Survey Registration

Please complete the details below

Your Name

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Email Address

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Current Age

18-30 31-40 41-50 51-65 66+

Subjective Age

Irrespective of your real age, how old do you currently feel?

Gender

Male Female

Education

What is your highest level of education?

School

up to 14 years up to 16 years up to 18 years

Post-school education

Undergraduate degree Postgraduate degree Prof. qualification

Occupation

Your occupation

How would you describe your occupation?

Meditation experience

How long, if at all, have you practised meditation?

Not at all Less than a month Less than a year More than a year

Learning method

Please indicate whether you are:

Doing a self-guided course, either along with the book Practical Zen for Health, Wealth & Happiness or with our online video course
Part of a taught course with a live teacher

Teacher reference

If you are studying with a teacher, please enter their reference here.

Course reference

If you are studying with a teacher, please enter your course reference here.