Spiritual and Religious Values, Beliefs and Experiences (SRVBE) Survey

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By answering the survey, you indicate your agreement to participate in this research study as a respondent, only. Please see the Privacy Policy and Copyright Information.

Responding to any type of questionnaire about personal beliefs and values can bring up uncomfortable emotions (as well as wonderful feelings). If you notice that you are struggling with overwhelming feelings or troublesome thoughts about spirituality, please consider seeking guidance or counseling with a professional qualified in assisting people in this area. Also see the Internet Resources page on this site. Certainly, you are under no obligations and can discontinue responding to the survey at any time.

Please answer the following questions by providing the most accurate response. If you would like to clarify any of your answers, you may add a comment. Note: Your responses are given anonymously, and your identity, even if revealed through your answers, will not be disclosed in any publication of the research.



1. At this time in your life, do you consider yourself to be a spiritually oriented or religious person, or do you value a religious faith or spiritual practice (given how you define these terms)?
yes
no
unsure

Comment?


2. If you answered "No" to Question 1 (such that you do not consider yourself to be a spiritual or religious person now): At a previous time in your life, did you consider yourself to be a spiritual or religious person or did you value a spiritual or religious faith?
yes
no
unsure

If "Yes" or "Unsure": Briefly explain why or how you changed from one who had a spiritual orientation or religious faith to one who does not. (If you are unsure, please summarize your best guess as to why or how you changed):



3. If you answered "Yes" or "Unsure" to Question 1: For how long have you considered yourself to be a spiritual or religious person? (Or for how long have you valued your spirituality or religious faith? Or for how long have you been interested in spirituality or religion, as you define it?)


At what age did you first experience a personal interest in spirituality or religion: (Select the most accurate response)

Comment?



4. If you answered "Yes" or "Unsure" to Question 1: How important, significant or valuable is your spiritual belief or religious faith to you now in your life? (Select the most accurate response)
The most important area or value of your life
One of the most important or valuable areas of your life (for example, more important than or equally important to your career/job and/or your primary relationships)
Of average importance (for example, your relationships or your career/job are more important; it may be a strong interest, like a hobby or sport)
Not very important
Not at all important

Comment?



5. To what degree do you prioritize your spiritual/religious faith and practices in your daily life?

Comment?


6. Which spiritual faith, religion, or category best describes your current beliefs?
(If you have more than one answer, please rank order them, with #1 being the best description or closest match. Please explain your choices in the comments area below if necessary.)
1st Choice:

2nd Choice (leave blank if not applicable):

3rd Choice (leave blank if not applicable):

Comment?


7. If you believe in a spiritual or divine Being(s), please describe how you name or identify this Being(s) or divine force (for example, God, Goddess, Spirit, Essence, guides, etc.)


8. If any, who or what has been your primary source(s) of inspiration and guidance, or religious or spiritual teachers and/or leaders?


9. When you needed personal advice or counseling for yourself or for your family in the past, to whom did you go for help? (Check all that apply)
Minister, priest, rabbi, guru, or your primary religious or spiritual leader or teacher
Psychotherapist (psychologist, marriage and family counselor, psychiatrist, other)
Medical doctor
Family member (including spouse or romantic partner)
Friend(s)
Psychic, medium, palm or tarot card reader (or Specify in comments below)
Other (Specify in comments below)
Although I may have needed assistance, I did not seek for help from others.
I have not wanted any help of this nature from others.

Comment?

To whom would you be most apt to go for personal advice or counseling if you were to need this now?


10. Have you been to a psychotherapist or counselor for personal, relationship or family assistance?
Yes
No

If "Yes", did you value spirituality or a religious faith or have spiritual experiences at the time that you saw a therapist?

Yes
No
Unsure

Did you tell your therapist about your spiritual faith, religion, or spiritual experiences?

Yes
No
Unsure

If not, why not? (or comment?)


If you did talk with your therapist about your religious or spiritual faith or experiences, what did you share (e.g., did you talk about a spiritual experience or belief)?


How did your therapist respond to this information?



11. Have you ever had what you consider to be a spiritual or religious experience? (Also see the next question, about paranormal or psychic experiences.)
Yes
No
Unsure


If "Yes" or "Unsure", how old were you when this experience/these experiences occurred? (Please separate multiple answers with a comma, for example, 8,15,82,103)

years old

How often do you have what you consider to be spiritual or religious experiences?



