ID# ___________

Religious and Spiritual Practices Questionnaire

1) The following questions are about being religious, being spiritual, and being superstitious. Please think about what these words mean to you and answer the questions with those meanings in mind.



VERY		 SOME WHAT NOT VERY NOT AT ALL
a. How religious are you? 1 2 3 4
b. How spiritual are you? 1 2 3 4
c. How superstitious are you? 1 2 3 4
d. How important is religion in your life? 1 2 3 4
e. How important is spirituality in your life? 1 2 3 4
f. How important is it for you -- or would it be if you had children now -- to send your children for religious or spiritual instruction? 1 2 3 4
g. How closely do you identify with being a member of your religious group? 1 2 3 4
h. How much do you prefer to be with other people who are the same religion as you? 1 2 3 4
I. How important do you think it is for people of your religion to marry other people who are the same religion?

 1 2 3 4
j. How strongly do you believe that it is good to explore many different religious or spiritual teachings? 1 2 3 4
k. How strongly do you believe that one should stick to a particular faith? 1 2 3 4
l. How important was religion in your home when you were growing up? 1 2 3 4

(Continued on Other Side)

2)When you have problems or difficulties in your family. work, or personal life, how often do you seek comfort through any of the following religious or spiritual means?

OFTEN
SOME

TIME



RARELY

NEVER
a. Praying 1 2 3 4
b. Meditating 1 2 3 4
c. Attend a religious or spiritual service 1 2 3 4
d. Talk to a religious or spiritual advisor 1 2 3 4
3. When you have important decisions to make in your life, how often do you ask yourself what your religious or spiritual beliefs suggest you do?
1
2
3
4

Please answer the next two questions only if you consider yourself a Christian.

4) Have you been "born again", that is, had a turning point in your life when you committed yourself to Jesus Christ? (circle one)
                      Yes                         No

5) Please indicate how much you agree or disagree with the following statement (circle one):

The Bible is the actual Word of God and is to be taken literally, word for word.

Strongly        Somewhat           Neither                  Somewhat       Strongly
 Agree              Agree       Agree nor Disagree       Disagree       Disagree