Brief Survey for Research Study

Thank you for taking the time to complete this brief survey below. After you have completed the information below, you will be contacted with more details about the study and to determine whether you would like to participate. The study will involve completing a series of computerized tasks while wearing an EEG net, a cap of sensors that measures electrical brain activity during the study tasks. You will be provided with full informaton about the study and what is required for participation at a later date. For the moment, please provide information about how we can best reach you, and some brief details about your main meditation or yoga practices.

Please type in a response
for as many of the questions below
as possible. Please be sure to provide
contact information, your availability, and
at least information about your primary practice or practices.
Your information will only be used to contact you
about participating in our research study

Please type in a response for as many of the questions below as possible. Please be sure to provide contact information, your availability, and at least information about your primary practice or practices. Your information will only be used to contact you about participating in our research study Please enter your first name:
Please enter your gender:
Please enter your age:
Please enter your preferred contact email:
Please enter your preferred contact phone number:
Which of the following months will you be in London ? (June, July, August, September):
What is your primary practice or set of practices ?:
Please describe what you do during this primary practice:
How long have you done this primary practice ? [total in years]:
How often have you done this primary practice ? [approximate times per month]
Please give the name of your second practice or pactices if any:
Please describe what you do during this second practice or practices:
How long have you done this second practice ? [total in years]:
How often have you done this second practice ? [approximate times per month]
Please give the name of your third practice or set of practices if any:
Please describe what you do during this third practice or practices:
How long have you done this third practice ? [total in years]:
How often have you done this third practice ? [Approximate times per month]

Please let us know in the box below if you have any comments
or if there is any additional information you would
like to share with us:

Please let us know in the box below if you have any comments or if there is any additional information you would like to share with us:

Brief Survey for Research Study

Please type in a responsefor as many of the questions below as possible. Please be sure to providecontact information, your availability, and at least information about your primary practice or practices.Your information will only be used to contact you about participating in our research study

Please let us know in the box below if you have any commentsor if there is any additional information you wouldlike to share with us:

Please type in a response
for as many of the questions below
as possible. Please be sure to provide
contact information, your availability, and
at least information about your primary practice or practices.
Your information will only be used to contact you
about participating in our research study

Please let us know in the box below if you have any comments
or if there is any additional information you would
like to share with us: