Bio Questionnaire for Interviewees for Documentary Film about Men

Please provide the information requested in this questionnaire. It will help us to tailor our questions to your experiences and background. We will contact you for scheduling once we receive this. Note: We are definitely looking for men all over the world, from big countries and small countries. We would like at least one man from each country to get a global perspective. Also, the interviews are conducted in English. We thank you for your interest! The Project Film Team

Question Title

* 1. Please provide your contact information.

First Name

Last Name

Address

Apartment/Suite

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Please rate your current level of happiness in these areas.

	1	2	3	4	5	6	7	8	9	10
Spirituality	Spirituality 1	Spirituality 2	Spirituality 3	Spirituality 4	Spirituality 5	Spirituality 6	Spirituality 7	Spirituality 8	Spirituality 9	Spirituality 10
Money	Money 1	Money 2	Money 3	Money 4	Money 5	Money 6	Money 7	Money 8	Money 9	Money 10
Career	Career 1	Career 2	Career 3	Career 4	Career 5	Career 6	Career 7	Career 8	Career 9	Career 10
Health	Health 1	Health 2	Health 3	Health 4	Health 5	Health 6	Health 7	Health 8	Health 9	Health 10
Fitness	Fitness 1	Fitness 2	Fitness 3	Fitness 4	Fitness 5	Fitness 6	Fitness 7	Fitness 8	Fitness 9	Fitness 10
Romance	Romance 1	Romance 2	Romance 3	Romance 4	Romance 5	Romance 6	Romance 7	Romance 8	Romance 9	Romance 10
Family	Family 1	Family 2	Family 3	Family 4	Family 5	Family 6	Family 7	Family 8	Family 9	Family 10
Friends	Friends 1	Friends 2	Friends 3	Friends 4	Friends 5	Friends 6	Friends 7	Friends 8	Friends 9	Friends 10
Community	Community 1	Community 2	Community 3	Community 4	Community 5	Community 6	Community 7	Community 8	Community 9	Community 10
Fun	Fun 1	Fun 2	Fun 3	Fun 4	Fun 5	Fun 6	Fun 7	Fun 8	Fun 9	Fun 10
Personal development	Personal development 1	Personal development 2	Personal development 3	Personal development 4	Personal development 5	Personal development 6	Personal development 7	Personal development 8	Personal development 9	Personal development 10
View of yourself	View of yourself 1	View of yourself 2	View of yourself 3	View of yourself 4	View of yourself 5	View of yourself 6	View of yourself 7	View of yourself 8	View of yourself 9	View of yourself 10
Overall	Overall 1	Overall 2	Overall 3	Overall 4	Overall 5	Overall 6	Overall 7	Overall 8	Overall 9	Overall 10

Please provide any information that you think would be helpful for us to know about any ratings above,

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* 3. Please indicate your spirituality/religion. If you practice more than one, you can check multiple boxes.

African traditional and Diasporic

American Baptist

Assemblies of God

Bahai

Buddhism

Cao Dai

Catholic

Chinese traditional religion

Christianity

Church of Christ

Church of God in Christ

Divine Thought

Eastern Orthodox Church

Eclectic (Choose elements from more than one)

Episcopal

Hinduism

Independent Catholicism

Islam

Jainism

Juche

Judaism

Lutheran

Mormons

National Baptist

Neo-Paganism

New Age/New Thought/Divine Mind/Metaphysical

None (Generally don't think about spirituality, god, etc.)

Nonreligious (Secular/Agnostic/Atheist)

Oriental Orthodoxy

Other

Presbyterian

Primal-indigenous

Protestantism

Restorationism and Nontrinitarianism

Scientology

Seventh-Day Adventist

Shinto

Sikhism

Southern Baptist

Spiritism

Spiritual But Not Religious

Tenrikyo

Unitarian-Universalism

United Church of Christ

United Methodist

Unity

Zoroastrianism

Please provide any information that you think would be helpful for us to know about any ratings above,

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* 4. Please indicate which of these you believe in?