Please describe briefly one or two of your most significant or meaningful spiritual or religious experiences
(Please keep your description to less than 2 pages of text, thank you)



12. Have you had a "supernatural," paranormal, transcendent or psychic experience (such as seen visions? heard voices or channeled for other beings? had a visitation from a divine or evil being? had a near death or out-of-body experience? experienced a spiritual or alien abduction? extrasensory perception?)
Yes
No
Unsure

If "Yes" or "Unsure", how old were you when this experience/these experiences occurred? (Please separate multiple answers with a comma, for example, 8,15,82,103)

years old

How often have you had paranormal or psychic experiences?



Please describe briefly one or two of your most significant experiences (unless already described under the previous Question.
Please keep your description to less than 2 pages of text, thank you).



13. If you answered "Yes" or "Unsure" (to Questions 11 or 12): Were you using any psychoactive or psychedelic substance, entheogen, drug, or medication when this (or these) experience(s) occurred?


Yes
No
For one or some of the experiences

If "Yes" or "For some", please indicate which experience(s) and what drug or medication you used?



14. If you answered "Yes" or "Unsure" (to Questions 11 or 12): Have you shared the experience(s) with any one?


Yes
No

If "Yes", if you have shared a significant spiritual, religious or paranormal experience with someone, with whom did you share it? (for example, friend, romantic partner, spouse, minister, spiritual teacher, psychotherapist, etc.)



If "No", or if you did not share one or more of your significant spiritual, religious or paranormal experiences with anyone, why not?



15. If you answered "Yes" or "Unsure" (to Questions 11 or 12):
Have you ever seen a psychologist, psychiatrist, medical doctor, counselor or psychotherapist because you were concerned about having such an experience?
Yes
No

If not, did you consider seeing a psychotherapist or doctor because you were concerned about having such an experience?

Yes
No

Comment?



16. If you answered "Yes" or "Unsure" (to Questions 11 or 12):
Have you ever been diagnosed as having a mental disorder that may have contributed to these experiences?
Yes
No
Unsure

If "Yes": Specify the diagnosis, if you know it:


Comments?


17. If you have a spiritual or religious orientation, please indicate how often you usually engage in the following activities and practices. (Limit your responses to those that are most meaningful; if you do not engage in a listed activity, please leave it blank.):
No spiritual or religious activities, rituals, or practice
Prayer
Meditation
Contemplation (spiritual contemplation)
Worship
Devotional chanting, singing, toning, playing instruments and/or using music or sound
Devotional dance or ritualistic movement (such as mindfulness meditative walking)
Body-mind (and/or spiritual) practice (such as hatha yoga, tai chi, or gi gong; describe below in comments)
Physical exercise as a spiritual practice (describe below in comments)
Creative arts as spiritual practice (describe below in comments)
Spending time alone in nature (with a spiritual or religious intent)
Spending time with others in nature (with a spiritual or religious intent)
Service to others (donating time and/or money with a spiritual/religious intent to those in need)
Reading spiritual or religious texts
Listening to audio tapes and/or viewing video tapes of a spiritual or religious content
Family rituals or spiritual activities (for example, Shabot or family prayer)
Community rituals (with the community of faith)
Personal rituals (done alone)
The spiritual or religious use of psychoactive substances (such as peyote or psilocybin mushrooms)
Celebrating religious holidays
Psychotherapy (e.g., transpersonal or depth psychology; only check if these are considered part of your spiritual/religious practice; describe and indicate how often below in comments)
Body work such as massage/Somatic therapy (only check if these are considered part of your spiritual/religious practice; describe and indicate how often in comments)
Attending Church
Other (describe and indicate how often in comments)


Comments?


18. Do you feel content or satisfied with your current spiritual or religious faith, beliefs and values (or the lack thereof)?
Yes
No
Unsure


Do you feel content or satisfied with your current spiritual or religious practices and activities (or the lack thereof)?
Yes
No
Unsure


Do you feel content or satisfied with the spiritual and religious or paranormal experiences (or the lack thereof) that you have had?
Yes
No
Unsure

Comments?


19. If you answered "No" or "Unsure" to any of these three questions, please explain why you feel discontent or unsatisfied:


20. Do you have any concerns about your spiritual or religious faith, values, practices or experiences (or the lack thereof) for which you would like some assistance or guidance?
Yes
No

Comment? (If "Yes," please describe what concerns you:)



Demographics
Age
Ethnicity(ies) and/or Racial/multi-racial identity
Primary language
Nationality (for example, USA, France, Mexico, China, ...)
Residence: State/Country/Nation
Marital Status
Gender/Sex
Sexual Orientation
Highest Level of education completed
Currently a student?
Field of Study/Training/Major or Degree(s)
Primary occupation/job/profession
Annual salary or income (gross)


Approximately how long did it take you to complete this questionnaire?

minutes

Do you have any comments about the questionnaire or something else that you would like to add?






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