self-assessment form 22 Please complete all fields… Company First name * Email address * How many times have you meditated since SAF 21 (you have had 6 opportunities) * 0 1 2 3 4 5 6
shefa method feedback Company First name * Country England Wales Scotland Republic of Ireland Northern Ireland Norway Netherlands Belgium United States ------------------ Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Email address * Did the course deliveries work for you? Give the course delivery marks out of 10 Was the technology easy to use? Technology marks out of 10 The course materials were… Course materials marks out of 10 How supported did you feel? Marks out of 10 for support How was your overall learning experience? Learning experience (marks out of 10) What has your meditation experience been like? What benefits in everyday life have you gained? Are you interested in learning more? Yes No Maybe Anything else you’d like to add?
self-assessment form 35 and review 3 Please complete all fields… Email First name * Email address * Did you meditate this morning? * Yes No Did you meditate this evening? * Yes No Third Review This section of the form needs you to collate information from your First and Second Reviews, together with SAFs 21–34. Please DO include information from today's SAF 35. Since you began the Shefa Method, you have had a total of 109 opportunities to meditate. Please record how many times you actually meditated during the course and enter the figure below: * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 Please DO include today's meditations SOME QUESTIONS IN HERE ABOUT CHARACTER MEDITATIONS Please use the following four sliders to rate how you feel about yourself in these areas of your life. Do not refer to your Pre-Course Self Assessment Form. This way, you will have a more accurate idea of how you have progressed over the last few weeks. As before, scores are from 1 (poor) to 5 (excellent). Spiritual wellbeing * 3 Mental wellbeing * 3 Emotional wellbeing * 3 Physical wellbeing * 3 Have you noticed any benefits from doing The Shefa Method, either during sessions or between times * Yes No Do you feel strongly motivated to continue your practice, now the course has finished? * Yes No How successful do you feel your meditations have been for you overall? Score from 0 (not at all) to 10 (very successful)? Morning meditations: * 5 Evening meditations: * 5 If there's a significant difference between the scores you gave above, can you think why this might be? For instance, are there lifestyle changes you could make to help ensure both sessions work successfully? Referring back to your SAFs, how would you describe your overall enjoyment of your meditation sessions? * Have you made any lifestyle changes that helped to ensure your meditation sessions now work successfully? * Yes No Anything else you want to add that's relevant?
self-assessment form 34 Please complete all fields… Order Number First name * Email address * Meditating twice a day, every day, means you will have meditated eight times since completing SAF 33. Record how many times you actually meditated… * 0 1 2 3 4 5 6 7 8 Are you now managing all meditations without the audio? * Yes No How many times have you used only one character in a meditation since SAF 33? * 0 1 2 3 4 5 6 7 8 How many times have you used two characters in a meditation since SAF 33? 0 1 2 3 4 5 6 7 8 When do you generally prefer to do your character meditations? * Mornings Evenings No preference How confident do you now feel with introducing characters during your meditation? (1 = No confidence; 5 = very confident) * 3 Do you get strong visual images? (1 = never; 5 = always) * 3 Do you experience any after-images in your mind during the period immediately after meditating? * Always Often Sometimes Rarely Never If you have problems bringing up a strong image, do you introduce the two words? * Yes No Doesn’t apply How easy is it for you to close down the images and return to ordinary meditation, before coming back to everyday consciousness? (1 = difficult; 5 = easy) * 3 Use this box to describe any particular experiences. Especially note any changes you have noticed in your meditation session experience during the last week, while you have been experimenting using more than one character in one session. * How successful are you feeling with this process, introducing more than one character in a meditation session? (1 = unsuccessful; 5 = highly successful) * 3
self-assessment form 33 Please complete all fields… Name First name * Email address * How many times have you meditated since SAF 32? (You have had 6 opportunities) * 0 1 2 3 4 5 6 Remember: Module Eight will be delivered automatically.
self-assessment form 32 Please complete all fields… Order Number First name * Email address * How many times have you meditated since SAF 31 (you have had 6 opportunities) * 0 1 2 3 4 5 6