Preliminary study for research form

Preliminary study for research

(Effect of attending programmes / using sadhana materials for personal practice designed and conducted by Yogishri)

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- Step 1 of 6

Purpose for Preliminary Study for Research

* Denotes required field

A. Consent / Assent Forms

1. What age group do you belong to? *

Below 7 years
7 to 11 years
12 to 17 years
18 years and above

ASSENT FORM

I have read the “Purpose for Preliminary study for research” in https://www.infinitewings.in/purpose-of-preliminary-study-for-research, or it has been read to me. I have had the opportunity to ask questions about it and any question I have asked has been answered to my satisfaction. I give my consent voluntarily to include my child as a participant in this study and understand that I have the right to withdraw from the study at any time. I give my consent for my child to be included as a participant in this study.

▪ I am also aware of my right that I need not agree to take part in the study without assigning any reasons to do so.

▪ I agree for my child’s participation in the study.

To be ticked by parents *

I agree to the assent form and wish to proceed

CONSENT FORM

I have read the “Purpose for Preliminary study for research” in

https://www.infinitewings.in/purpose-of-preliminary-study-for-research or it has been read to me. I have had the opportunity to ask questions about it and any question I have asked has been answered to my satisfaction. I consent voluntarily to participate as a participant in this study and understand that I have the right to withdraw from the study at any time.

To be ticked by the Participant *

I agree to the consent form and wish to proceed

Date *

Parent's Full Name *

Participant's Full Name *

B. Basic Socio-Demographic Details

Full Name *

First

Last

Gender *

Date of Birth *

Marital Status *

Educational Qualification *

Designation & Company name *

Write N/A if not applicable

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone Number *

Email *

C. Programmes attended / Personal Practice

Select the programmes that you have attended

Bhagavad Gita weekly discourses
Kaya Tatva - Level 1 Basic
Kaya Tatva - Level 1 Basic & Advanced
Yoga Sankirtan Meditation & Self-Healing Empowerment
Finding rhythm in life
Finite to Infinite
Cosmic Vibrational Healing - Yoga Sankirtan Empowerment 2020 (Online course)
The ancient secrets of health (Online course)
Tap the power of the Infinite - Yoga Sankirtan Empowerment 2021 (Online course)
Prana Tatva Level 1 Empowerment (Online course)
Build Your Inner Power - Yoga Sankirtan Empowerment 2022 (Online Course)
Infinite Happiness-Anandoham (Online Course)
Life Balance through Cosmic Healing - Yoga Sankirtan Empowerment 2023 (Online Course)

How long have you been attending Bhagavad Gita weekly discourses?

Specify the exact no. of years

Which of the following audio material do you listen to as a part of your personal practice?

Yoga Sankirtan
Yoga Vishramah
Kaya Tatva Level 1 Meditations
Kaya Tatva Sadhana (Set 1 & 2)
Prana Tatva Level 1 Sadhana (Set 1 & 2)
Infinite Happiness Meditations - Anandoham (Set 1 & 2)

How long have you been listening to Yoga Sankirtan?

Specify the exact no. of years you have been listening to Yoga Sankirtan

How long have you been listening to Yoga Vishramah?

Specify the exact no. of years you have been listening to Yoga Vishramah

How long have you been listening to Kaya Tatva Level 1 Meditations?

Specify the exact no. of years you have been listening to Kaya Tatva Level 1 Meditations?

How long have you been listening to Kaya Tatva Sadhana (Set 1 & 2)?

Specify the exact no. of years you have been listening to Kaya Tatva Sadhana (Set 1 & 2)?

How long have you been listening to Prana Tatva Level 1 Sadhana (Set 1 & 2)?

Specify the exact no. of years you have been listening to Prana Tatva Level 1 Sadhana (Set 1 & 2)?

How long have you been listening to Infinite Happiness - Anandoham Sadhana (Set 1 & 2)?

Specify the exact no. of years you have been listening to Infinite Happiness - Anandoham Sadhana (Set 1 & 2)?

What is/are the reason/s for attending discourses/programmes or listening to audio material?

D. OVERVIEW

Specific physical health

BEFORE attending discourses/programmes or listening to audio material did you have any health related issue/s?

Specify the name of ailment/s

Have you undergone any medical examination / investigation for confirming the diagnosis?

