Preliminary study for research (Effect of attending programmes / using sadhana materials for personal practice designed and conducted by Yogishri) Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6Purpose for Preliminary Study for Research * Denotes required field A. Consent / Assent Forms1. What age group do you belong to? *Below 7 years7 to 11 years12 to 17 years18 years and above ASSENT FORM I have read the “Purpose for Preliminary study for research” in https://www.infinitewings.in/purpose-of-preliminary-study-for-research, or it has been read to me. I have had the opportunity to ask questions about it and any question I have asked has been answered to my satisfaction. I give my consent voluntarily to include my child as a participant in this study and understand that I have the right to withdraw from the study at any time. I give my consent for my child to be included as a participant in this study. ▪ I am also aware of my right that I need not agree to take part in the study without assigning any reasons to do so. ▪ I agree for my child’s participation in the study. To be ticked by parents *I agree to the assent form and wish to proceed CONSENT FORM I have read the “Purpose for Preliminary study for research” in https://www.infinitewings.in/purpose-of-preliminary-study-for-research or it has been read to me. I have had the opportunity to ask questions about it and any question I have asked has been answered to my satisfaction. I consent voluntarily to participate as a participant in this study and understand that I have the right to withdraw from the study at any time. To be ticked by the Participant *I agree to the consent form and wish to proceedDate *Parent's Full Name *Participant's Full Name *Participant's Full Name *NextB. Basic Socio-Demographic DetailsFull Name *FirstLastGender *-Select one-MaleFemaleOtherDate of Birth *Marital Status *-Select one-MarriedNever MarriedLive in/ co-habitingNot living together/ SeparatedDivorcedWidowedEducational Qualification *Designation & Company name *Write N/A if not applicableAddress *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone Number *Email *PreviousNextC. Programmes attended / Personal PracticeSelect the programmes that you have attendedBhagavad Gita weekly discoursesKaya Tatva - Level 1 BasicKaya Tatva - Level 1 Basic & AdvancedYoga Sankirtan Meditation & Self-Healing EmpowermentFinding rhythm in lifeFinite to InfiniteCosmic Vibrational Healing - Yoga Sankirtan Empowerment 2020 (Online course)The ancient secrets of health (Online course)Tap the power of the Infinite - Yoga Sankirtan Empowerment 2021 (Online course)Prana Tatva Level 1 Empowerment (Online course)Build Your Inner Power - Yoga Sankirtan Empowerment 2022 (Online Course)Infinite Happiness-Anandoham (Online Course)Life Balance through Cosmic Healing - Yoga Sankirtan Empowerment 2023 (Online Course)How long have you been attending Bhagavad Gita weekly discourses?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of yearsWhich of the following audio material do you listen to as a part of your personal practice?Yoga SankirtanYoga VishramahKaya Tatva Level 1 MeditationsKaya Tatva Sadhana (Set 1 & 2)Prana Tatva Level 1 Sadhana (Set 1 & 2)Infinite Happiness Meditations - Anandoham (Set 1 & 2)How long have you been listening to Yoga Sankirtan?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Yoga SankirtanHow long have you been listening to Yoga Vishramah?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Yoga VishramahHow long have you been listening to Kaya Tatva Level 1 Meditations?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Kaya Tatva Level 1 Meditations?How long have you been listening to Kaya Tatva Sadhana (Set 1 & 2)?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Kaya Tatva Sadhana (Set 1 & 2)?How long have you been listening to Prana Tatva Level 1 Sadhana (Set 1 & 2)?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Prana Tatva Level 1 Sadhana (Set 1 & 2)?How long have you been listening to Infinite Happiness - Anandoham Sadhana (Set 1 & 2)?-Select one-Less than a month1 to 3 months3 to 6 monthsUpto 1 yearMore than 1 yearSpecify the exact no. of years you have been listening to Infinite Happiness - Anandoham Sadhana (Set 1 & 2)?What is/are the reason/s for attending discourses/programmes or listening to audio material?PreviousNextD. OVERVIEWSpecific physical healthBEFORE attending discourses/programmes or listening to audio material did you have any health related issue/s?YesNoSpecify the name of ailment/sHave you undergone any medical examination / investigation for confirming the diagnosis?YesNoPlease attach the copy of the reports of the medical expert/laboratory investigation/scan reports. Click or drag files to this area to upload. You can upload up to 10 files. Have you undergone any surgery/treatment?YesNoSpecify the details of the surgery/treatment/intake of medicinesWere there any unavoidable side effects due to surgery/treatment/intake of medicines?YesNoPlease provide the detailsAFTER attending discourses/programmes or listening to audio material have your health related issues been cured/improved?YesNoHave you undergone any medical examination / investigation for confirming the same?YesNoPlease attach the copy of the reports of the medical expert/laboratory investigation/scan reports. Click or drag files to this area to upload. You can upload up to 10 files. Did you find any improvement in the unavoidable side effects due to surgery/treatment/intake of medicines?YesNoPlease provide the detailsAFTER attending discourses/programmes or listening to audio material was there any significant effect in your post-surgery recoveryYesNoNot ApplicablePlease provide the detailsPsychological ailment/sBEFORE attending discourses/programmes or listening to audio material did you have any psychological ailment/s?YesNoHave you undergone any diagnosis for the same?YesNoPlease attach the copy of the reports of the diagnosis Click or drag files to this area to upload. You can upload up to 10 files. Have you undergone any treatment?YesNoSpecify the details of the treatment/intake of medicinesWere there any unavoidable side effects due to the treatment/intake of medicines?YesNoPlease provide the detailsAFTER attending discourses/programmes