Spiritual Intelligence Questionnaire

CONTACT INFORMATION

First Name

Last Name

Age

INVENTORY SURVEY

Please answer each question in just a few words or a single sentence, except for those questions that ask for a paragraph.

Think back to the biggest problem you had in your life a year ago. How has it changed between now and then?

If the answer you provided is a material problem, what emotional and/or spiritual changes around that problem have you experienced?

Which part of your life are you most satisfied with right now?

Which part of your life are you most dissatisfied with right now?

What is the single most important thing you want to stop?

What past obstacles that have prevented you from achieving your spiritual and personal development goals have you overcome in the past year?

What spiritual and personal development goals have you achieved in the past year?

Please describe in one paragraph the most profound spiritual experience of the past year

How has your spiritual or meditation practice changed in the past year?

Has the frequency or duration of your spiritual or meditation practices changed in the past year?

Please describe the nature of your practice in a sentence or two

If you have a regular practice, how long each day do you devote to it?

Are you currently receiving any other alternative medicine treatments?

Please list any significant medical events in your life, such as accidents, trauma, and major illness, as well as the approximate date of each.

Please list any medical conditions with which you are currently diagnosed.

Please list any mental health conditions with which you have previously or currently been diagnosed.

Do you have a history of family violence as a child

If yes, provide a brief summary of your experiences of violence

Please list any medications that you are currently taking

Are you currently receiving any other alternative medicine treatments (e.g. chiropractic, acupuncture, ayurveda, homeopathy, naturopathy)?

How have your family relationships changed?

How has your personality changed?

How has your health changed?

How has your worldview changed?

Anxiety and Depression Scale

Over the past 2 weeks, have you been bothered by these problems?

Below is a list of problems and complaints that people sometimes have in response to stressful experiences. Please read each one carefully, and select the number that indicates how much you been bothered by that problem in the past month.

Brief Flow Scale

Please think about your recent activities, and score each item based on your average experience for the past week.

Score each statement from 1 to 7 based on how much you agree with the statement with 1 being not at all and 7 being very much.

Transcendent Experiences Scale

Score each statement from 0 to 10 based on how true it is for you, with 0 being completely untrue and 10 being completely true. For the words “the universe” feel free to substitute any word that, to you, indicates the infinite reality; this might be “Nature” or “God” or “Universal consciousness” or another term.

Selfhood Scale

Please rate the following statements on a scale of 0 to 10, where 5 means you're neutral, 0 means you strongly disagree, and 10 means you strongly agree

Personal and Professional Performance Questionnaire

Below are questions about life and work. Please answer based on your experience over the past month. If you have a regular job, please answer based on your professional experience. If you're retired, a homemaker, in school, unemployed, a volunteer, a gig worker, or have an informal formal job, rate your performance on your daily activities.

SUBMIT

SHORT PATH AWAKEN MASTERY

The Spiritual Intelligence Inventory and Results Call