	Yes	No	Maybe
God/higher power	God/higher power Yes	God/higher power No	God/higher power Maybe
The Devil	The Devil Yes	The Devil No	The Devil Maybe
Heaven	Heaven Yes	Heaven No	Heaven Maybe
Hell	Hell Yes	Hell No	Hell Maybe
Soul Survives Death	Soul Survives Death Yes	Soul Survives Death No	Soul Survives Death Maybe
Reincarnation	Reincarnation Yes	Reincarnation No	Reincarnation Maybe
Angels	Angels Yes	Angels No	Angels Maybe
Demons	Demons Yes	Demons No	Demons Maybe
Miracles	Miracles Yes	Miracles No	Miracles Maybe
Spiritual Body Healing	Spiritual Body Healing Yes	Spiritual Body Healing No	Spiritual Body Healing Maybe
Energy in Objects (Crystals, Water, Light, Symbolic Jewelry)	Energy in Objects (Crystals, Water, Light, Symbolic Jewelry) Yes	Energy in Objects (Crystals, Water, Light, Symbolic Jewelry) No	Energy in Objects (Crystals, Water, Light, Symbolic Jewelry) Maybe
Other Spiritual Element/Aspect	Other Spiritual Element/Aspect Yes	Other Spiritual Element/Aspect No	Other Spiritual Element/Aspect Maybe

Please provide any information that you think would be helpful for us to know about any ratings above,

Question Title

* 5. Please indicate your gender.

Female

Male

Male to Female Transgender

Female to Male Transgender

Other

Prefer not to answer

Please provide any information that you think would be helpful for us to know about your response to this question.

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* 6. Please indicate your race.

White/Caucasian

Black/African American

American Indian or Alaska Native

Hispanic or Latino

Asian

Mixed or Other

Prefer not to answer

Please provide any information that you think would be helpful for us to know about your response to this question.

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* 7. Please indicate your sexual orientation.

Bisexual

Heterosexual

Homosexual

Other

Prefer not to answer

Please provide any information that you think would be helpful for us to know about any ratings above,

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* 8. Please select the age range you are currently a part of.

15-19

20-29

30-39

40-49

50-59

60-69

70-79

80-89

90-99

100+

Prefer not to answer

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* 9. Please provide any of this information that you feel comfortable providing. For questions on family members, feel free to provide name, ages, gender,

Current work/roles/positions

Previous work/roles/positions

Relationship Status (married, divorced, in long-term relationship, # of years). # of marriages?

Significant Other

Children

Grandchildren

Brothers

Sisters

Political Affiliation

Question Title

* 10. Please provide the following information:
1. What is unique about you? or Why should we choose you for the film?
2. Why are you interested in participating?
3. What is your life philosophy? (If you don't have any, that's fine)
4. What are your life goals? (If you don't have any, that's fine).

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* 11. (a) If you have significant experience within a country other than the US, please tell us what countries you've lived in, the years you lived there and how that experience has influence you. (b) If you currently live in another country, please provide full contact information - legal name, complete address, e-mail, back-up e-mail, phone number.

Bio Questionnaire for Interviewees for Documentary Film about Men

Question Title

* 1. Please provide your contact information.

Question Title

* 2. Please rate your current level of happiness in these areas.

Question Title

* 3. Please indicate your spirituality/religion. If you practice more than one, you can check multiple boxes.

Question Title

* 4. Please indicate which of these you believe in?

Question Title

* 5. Please indicate your gender.

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* 6. Please indicate your race.

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* 7. Please indicate your sexual orientation.

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* 8. Please select the age range you are currently a part of.

Question Title

* 9. Please provide any of this information that you feel comfortable providing. For questions on family members, feel free to provide name, ages, gender,

Question Title

* 10. Please provide the following information: 1. What is unique about you? or Why should we choose you for the film?2. Why are you interested in participating?3. What is your life philosophy? (If you don't have any, that's fine)4. What are your life goals? (If you don't have any, that's fine).

Question Title

* 10. Please provide the following information:
1. What is unique about you? or Why should we choose you for the film?
2. Why are you interested in participating?
3. What is your life philosophy? (If you don't have any, that's fine)
4. What are your life goals? (If you don't have any, that's fine).