or listening to audio material has there been any improvement/cure in your psychological ailment/s ?YesNoHave you undergone any diagnosis for confirming the same?YesNoPlease attach the copy of the reports of the diagnosis Click or drag files to this area to upload. You can upload up to 10 files. Did you find any improvement in the unavoidable side effects due to the treatment/intake of medicines?YesNoPlease provide the detailsAddictionsBEFORE attending discourses/programmes or listening to audio material did you have any addiction to drugs/alcohol/smokingYesNoPlease provide the details of the addictionDid you take any treatment/counselling for the same?YesNoPlease provide the detailsAFTER attending discourses/programmes or listening to audio material has your addiction to drugs/alcohol/smoking reduced?YesNoPlease provide the detailsPregnancy & Child BirthDo you have/had children?YesNoDid you attend discourses/programmes or listen to audio material just before pregnancy / during your pregnancy / just after childbirth?YesNoWhen did you attend the discourses/programmes or listen to audio material?Before PregnancyDuring PregnancyAfter ChildbirthSelect the options that are applicableDid you give birth to multiple children in a single pregnancy (example - twins)?YesNoPlease provide the detailsDid you have a normal delivery?YesNoWas there any complication during your pregnancy/child birth?YesNoPlease provide the detailsHave you undergone any medical examination / diagnosis for the complication?YesNoPlease attach the copy of the reports of the medical examination/diagnosis/scan reports. Click or drag files to this area to upload. You can upload up to 10 files. AFTER attending discourses/programmes or listening to audio material was there any improvement in the complication during your pregnancy/childbirth?YesNoPlease provide the detailsHave you undergone any diagnosis/scan to confirm the improvement?YesNoPlease attach the copy of the reports of the medical examination/diagnosis/scan reports. Click or drag files to this area to upload. You can upload up to 10 files. How did attending discourses/programmes or listening to audio material help you in your post delivery recovery (physically and mentally)?Did you derive any other benefits during pregnancy or after childbirth from attending discourses/programmes or listening to audio material?YesNoPlease DescribeGeneralPlease describe any other benefit/s that you have derived from attending discourses/programmes or listening to audio material.PreviousNextE. Before attending discourses/programmes or listening to audio materialGeneral Physical HealthThese questions are about your general physical health BEFORE attending discourses/programmes or listening to audio materialIn general, how would you say your health was earlierExcellentVery GoodGoodFairPoorVery PoorSelect one optionHow True or False is each of the following statements for you 1) I seemed to get sick easilyDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I enjoyed good healthDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) I anticipated my health to deteriorateDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option4) I used to feel very energetic throughout the dayDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one optionEmotional / Mental HealthThese questions are pertaining to your emotional/mental health BEFORE attending discourses/programmes or listening to audio material1) Have you been a very nervous person?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option2) Have you felt so down in the dumps that nothing could cheer you up?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option3) Have you felt calm and peaceful?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option4) Have you been a happy person?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option5) Have you had problems concentrating?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option6) Have you had difficulty in taking decisions?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option7) Have you had difficulty with remembering?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option8) Have you found it difficult to think clearly?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option9) How was the quality of your sleep?ExcellentVery GoodGoodFairPoorVery PoorSelect one optionPersonality DevelopmentHow would you rate your personality in the following aspects BEFORE attending discourses/programmes or listening to audio material?1) My ability to face challenges with a calm mindExcellentVery GoodGoodFairPoorVery PoorSelect one option2) My ability to communicate my thoughts and ideas Please select one optionExcellentVery GoodGoodFairPoorVery PoorSelect one option3) My ability to generate positive thoughts and emotions throughout the dayExcellentVery GoodGoodFairPoorVery PoorSelect one option4) My expression of creative skills in actionExcellentVery GoodGoodFairPoorVery PoorSelect one option5) My ability to concentrate for long periods of timeExcellentVery GoodGoodFairPoorVery PoorSelect one option6) My morality / ethics in terms of values and behaviourExcellentVery GoodGoodFairPoorVery PoorSelect one option7) My overall happiness in lifeExcellentVery GoodGoodFairPoorVery PoorSelect one optionCareer / EducationHow would you rate your career / educational growth in the following aspects BEFORE attending discourses/programmes or listening to audio material?1) I used to set goals and achieve them to my satisfactionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I used to manage time effectively and get desired resultsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) My career growth and promotions were to my satisfactionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option4) My decisions were always clear and perfectDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option5) I was always able to maintain complete focus on any given taskDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option6) I used to maintain consistency of action to achieve my desired goalsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option7) I was satisfied with the progressive growth of my income and improvement in my overall financial positionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one optionRelationship ScaleThese questions are regarding your relationships BEFORE attending discourses/programmes or listening to audio material?1) I used to care a lot about othersDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I always used to try and serve others to the best of my ability and make them happyDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) I was able to assess and understand others clearly in all my interactionsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option4) I always used to communicate effectively and trigger positive responses from peopleDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option5) We used to spend a lot of time as a family with a feeling of togethernessDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option6) I had a very satisfying and enriching relationship with my partnerDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option7) My partner, children and others used to feel very comfortable discussing their problems with meDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option8) I never used to hesitate to apologise whenever I commited any mistakeDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one optionPreviousNextF. After attending discourses/programmes or listening to audio materialGeneral Physical HealthThese questions are pertaining to your emotional/mental health AFTER attending discourses/programmes or listening to audio materialIn general, would you say your health is:ExcellentVery GoodGoodFairPoorVery PoorSelect one optionHow TRUE or FALSE is each of the following statements for you AFTER attending discourses/programmes or listening to audio material? 1) I seem to get sick easilyDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I enjoy good healthDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) I anticipate my health to deteriorateDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option4) I feel very energetic throughout the dayDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one optionEmotional / Mental HealthThese questions are pertaining to your emotional/mental health AFTER attending discourses/programmes or listening to audio material1) Do you feel, you are a very nervous person?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option2) Do you feel so down in the dumps that nothing can cheer you up?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option3) Do you feel calm and peaceful?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option4) Are you a happy person?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option5) Do you have problems in concentrating?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option6) Do you have difficulty in taking decisions?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option7) Do you have difficulty with remembering?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option8) Do you find it difficult to think clearly?AlwaysVery frequentlyFrequentlyOccasionallyRarelyVery rarelyNeverSelect one option9) How is the quality of your sleep?ExcellentVery GoodGoodFairPoorVery PoorSelect one optionPersonality DevelopmentHow would you rate your personality in the following aspects AFTER attending discourses/programmes or listening to audio material?1) My ability to face challenges with a calm mindExcellentVery GoodGoodFairPoorVery PoorSelect one option2) My ability to communicate my thoughts and ideasExcellentVery GoodGoodFairPoorVery PoorSelect one option3) My ability to generate positive thoughts and emotions throughout the dayExcellentVery GoodGoodFairPoorVery PoorSelect one option4) My expression of creative skills in actionExcellentVery GoodGoodFairPoorVery PoorSelect one option5) My ability to concentrate for long periods of timeExcellentVery GoodGoodFairPoorVery PoorSelect one option6) My morality / ethics in terms of values and behaviourExcellentVery GoodGoodFairPoorVery PoorSelect one option7) My overall happiness in lifeExcellentVery GoodGoodFairPoorVery PoorSelect one optionCareerHow would you rate your career growth in the following aspects AFTER attending discourses/programmes or listening to audio material?1) I set goals and achieve them to my satisfactionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I manage time effectively and get desired resultsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) My career growth and promotions are to my satisfactionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option4) My decisions are always clear and perfectDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option5) I am always able to maintain complete focus on any given taskDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option6) I maintain consistency of action to achieve my desired goalsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option7) I am satisfied with the progressive growth of my income and improvement in my overall financial positionDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one optionRelationship ScaleThese questions are regarding your relationships AFTER attending discourses/programmes or listening to audio material1) I care a lot about othersDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option2) I always try and serve others to the best of my ability and make them happyDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option3) I am able to assess and understand others clearly in all my interactionsDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option4) I always communicate effectively and trigger positive responses from peopleDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option5) We spend a lot of time as a family with a feeling of togethernessDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one option6) I have a very satisfying and enriching relationship with my partnerDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option7) My partner, children and others feel very comfortable discussing their problems with meDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseNot ApplicableSelect one option8) I never hesitate to apologise whenever I commit any mistakeDefinitely TrueMostly TrueSometimes TrueMostly FalseDefinitely FalseSelect one optionPreviousSubmit