Public Survey


The purpose of this survey is to compile data for a valuable public awareness project. 

The intent is to ascertain the most effective way of removing the barriers to self-betterment and winning in life.

Please copy, cut and paste the text from survey page into an e-mail.

Send it to info@montereycenter.org.

 

1) What is your occupation and major interests?

2) What are you trying to achieve in your life?

2a) How well have you succeeded, thus far?

3) What individuals in your life have inspired you?

3a) How have they done this:

4) How do you feel about self-improvement?

5) Do you believe, with the right knowledge, application or luck, one can actually change for the better?

6) Do you feel that any aspects of your life should be better?

7) Briefly, what do you think and feel about your government?

8) What do you think and feel about your religious affiliation, teachings or heritage?

9) What books on self-help have you read?

10) How much change or influence, if at all, did they effect upon your life?

11) What other approaches (methods or therapies) or spiritual practices have you tried?

 

 

 What was it?                                 How long?                                        Effective?

 

____________________                    _______________                              ______

 

____________________                    _______________                              ______

 

____________________                    _______________                              ______

 

Which ones succeeded and why?

 

Which ones failed and why?

 

12) Are you currently involved in any self-improvement or spiritual activities?

 

             What is it?                                  How long?                                                        Effective?

 

____________________                    _______________                                          ______

 

____________________                    _______________                                          ______

 

 

13) Do you feel as if this (these) are working?

14) Is there something you've always wanted to improve about yourself, but for some reason you’re still struggling in obtaining the desired result?

14a) If so, what is it you were wanting to gain and what do you think prevented that from happening?

15) What are the three biggest issues on this subject, in order of importance:

16) If there existed a therapy today that was available to you that could eliminate the negative effects of previous failed therapies, failed efforts of help from anyone and failed religious commitments, would you find it worth your participation?

 
Optional:
If you would like to receive further information about this survey's results
and any future programs, please add your contact information.

Name:___________________

Address:__________________

____________________________________________

Phone:____________________ Email: ________________

 

 

 

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