Name *

First Name

Last Name

Are you ok sharing the following info with the public? (Choose all that apply) *

First Name Only

First & Last Name

Prefer to remain anonymous

Do you meditate? *

Yes

No

How often do you meditate? *

Everyday

Once/week

Once/month

Never

What tools do you use to meditate? (Choose all that apply) *

Guided audio track

Music

Exercise

Breathing exercises

Nothing

When meditating, do you see the following? (choose all that apply) *

Colours

Texture of energy

Hear sounds

Smell scents

People

Images

None of the above

How often do you receive messages in the form of symbols in your everyday life? *

Everyday

Once/week

Once/month

Never

I will require two hours of your time to complete this experiment. One for the session and the other for follow up information. Does this work for you? *

Yes

No

The sessions will be recorded and will be used as a part of my research. The information may be used in a public medium (such as a book, podcast etc.). Are you ok with this? *

Yes

No