Meditation Survey

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Meditation Survey

Review your entire Breathwork experience and rate how you felt any of the sensations during the session. Answer each question according to your feelings, thoughts, and experiences at the time of the session. Use the following scale:
0 – none; not at all
1 – so slight cannot decide
2 – slight
3– moderate
4 – strong
5– extreme

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I was aware of different emotions that arose in me.

Clear selection

I tried to pay attention to pleasant and unpleasant sensations.

Clear selection

I found some of my experiences interesting.

Clear selection

I noticed many small details of my experience.

Clear selection

I felt aware of what was happening inside of me.

Clear selection

I noticed pleasant and unpleasant emotions.

Clear selection

I actively explored my experience in the moment.

Clear selection

I clearly physically felt what was going on in my body.

Clear selection

I changed my body posture and paid attention to the physical process of moving.

Clear selection

I felt that I was experiencing the present moment fully.

Clear selection

I noticed pleasant and unpleasant thoughts

Clear selection

I noticed emotions come and go.

Clear selection

I noticed various sensations caused by my surroundings (e.g., heat, coolness, the wind on my face).

Clear selection

I noticed physical sensations come and go.

Clear selection

I had moments when I felt alert and aware.

Clear selection

I felt closely connected to the present moment.

Clear selection

I noticed thoughts come and go.

Clear selection

I felt in contact with my body.

Clear selection

I was aware of what was going on in my mind.

Clear selection

It was interesting to see the patterns of my thinking.

Clear selection

I noticed some pleasant and unpleasant physical sensations.

Clear selection

Is there anything the facilitators could have done to help you?

A copy of your responses will be emailed to the address you provided.

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