Meditative Movement Health Study Resource Utilization P3-MM Survey

At this time we need your input to determine what and how often you have used the study resources over the last 4 months. This will allow us to determine the correlation (if any) between use of the resources and changes in health and well being.

Please reflect and respond with your best recollection. Thank you so much for your contributions to this study.

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* 1. Your Study ID and Postal/Zip Code- Use your initials if you have forgotten your personal code.

Please enter YOUR study ID number here...or your initials if you have forgotten YOUR code.

ZIP/Postal Code

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* 2. Please enter today's date.

Date / Time

Date

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* 3. SINCE THE BEGINNING OF THE STUDY, how often have you WATCHED VIDEOS RELATED TO EACH of the following practices. (PLEASE GIVE US YOUR BEST ESTIMATE.)

	10 or more times	5 to 9 times	2 to 4 times	Once	I have NOT watched any videos related to this topic.
Standing Practice	Standing Practice 10 or more times	Standing Practice 5 to 9 times	Standing Practice 2 to 4 times	Standing Practice Once	Standing Practice I have NOT watched any videos related to this topic.
Awareness of Your Breath	Awareness of Your Breath 10 or more times	Awareness of Your Breath 5 to 9 times	Awareness of Your Breath 2 to 4 times	Awareness of Your Breath Once	Awareness of Your Breath I have NOT watched any videos related to this topic.
Shake Out	Shake Out 10 or more times	Shake Out 5 to 9 times	Shake Out 2 to 4 times	Shake Out Once	Shake Out I have NOT watched any videos related to this topic.
Awareness of Preparatory Set	Awareness of Preparatory Set 10 or more times	Awareness of Preparatory Set 5 to 9 times	Awareness of Preparatory Set 2 to 4 times	Awareness of Preparatory Set Once	Awareness of Preparatory Set I have NOT watched any videos related to this topic.
Walking Practice	Walking Practice 10 or more times	Walking Practice 5 to 9 times	Walking Practice 2 to 4 times	Walking Practice Once	Walking Practice I have NOT watched any videos related to this topic.
Posture/Alignment	Posture/Alignment 10 or more times	Posture/Alignment 5 to 9 times	Posture/Alignment 2 to 4 times	Posture/Alignment Once	Posture/Alignment I have NOT watched any videos related to this topic.
Sitting Practice	Sitting Practice 10 or more times	Sitting Practice 5 to 9 times	Sitting Practice 2 to 4 times	Sitting Practice Once	Sitting Practice I have NOT watched any videos related to this topic.
Reclining/Dropping the Weight	Reclining/Dropping the Weight 10 or more times	Reclining/Dropping the Weight 5 to 9 times	Reclining/Dropping the Weight 2 to 4 times	Reclining/Dropping the Weight Once	Reclining/Dropping the Weight I have NOT watched any videos related to this topic.
Standing/Dropping the Weight	Standing/Dropping the Weight 10 or more times	Standing/Dropping the Weight 5 to 9 times	Standing/Dropping the Weight 2 to 4 times	Standing/Dropping the Weight Once	Standing/Dropping the Weight I have NOT watched any videos related to this topic.
Awareness of Centering	Awareness of Centering 10 or more times	Awareness of Centering 5 to 9 times	Awareness of Centering 2 to 4 times	Awareness of Centering Once	Awareness of Centering I have NOT watched any videos related to this topic.
How to Move Awareness/Practice	How to Move Awareness/Practice 10 or more times	How to Move Awareness/Practice 5 to 9 times	How to Move Awareness/Practice 2 to 4 times	How to Move Awareness/Practice Once	How to Move Awareness/Practice I have NOT watched any videos related to this topic.
Gorilla basics	Gorilla basics 10 or more times	Gorilla basics 5 to 9 times	Gorilla basics 2 to 4 times	Gorilla basics Once	Gorilla basics I have NOT watched any videos related to this topic.

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* 4. In the last 7 days, how often have you THOUGHT ABOUT or DONE each of the following practices. (Thinking about/Visualization = Doing)

	7 of more times	3 to 6 times	Once or twice	Not at all	I am not familiar with this.
Standing Practice	Standing Practice 7 of more times	Standing Practice 3 to 6 times	Standing Practice Once or twice	Standing Practice Not at all	Standing Practice I am not familiar with this.
Awareness of Your Breath	Awareness of Your Breath 7 of more times	Awareness of Your Breath 3 to 6 times	Awareness of Your Breath Once or twice	Awareness of Your Breath Not at all	Awareness of Your Breath I am not familiar with this.
Shake Out	Shake Out 7 of more times	Shake Out 3 to 6 times	Shake Out Once or twice	Shake Out Not at all	Shake Out I am not familiar with this.
Awareness of Preparatory Set	Awareness of Preparatory Set 7 of more times	Awareness of Preparatory Set 3 to 6 times	Awareness of Preparatory Set Once or twice	Awareness of Preparatory Set Not at all	Awareness of Preparatory Set I am not familiar with this.
Walking Practice	Walking Practice 7 of more times	Walking Practice 3 to 6 times	Walking Practice Once or twice	Walking Practice Not at all	Walking Practice I am not familiar with this.
Posture/Alignment	Posture/Alignment 7 of more times	Posture/Alignment 3 to 6 times	Posture/Alignment Once or twice	Posture/Alignment Not at all	Posture/Alignment I am not familiar with this.
Sitting Practice	Sitting Practice 7 of more times	Sitting Practice 3 to 6 times	Sitting Practice Once or twice	Sitting Practice Not at all	Sitting Practice I am not familiar with this.
Reclining/Dropping the Weight	Reclining/Dropping the Weight 7 of more times	Reclining/Dropping the Weight 3 to 6 times	Reclining/Dropping the Weight Once or twice	Reclining/Dropping the Weight Not at all	Reclining/Dropping the Weight I am not familiar with this.
Standing/Dropping the Weight	Standing/Dropping the Weight 7 of more times	Standing/Dropping the Weight 3 to 6 times	Standing/Dropping the Weight Once or twice	Standing/Dropping the Weight Not at all	Standing/Dropping the Weight I am not familiar with this.
Awareness of Centering	Awareness of Centering 7 of more times	Awareness of Centering 3 to 6 times	Awareness of Centering Once or twice	Awareness of Centering Not at all	Awareness of Centering I am not familiar with this.
How to Move Awareness/Practice	How to Move Awareness/Practice 7 of more times	How to Move Awareness/Practice 3 to 6 times	How to Move Awareness/Practice Once or twice	How to Move Awareness/Practice Not at all	How to Move Awareness/Practice I am not familiar with this.
Gorilla basics	Gorilla basics 7 of more times	Gorilla basics 3 to 6 times	Gorilla basics Once or twice	Gorilla basics Not at all	Gorilla basics I am not familiar with this.

Thank you! PLEASE click the submit button at the bottom of the page.