Study Questionnaire
This questionnaire consists of a set of items aimed at identifying an individual's content of thoughts, emotions, and his meditation background. ๐‘ท๐’๐’†๐’‚๐’”๐’† ๐’“๐’†๐’‚๐’… ๐’•๐’‰๐’† ๐’”๐’•๐’‚๐’•๐’†๐’Ž๐’†๐’๐’•๐’” ๐’„๐’‚๐’“๐’†๐’‡๐’–๐’๐’๐’š ๐’‚๐’๐’… ๐’‡๐’Š๐’๐’ ๐’•๐’‰๐’† ๐’Š๐’๐’‡๐’๐’“๐’Ž๐’‚๐’•๐’Š๐’๐’ ๐’‰๐’๐’๐’†๐’”๐’•๐’๐’š. You can take occasional short breaks of 2-4 minutes but ensure to ๐’„๐’๐’Ž๐’‘๐’๐’†๐’•๐’† ๐’Š๐’• ๐’Š๐’ ๐’‚ ๐’”๐’Š๐’๐’ˆ๐’๐’† ๐’”๐’†๐’”๐’”๐’Š๐’๐’.
participant (to be generated from Pavlovia) *
This scale consists of a number of words that describe different feelings and emotions. Read each item and then mark the appropriate answer in the space next to that word to ๐’Š๐’๐’…๐’Š๐’„๐’‚๐’•๐’† ๐’•๐’ ๐’˜๐’‰๐’‚๐’• ๐’†๐’™๐’•๐’†๐’๐’• ๐’š๐’๐’– ๐‘ฎ๐‘ฌ๐‘ต๐‘ฌ๐‘น๐‘จ๐‘ณ๐‘ณ๐’€ ๐’‡๐’†๐’†๐’ ๐’•๐’‰๐’Š๐’” ๐’˜๐’‚๐’š ๐’Š๐’ ๐’๐’Š๐’‡๐’†.
*
Not at all
A little
Moderately
Quite a bit
Extremely
Upset
Hostile
Alert
Ashamed
Inspired
Nervous
Determined
Attentive
Afraid
Active
Please read each statement and circle a number 0, 1 2, or 3 which indicates ๐’‰๐’๐’˜ ๐’Ž๐’–๐’„๐’‰ ๐’•๐’‰๐’† ๐’”๐’•๐’‚๐’•๐’†๐’Ž๐’†๐’๐’• ๐’‚๐’‘๐’‘๐’๐’Š๐’†๐’… ๐’•๐’ ๐’š๐’๐’– ๐’๐’—๐’†๐’“ ๐’•๐’‰๐’† ๐’‘๐’‚๐’”๐’• ๐’˜๐’†๐’†๐’Œ๐’”. There are no right or wrong answers. Do not spend too much time on any statement.
*
Applied not at all
Applied some times
Applied considerably
Applied most times
Found it hard to slow down
Was aware of dryness of my mouth
Couldnโ€™t seem to experience any positive feeling at all
Experienced breathing difficulty
Found it difficult to work up the initiative to do things
Tended to over-react to situations
Experienced trembling (e.g. in the hands)
Felt that I was using a lot of nervous energy
Was worried about situations in which I might panic
Felt that I had nothing to look forward to
Found myself getting agitated
Found it difficult to relax
Felt down-hearted and blue
Was intolerant of anything that kept me from getting on with what I was doing
Felt I was close to panic
Was unable to become enthusiastic about anything
Felt I wasnโ€™t worth much as a person
Felt that I was rather touchy
Was aware of action of my heart in absence of physical exertion (eg.increased rate)
Felt scared without any good reason
Felt that life was meaningless
Below is a collection of statements about your everyday experience. Using the 1-6 scale below, please ๐’Š๐’๐’…๐’Š๐’„๐’‚๐’•๐’† ๐’‰๐’๐’˜ ๐’‡๐’“๐’†๐’’๐’–๐’†๐’๐’•๐’๐’š ๐’๐’“ ๐’Š๐’๐’‡๐’“๐’†๐’’๐’–๐’†๐’๐’•๐’๐’š ๐’š๐’๐’– ๐’„๐’–๐’“๐’“๐’†๐’๐’•๐’๐’š ๐’‰๐’‚๐’—๐’† ๐’†๐’‚๐’„๐’‰ ๐’†๐’™๐’‘๐’†๐’“๐’Š๐’†๐’๐’„๐’†. Please answer according to what really reflects your experience rather than what you think your experience should be. Please treat each item separately from every other item.
1. I could be experiencing some emotion and not be conscious of it until some time later. *
2. I break or spill things because of carelessness, not paying attention, or thinking of something else. *
3. I find it difficult to stay focused on what's happening in the present. *
4. I tend to walk quickly to get where I'm going without paying attention to what I experience along the way. *
5. I tend not to notice feelings of physical tension or discomfort until they really grab my attention. *
6. I forget a person's name almost as soon as I've been told for the first time. *
7. It seems I am "running on automatic," without much awareness of what I'm doing. *
8. I rush through activities without being really attentive to them. *
9. I get so focused on the goal I want to achieve that I lose touch with what I'm doing right now to get there. *
10. I do jobs or tasks automatically, without being aware of what I'm doing. *
11. I find myself listening to someone with one ear, doing something else at the same time. *
12. I drive places on "automatic pilot" and then wonder why I went there. *
13. I find myself preoccupied with the future or the past. *
14. I find myself doing things without paying attention. *
15. I snack without being aware that I'm eating. *
Below are five statements with which you may agree or disagree. Using the 1-7 scale below, ๐’Š๐’๐’…๐’Š๐’„๐’‚๐’•๐’† ๐’š๐’๐’–๐’“ ๐’‚๐’ˆ๐’“๐’†๐’†๐’Ž๐’†๐’๐’• ๐’˜๐’Š๐’•๐’‰ ๐’†๐’‚๐’„๐’‰ ๐’Š๐’•๐’†๐’Ž by placing the appropriate number in the line preceding that item.
*
Strongly disagree
Disagree
Slightly disagree
Neither agree nor disagree
Slightly agree
Agree
Strongly agree
In most ways, my life is close to my ideal.
The conditions of my life are excellent.
I am satisfied with life.
So far I have gotten the important things I want in life.
If I could live my life over, I would change almost nothing.
Do you spare some time from your daily routine to sit for a formal meditation practice? *
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