Twelve Steps to a Compassionate Life Reading Group Survey

Thank you for joining a Twelve Steps to a Compassionate Life Reading Group. Before you begin your participation in this group, we invite you to complete this short survey. We will use the results of this and a final survey, at the conclusion of the book groups, to inform our work to promote the cultivation and practice of compassion around the world.

Note: Questions marked with an asterisk are required. Also, please be sure to click "done" (at the bottom of the page) when you are finished. Thank you!

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* 1. Reading Group Information

Facilitator's Name

City, State

Country

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* 2. Please describe an act of compassion you have witnessed or performed.

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* 3. How often do you think about compassion?

Never

One or more times a year

One or more times a month

One or more times a week

Daily

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* 4. How often do you talk about compassion?

Never

One or more times a year

One or more times a month

One or more times a week

Daily

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* 5. How often do you act compassionately toward yourself?

Never

One or more times a year

One or more times a month

One or more times a week

Daily

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* 6. How often do you act compassionately toward others?

Never

One or more times a year

One or more times a month

One or more times a week

Daily

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* 7. Do you have a regular practice (faith-based or otherwise) that includes compassion?

Yes

Please explain:

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* 8. Which of the following have you done? Please check all that apply.

Visited the Charter for Compassion Web site (charterforcompassion.org)

Affirmed the Charter for Compassion on the Charter site

Made a "Commitment to Compassion" on the Charter site

Shared a story of compassion on the Charter site

Told your friends about the Charter for Compassion

I'm not familiar with the Charter for Compassion

Have you supported the Charter for Compassion in other ways? Please explain.

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* 9. We are interested in learning about personal experiences with the Reading Groups. If needed, may we contact you to follow-up on this survey?

Yes

Please provide your name and e-mail address. Thank you.

Thank you for helping us activate the Golden Rule around the world!