Please attach the copy of the reports of the medical expert/laboratory investigation/scan reports.

Click or drag files to this area to upload. You can upload up to 10 files.

Have you undergone any surgery/treatment?

Specify the details of the surgery/treatment/intake of medicines

Were there any unavoidable side effects due to surgery/treatment/intake of medicines?

Please provide the details

AFTER attending discourses/programmes or listening to audio material have your health related issues been cured/improved?

Have you undergone any medical examination / investigation for confirming the same?

Please attach the copy of the reports of the medical expert/laboratory investigation/scan reports.

Click or drag files to this area to upload. You can upload up to 10 files.

Did you find any improvement in the unavoidable side effects due to surgery/treatment/intake of medicines?

Please provide the details

AFTER attending discourses/programmes or listening to audio material was there any significant effect in your post-surgery recovery

Yes
No
Not Applicable

Please provide the details

Psychological ailment/s

BEFORE attending discourses/programmes or listening to audio material did you have any psychological ailment/s?

Have you undergone any diagnosis for the same?

Please attach the copy of the reports of the diagnosis

Click or drag files to this area to upload. You can upload up to 10 files.

Have you undergone any treatment?

Specify the details of the treatment/intake of medicines

Were there any unavoidable side effects due to the treatment/intake of medicines?

Please provide the details

AFTER attending discourses/programmes or listening to audio material has there been any improvement/cure in your psychological ailment/s ?

Have you undergone any diagnosis for confirming the same?

Please attach the copy of the reports of the diagnosis

Click or drag files to this area to upload. You can upload up to 10 files.

Did you find any improvement in the unavoidable side effects due to the treatment/intake of medicines?

Please provide the details

Addictions

BEFORE attending discourses/programmes or listening to audio material did you have any addiction to drugs/alcohol/smoking

Please provide the details of the addiction

Did you take any treatment/counselling for the same?

Please provide the details

AFTER attending discourses/programmes or listening to audio material has your addiction to drugs/alcohol/smoking reduced?

Please provide the details

Pregnancy & Child Birth

Do you have/had children?

Did you attend discourses/programmes or listen to audio material just before pregnancy / during your pregnancy / just after childbirth?

When did you attend the discourses/programmes or listen to audio material?

Before Pregnancy
During Pregnancy
After Childbirth

Select the options that are applicable

Did you give birth to multiple children in a single pregnancy (example - twins)?

Please provide the details

Did you have a normal delivery?

Was there any complication during your pregnancy/child birth?

Please provide the details

Have you undergone any medical examination / diagnosis for the complication?

Please attach the copy of the reports of the medical examination/diagnosis/scan reports.

Click or drag files to this area to upload. You can upload up to 10 files.

AFTER attending discourses/programmes or listening to audio material was there any improvement in the complication during your pregnancy/childbirth?

Please provide the details

Have you undergone any diagnosis/scan to confirm the improvement?

Please attach the copy of the reports of the medical examination/diagnosis/scan reports.

Click or drag files to this area to upload. You can upload up to 10 files.

How did attending discourses/programmes or listening to audio material help you in your post delivery recovery (physically and mentally)?

Did you derive any other benefits during pregnancy or after childbirth from attending discourses/programmes or listening to audio material?

Please Describe

General

Please describe any other benefit/s that you have derived from attending discourses/programmes or listening to audio material.

E. Before attending discourses/programmes or listening to audio material

General Physical Health

These questions are about your general physical health BEFORE attending discourses/programmes or listening to audio material

In general, how would you say your health was earlier

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

How True or False is each of the following statements for you

1) I seemed to get sick easily

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I enjoyed good health

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) I anticipated my health to deteriorate

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

4) I used to feel very energetic throughout the day

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

Emotional / Mental Health

These questions are pertaining to your emotional/mental health BEFORE attending discourses/programmes or listening to audio material

1) Have you been a very nervous person?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

2) Have you felt so down in the dumps that nothing could cheer you up?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

3) Have you felt calm and peaceful?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

4) Have you been a happy person?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

5) Have you had problems concentrating?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

6) Have you had difficulty in taking decisions?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

7) Have you had difficulty with remembering?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

8) Have you found it difficult to think clearly?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

9) How was the quality of your sleep?

