Self Assessment Form 1 Name First name * Email address * Did you find it easy to remember the zera, even during the silent section? * Yes No Did the zera disappear sometimes, to be replaced with everyday thoughts? * Yes No Did you get the feeling your mind was getting calmer, with fewer thoughts? * Yes No Did you get the impression your thoughts might have stopped altogether? * Yes No Do you think you might have fallen asleep? * Yes No If or when you observed any particular experiences or sensations, were you able to return to repeating the zera without distraction by them? * Yes No Doesn't apply How easy was it to come out of your meditation to everyday consciousness? 3 1 = really difficult, 5 = really easy Use this space to record any particular experiences you had during your meditation today: If you felt a bit a faraway as you came out of meditation, did you use the grounding recommendations to rectify this? * Yes No Doesn't apply Overall, how successful was this first meditation? (Stars out of 5) * How much did you enjoy your meditation? (Hearts out of 5) * Anything else you want to add that's relevant?