Self Assessment Form 11 (with review) Order Number First name * Email address * Did you meditate this morning? * Yes No Did you meditate this evening? * Yes No Review This section of the form needs you to collate information from SAFs 1–10. Please do NOT include information from today's SAF 11. Over the past 10 days, you have had a total of 19 opportunities to meditate (you only meditated once on Day One). Please count how many times you meditated during this period and enter the figure below: * 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 How many times did you touch Divine Source? * None 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Remember you are only counting SAFs 1–10 Have you noticed any benefits from doing Zera Meditation, either during sessions or between times? * Yes No Do you feel strongly motivated to continue your practice? * Yes No How successful do you feel Zera Meditation has 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? * Anything else you want to add that's relevant?