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

Personality Development

How would you rate your personality in the following aspects BEFORE attending discourses/programmes or listening to audio material?

1) My ability to face challenges with a calm mind

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

2) My ability to communicate my thoughts and ideas Please select one option

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

3) My ability to generate positive thoughts and emotions throughout the day

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

4) My expression of creative skills in action

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

5) My ability to concentrate for long periods of time

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

6) My morality / ethics in terms of values and behaviour

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

7) My overall happiness in life

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

Career / Education

How would you rate your career / educational growth in the following aspects BEFORE attending discourses/programmes or listening to audio material?

1) I used to set goals and achieve them to my satisfaction

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I used to manage time effectively and get desired results

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) My career growth and promotions were to my satisfaction

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

4) My decisions were always clear and perfect

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

5) I was always able to maintain complete focus on any given task

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

6) I used to maintain consistency of action to achieve my desired goals

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

7) I was satisfied with the progressive growth of my income and improvement in my overall financial position

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

Relationship Scale

These questions are regarding your relationships BEFORE attending discourses/programmes or listening to audio material?

1) I used to care a lot about others

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I always used to try and serve others to the best of my ability and make them happy

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) I was able to assess and understand others clearly in all my interactions

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

4) I always used to communicate effectively and trigger positive responses from people

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

5) We used to spend a lot of time as a family with a feeling of togetherness

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

6) I had a very satisfying and enriching relationship with my partner

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

7) My partner, children and others used to feel very comfortable discussing their problems with me

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

8) I never used to hesitate to apologise whenever I commited any mistake

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

F. After attending discourses/programmes or listening to audio material

General Physical Health

These questions are pertaining to your emotional/mental health AFTER attending discourses/programmes or listening to audio material

In general, would you say your health is:

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

How TRUE or FALSE is each of the following statements for you AFTER attending discourses/programmes or listening to audio material?

1) I seem to get sick easily

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I enjoy good health

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) I anticipate my health to deteriorate

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

4) I feel very energetic throughout the day

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

Emotional / Mental Health

These questions are pertaining to your emotional/mental health AFTER attending discourses/programmes or listening to audio material

1) Do you feel, you are a very nervous person?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

2) Do you feel so down in the dumps that nothing can cheer you up?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

3) Do you feel calm and peaceful?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

4) Are you a happy person?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

5) Do you have problems in concentrating?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

6) Do you have difficulty in taking decisions?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

7) Do you have difficulty with remembering?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

8) Do you find it difficult to think clearly?

Always
Very frequently
Frequently
Occasionally
Rarely
Very rarely
Never

Select one option

9) How is the quality of your sleep?

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

Personality Development

How would you rate your personality in the following aspects AFTER attending discourses/programmes or listening to audio material?

1) My ability to face challenges with a calm mind

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

2) My ability to communicate my thoughts and ideas

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

3) My ability to generate positive thoughts and emotions throughout the day

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

4) My expression of creative skills in action

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

5) My ability to concentrate for long periods of time

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

6) My morality / ethics in terms of values and behaviour

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

7) My overall happiness in life

Excellent
Very Good
Good
Fair
Poor
Very Poor

Select one option

Career

How would you rate your career growth in the following aspects AFTER attending discourses/programmes or listening to audio material?

1) I set goals and achieve them to my satisfaction

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I manage time effectively and get desired results

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) My career growth and promotions are to my satisfaction

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

4) My decisions are always clear and perfect

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

5) I am always able to maintain complete focus on any given task

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

6) I maintain consistency of action to achieve my desired goals

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

7) I am satisfied with the progressive growth of my income and improvement in my overall financial position

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

Relationship Scale

These questions are regarding your relationships AFTER attending discourses/programmes or listening to audio material

1) I care a lot about others

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

2) I always try and serve others to the best of my ability and make them happy

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

3) I am able to assess and understand others clearly in all my interactions

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

4) I always communicate effectively and trigger positive responses from people

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

5) We spend a lot of time as a family with a feeling of togetherness

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option

6) I have a very satisfying and enriching relationship with my partner

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

7) My partner, children and others feel very comfortable discussing their problems with me

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False
Not Applicable

Select one option

8) I never hesitate to apologise whenever I commit any mistake

Definitely True
Mostly True
Sometimes True
Mostly False
Definitely False

Select one option