Questionnaires

by Duane Bristow

Happiness Questionnaire

Answer with a number on a scale of 1 to 10 - 1 is no - 10 is yes

For instance on question # 1, "Do you have clean air to breathe?"

1 would indicate that there is no air to breathe.
10 would indicate that there is sufficient good quality air.
numbers between 1 and 10 would indicate that either the air is insufficient or of poorer than optimum quality.

  1. Do you have clean air to breathe?
  2. Do you have clean water to drink?
  3. Do you have good and nourishing food to eat?
  4. Do you get adequate sleep?
  5. Do you feel that you can think clearly?
  6. Are you healthy as opposed to sick or handicapped?
  7. Are you able to get daily exercise?
  8. Do you usually feel energetic as opposed to tired or run down?
  9. Do you have an adequate home with things needed for daily living?
  10. Do you feel safe in your person, family, community, nation, work and health?
  11. Do you have friends, family and companionship (with good sexual relations)?
  12. Do you feel free to move and express yourself?
  13. Are you living in a good place (environment)?
  14. Are you stimulated to live, learn and enjoy life?
  15. Do you feel good about yourself and respected by others?
  16. Are you confident in yourself and in your future?
  17. Are you satisfied with the work you do for a living?
  18. Do you feel knowledgeable about living and life and are you learning?
  19. Do you have enough time to get done what you want and need to do?
  20. Do you help others?
  21. Do you have fun in life (and a sense of humor)?
  22. Do you see and hear and feel and smell and taste good things in life?
  23. Do you feel comfortable in life and in control of your destiny?
  24. Do you feel your life has meaning? (What is the purpose of your life?)
  25. Have you realized or are you realizing your life goals?
  26. Do you have happy memories of the past?

There are 26 questions so the total of your answers should be between 26 and 260.


  
   
   
    
     

World View and Personality Questionnaire

This is a questionnaire designed to get a handle on your overall world view and personality.

Each item below begins with a statement and you are asked to what extent you agree with that statement. Use a number to signify your degree of agreement. Numbers used should range from 1 to 10 with 1 meaning you strongly disagree with the statement and 10 meaning you strongly agree.

  1. In making a moral decision or judgement I know what is right and wrong and have no trouble making such decisions as opposed to having trouble making these decisions because I am unsure if these matters are that clear cut.
  2. In making life or business decisions I am immediately sure of the right decision and march confidently forward as opposed to feeling that I often do not have sufficient information to make the correct decision and often must do more research or gather more data before feeling confident in choosing.
  3. I believe that the world I live in was created by a being higher than myself and I and the world as a whole are being guided toward some ultimate purpose unknown to me by this higher power as opposed to believing that I am an insignificant being existing in a world created by random forces according to natural laws.
  4. I believe that a higher being, in carrying out some ultimate plan for the world, chooses certain people to be leaders and gives them extraordinary authority and powers to carry out the will of that higher being thus exalting them above the ordinary people as opposed to believing that people are all equally insignificant in the universe and must work together to achieve goals they set.
  5. I believe that my people and my country are the best in the world and are superior to most, if not all, others and that the world would be a better place if everyone followed our example.
  6. I believe that the ultimate destiny of our world is for the best as opposed to believing that the world we know is destined for a bad sudden or slow demise at some unknown time in the future.
  7. I believe that the decisions we make both individually and collectively will greatly influence the future of our world as opposed to believing that our destiny is predetermined or beyond our control.
  8. I believe that people should make and carry out plans for their ultimate goals in life as opposed to just letting life happen and going along for the ride being happy in the present.
  9. I believe that the environment in which we live was created for the use of mankind as opposed to believing that mankind is just one more evolutionary experiment by an indifferent universe.
  10. I believe that my life is insignificant as compared to the ultimate purpose of the universe and that I should sacrifice myself or my happiness or my family, if necessary, for the overall purposes of my creator or my country or my leaders.
  11. I believe that I have a soul which is a part of me apart from my physical body that will exist even past the death and destruction of my physical body.
  12. I believe that I am imperfect in the eyes of a higher being and thus should always strive to do as I feel directed by this higher being so that I can be forgiven for my imperfection.
  13. In cases of deciding what I believe I am greatly influenced by the people and culture around me as opposed to doing independent research and deciding for myself what is most likely or best.
  14. I believe that the highest purpose of life is to serve my culture and my God as opposed to living my life for my own happiness and that of my family.
  15. I believe that I know or can learn from my neighbors or my religion all that is really necessary for me to know in life as opposed to always trying to learn more and believing that most things are unknown.
  16. I believe that sex, other than for the purpose of procreation, is dirty and a reminder of the imperfection of man as being more like the animals than his true nature which is to be god like, therefore I feel guilt due to my animalistic sexual urges.
  17. Women are made to be subservient to men and it is largely due to their influence that men often have impure thoughts.
  18. I will eat most anything as opposed to those who are finicky eaters and will not eat meat or will try to eat only organically grown foods.
  19. I am suspicious of the motives and purposes of strangers and those who are not like myself and my neighbors. I am afraid they might be planning to try to take what we have.
  20. I believe that it is more important that I work to gain wealth and power as soon as possible than that I concentrate on enjoying life now.
  21. I am happy to work each day to support my family and enjoy my possessions and be entertained as opposed to studying and learning throughout life.
  22. The opinions of my neighbors about me and about the world are very important to me in forming my own world view.
  23. I am a self made person and have worked hard for what I have and owe no one for it as opposed to those who think they owe their society or their government for providing the infrastructure in which they labor.
  24. If any among us should criticize our way of life or question our beliefs they should be punished or banned and sent to live elsewhere.
  25. My beliefs are so obvious and self-evident that I cannot understand why anyone would not be able to see the truth of them.
  26. If others are not as successful as I have been it is because they are not as smart or willing to work as hard as I have and therefore I should not be expected to help them.

