Pre-Study Survey

We are interested to see if certain spiritual disciplines that are modeled in the Bible make a noticeable difference in coping with and dealing with anxious feelings or stress. In order to understand this, we would like you to select one discipline to apply daily for 2 weeks. You will be asked to do your best to apply the discipline daily to your life.

The surveys are anonymous, so no one is aware of your participation other than your parent/guardian, your youth pastor, and whom you decide to share with. Your name will not be on the forms you fill out, and you will be given a code that will be put on your answer sheet so no one will know whose answers they are. The only way anyone would know how you answered is if we are worried about you, and then we would call your parent/guardian.

Do not proceed until your parent has signed the permission slip and you've received a code from your youth pastor.

Please understand that you do not have to do this. You do not have to answer any questions that you do not want to. You may stop at any time without explanation.

If you have any questions about the form or what we are doing, please ask us. Thank you for your help.

Question Title

* 1. Date of Birth

Date / Time

Date

Question Title

* 2. Gender

Male

Female

Prefer not to answer

Question Title

* 3. Code provided by your facilitator / youth pastor

Question Title

* 4. On a level of 1 – 10, how equipped do you feel you are to manage anxious thoughts or feelings when they arise?

Clear

i We adjusted the number you entered based on the slider’s scale.

Question Title

* 5. When you feel anxious from a stressful event (like a conflict, exam, or performance) or when you feel out a degree of out of control while thinking about the future, how many minutes on average would you say it takes you to feel calm again when you begin to try to reduce those feelings?

1 - 2 minutes

2 - 10 minutes

10 - 30 minutes

30 - 60 minutes

More than 60 minutes

Question Title

* 6. Which Spiritual Discipline would you like to apply and evaluate for 2 weeks?

Prayer. This is where you will daily spend at least 2 minutes inviting God into the situation or anxious feelings when you feel anxious or stressed.

Silence and Solitude. This is where you will daily find a quiet place and take time to breathe. Slow down your mind and acknowledge God’s presence for 10 minutes.

Moderation. This is where you will choose one to focus on: Increase sleep by at least 1 hour or decrease or fast social media usage, video games, or electronic usage by 1 hour.

Bible Reading and Journaling. This is where you will read at least one bible verse daily. Journal your observations and how that verse applies to you or what God may want to share with you. Optionally, you may choose to end your journaling with a written prayer.

Question Title

* 7. On average, how often do you currently engage in this spiritual discipline?

Daily

Few times a week

Once a week

Few times a month

Not often or never