR PARTICIPATION!
OK
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1.
Please enter your FIRST name:
(Required.)
2.
Please enter your MIDDLE name:
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3.
Please enter your LAST name:
(Required.)
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4.
Please enter the email address that you log into the course with:
(Required.)
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5.
How happy are you?
(Required.)
Very Happy
Happy
Somewhat Happy
Neither Happy nor Unhappy
Somewhat Unhappy
Unhappy
Very Unhappy
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6.
On a scale of 1 (very low) to 10 (exceptionally high), my well-being is:
(Required.)
1
2
3
4
5
6
7
8
9
10
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7.
Sex:
(Required.)
Male
Female
Other (please specify)
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8.
Date of Birth (MM/DD/YYYY):
(Required.)
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9.
Place of birth (city, state/province, country):
(Required.)
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10.
Current residence (city, state/province, country):
(Required.)
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11.
Current relationship status:
(Required.)
Single-never married
Married
Divorced
Separated
Significant Other/Partner
Widowed
Vowed-religious
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12.
What is the highest level of school you have completed or the highest degree you have received?
(Required.)
Less than high school degree (or equivalent)
High school degree or equivalent ((or equivalent, i.e. GED)
Some college but no degree
Associate degree (or equivalent)
Bachelor degree (or equivalent)
Masters level degree (or equivalent)
Doctoral level degree (or equivalent)
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13.
What is your racial or ethnic identity? (Select all that apply.)
(Required.)
African-American/Black
East Asian
Hispanic/Latinx
Middle Eastern
American Indian/Alaskan Native
Pacific Islander
South Asian
Southeast Asian
White
None of the above, please specify...
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14.
Current occupation, if any:
(Required.)
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15.
Have you every used hallucinogenic drugs?
(Required.)
Yes
No
I'd prefer not to answer
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16.
Have you previously taken this program, or another one of our programs?
(Required.)
Yes
No
Please tell us which program(s) you have taken.
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17.
Do you feel that you have had something which might be referred to as Fundamental Wellbeing, a non-symbolic experience, mystical experience, unitive experience, kundalini experience, a period where your mind has fallen completely silent, a period of profound stillness and deep inner peace, a period of profoundly overwhelming energy or love or bliss, or any other similar event prior to taking the course? If so please briefly tell us about it/them.
(Required.)
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18.
If you are familiar with our scientific work on persistent non-symbolic experience (PNSE)/Fundamental Wellbeing, do you think you experience it, and if so what location would you say you're in?
(Required.)
I'm not familiar with this.
I'm familiar with this but am not sure how it relates to me.
I'm familiar with this but am not sure if I experience it.
I experience persistent PNSE/Fundamental Wellbeing
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19.
In looking at what we've asked above, is there anything else that you feel is important for us to know? If so
please tell us about it.
(Required.)
Current Progress,
0 of 19 answered