     
 
  
     
 
  
   
    
     
     
 
  
   
    
     
     
 
  
     
 
  
   
    
     
     
 
  
   
    
     

The Future

It is said that the past determines the present and the present determines the future. If this is true then we in the present can determine the future by our actions. So our actions should be decided in light of the future we want to exist. In other words, our collective imaginations and the resulting actions can shape the future in which we will live.

So, with that in mind, what future do you want?

Here are a few statements that you can answer on a scale of one to ten as to whether you agree with the statement. 1 means that you agree completely. 10 means that you disagree. Of course numbers between 1 and 10 indicate the degree to which you disagree with the statement.

If you want to influence the future you must take actions to support policies that will further your positions taken in the questions above.


Lifestyle Questionnaire

Answer with a number on a scale of 1 to 10 - 1 is an emphatic no - 10 is a resounding yes

  1. Do you have a well balanced diet without excessive calories or carbohydrates?
  2. Do you smoke cigarettes or use other drugs harmful to your physical well being?
  3. Do you exercise equivalent to walking at least three hours per week?
  4. Do you recycle and otherwise try to protect and improve the environment in which you live; for example by striving for a low carbon footprint?
  5. Do you have a good basic understanding of the principles of science, math, history, geography, language, writing, finance and family living skills?
  6. Do you have a philosophy of life consistent with your world view?
  7. Do you have a good working knowledge of government and current affairs at the local, state or provincial, national and world levels?
  8. Do you have friends and a social life and a good sexual relationship?
  9. Do you think you do enough to help those less fortunate than you?
  10. Do you have a program of continuing your education and learning new things?
  11. Have you written or created anything lately?
  12. Have you traveled enough to appreciate the diversity in the world?
  13. Do you do any activities regularly to exercise your mind?
  14. Do you stop along life's way to smell the roses?
  15. Do you get enough sleep that you usually feel rested afterwards?
  16. Would you describe yourself as often or generally happy in the present moment?

  
     
 
  
   
    
     
 
  
     
 
     
     
 
  
   
    
     

Social Needs Questionnaire

Man is a social animal:

There were two stories on a recent night's NBC nightly news which I saw as illustrations of this fact:

One story was about a soldier who was being awarded the Congressional Medal of Honor due to his risking his own life numerous times by darting back into the line of enemy fire to drag his wounded or dead comrades to safety.

The other was about a twelve year old girl who committed suicide by jumping off a water tower due to her being harassed by her classmates on social media such as Twitter and Facebook where they repeatedly over a long period of time told her she was of no value and they hoped she would die.

I saw a common thread here. It is that, in each case, the person saw their personal value in terms of their relationship to others. The soldier valued his relationship with and the lives of his comrades more than he valued his own life. The girl decided that her life was worthless if her classmates thought it was.

I conclude that at least many of us are not autonomous but see our existence and value in terms of our social relationships.

Here are a few statements that you can answer on a scale of one to ten as to whether you think the statement applies to you. 1 means that the statement describes you exactly. 10 means that it does not describe you at all. Of course numbers between 1 and 10 indicate the degree to which you think the statement does apply to you.


  
     
 
  
   
    
     
 
  
     
 
     
     
 
  
   
    
     

Using this Material

It is suggested that these questionnaires might be the basis of a group discussion for a school class or a club meeting or a seminar of some type. One way of doing this would be to schedule each questionnaire for a separate session? The audience would first be asked to write their answers to each question on a piece of paper which they would keep to use in the subsequent discussion.

After the questions had been answered the group would take up each question in turn. For each question, the audience would be asked to indicate by a show of hands how many answered with a number less than 6.

In the third and last phase, for each question a volunteer from the audience who answered the question in one more extreme way would be asked to explain his answer followed by an explanation by a volunteer who answered in the opposite more extreme way. This would then be followed by a general discussion by all those who wanted to speak on the subject. Probably a good rule would be to disallow interruption of someone speaking until they completed their statement at which time they could answer any questions from others.

It is hoped that such a structure could lead to lively discussions and maybe some deep thought and learning to look at things in a new perspective by many of the participants.