Simplicity Survey 1 Question Title * 1. What is your gender? Female Male Other (please specify) OK Question Title * 2. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 3. Is your life as simple as you would like it to be? Yes No OK Question Title * 4. Which of the following factors complicate your life? (please rank in order of complexity, 1 being most complex) 1 2 3 4 5 6 7 8 9 10 N/A My health N/A 1 2 3 4 5 6 7 8 9 10 N/A My belief system N/A 1 2 3 4 5 6 7 8 9 10 N/A Uncertainty about the state and future of the world N/A 1 2 3 4 5 6 7 8 9 10 N/A My finances N/A 1 2 3 4 5 6 7 8 9 10 N/A My relationships N/A 1 2 3 4 5 6 7 8 9 10 N/A My job/career/avocation N/A 1 2 3 4 5 6 7 8 9 10 N/A My lack of organizing information (calendars, bills, files, etc.) N/A 1 2 3 4 5 6 7 8 9 10 N/A My level of disorganization in my lifestyle (clutter, etc.) N/A 1 2 3 4 5 6 7 8 9 10 N/A My inability to deal with technical challenges (computers, home repair, automobile, etc.) N/A 1 2 3 4 5 6 7 8 9 10 N/A My lack of planning and follow-through N/A OK Question Title * 5. Do you know individuals who live very simple lives? Yes No OK Question Title * 6. If your answer to the question above was "Yes", what qualities do these people exhibit in their simple lives? (please rank in order of importance, 1 being most important in your observation) 1 2 3 4 5 6 7 8 9 Wisdom 1 2 3 4 5 6 7 8 9 Inner Peace 1 2 3 4 5 6 7 8 9 Optimal Health 1 2 3 4 5 6 7 8 9 Lack of need to earn a living 1 2 3 4 5 6 7 8 9 Few possessions 1 2 3 4 5 6 7 8 9 Good relationships 1 2 3 4 5 6 7 8 9 Organization 1 2 3 4 5 6 7 8 9 Planning and follow-through 1 2 3 4 5 6 7 8 9 Giving/Volunteer work OK Question Title * 7. If you could make changes in your life to simplify it, what would they be? Improve my health Make more money Devote more time to my belief system Be more pro-actively involved in changing the world Manage my stress Organize my life Deal with problem relationships Resolve technical challenges Spend more time alone Do more volunteer work Other (please specify) OK Question Title * 8. Please enter any other information you consider relevant to the level of simplicity and/or complexity in your life. OK Question Title * 9. Thank you for participating in this survey. If you would like further information regarding The Simplicity Experiment, please provide your contact information. First Name Email Address OK DONE