This survey is part of a research project investigating happiness, love, relationships and demographic characteristics such as age, gender, geography, spirituality and more. We are interested in how to improve the quality of people's lives so your help, in additional to being greatly appreciated, will also make a positive difference in the world.

We estimate it will take about 5 minutes to complete.

You will have the opportunity to provide your e-mail address at the end of the survey, if you would like to receive a copy of the research summary results.

To thank you for your time, we will also enter your e-mail address in multiple drawings for fun inspirational prizes like positive stickers for kids, t-shirts, artwork and bookmarks. We will hold drawings immediately at the end of each week in December including all participants who have responded at that time.

If you have any questions about the survey, you can send an e-mail to  grace@grace55555.com.

LASTLY, ALL QUESTIONS ARE OPTIONAL. We thank you for providing your insight and information in the areas that you feel comfortable sharing. 

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

  Very Good Good Average Poor Very Poor Other Not Applicable
Money
Health
Fitness
Family
Friends
Love/Romance
Fun & Recreation
Career
Personal development
Spirituality
View of yourself
Overall

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* 2. Please provide any information that you think would be helpful for us to know about any ratings above, that you feel are very significant to you.  Please be sure to identify which area you are providing information on.

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* 3. Please rate your relationships with the following people. If you did/do not have a person in a particular category, you can leave it blank. If you did have a person in a category but they have passed away, then provide a rating based on when they were alive with you. For groups that may have more than one person like "male siblings" or "friends" provide your best guess at an overall rating for that group.

  Very Good Good Average Poor Very Poor Other Not Applicable
Father
Father Figure
Mother
Mother Figure
Male Offspring
Female Offspring
Male Siblings
Female Siblings
Family
Community
Friends
Other Significant Person/Mentor/Guide
Spouse/Partner/Romantic Significant Other

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* 4. Please provide any information that you think would be helpful for us to know about any ratings above, that you feel are very significant to you.  Please be sure to identify which type of person you are providing information on.

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

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* 6. Please provide your thoughts on spirituality/religion in general? Is it important to you? Why or why not?

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* 7. Please indicate your gender.

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* 8. Please indicate your sexual orientation.

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* 9. Please indicate your race.

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

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* 11. Please indicate your annual (yearly) household financial income per person.  So if all the people in your household earn $75,000 and there are 3 of you (like you, your spouse and your child), then that would be $25,000 per person per year and you would select $20,000-$29,000 bracket below. If your income is not in US dollars, just do your best to convert it.

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* 12. Please indicate the areas of the world that you identify with most strongly (are the strongest influence on your values, way of being, etc.)

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* 13. If you currently live in the US or previously lived in the US, please provide the state where you lived the longest. If you lived an equal amount of time in more than one state, then select the one in which your values, way of being was most influenced by. If you've never lived in the US, you can omit this question.

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* 14. Please indicate if you've committed any of these violent acts. 

With regard to psychological abuse, this would reference if you feel you regularly treated someone negatively over a period of time - rather than a few instances that would be part of normal human conflict when we are less than our best selves. Negative treatment can include negative comments, disconnection from someone, ignoring someone, not being involved with them, neglect. But again, over a period of time, not necessarily a fight over a weekend. Another way to look at this one, is to what degree you impacted the psyche of the person - was it significantly negative.

  Yes No Not sure
Murder
Assault
Sexual abuse/rape/molestation
Other physical abuse
Psychological abuse

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* 16. Please indicate the reasons you think people commit violence.

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* 17. Provide any other feedback or thoughts you think we should know on these issues or the survey itself.

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* 18. Please provide your e-mail address if you would like to receive a copy of the research summary results. As thanks for your time, we will also enter your e-mail address in drawings for fun inspirational prizes like positive stickers for kids,  t-shirts, artwork and bookmarks.

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