Student Questionnaire

NAME:___________________________________________ DATE: _______________

SCHOOL ______________________________________________________________

STANDARD _________ AGE _________

1 - When was your Chidhakaashyog training? Month________ Year 200___

2 - Who was the Teacher for Chidhakaashyog? _________________________

3 - How did you like the training? (check one) ... Excellent .. Good .. O.K. .. Poor

4 - Are you currently practicing the meditation? .... YES .... NO

If NO, why not? ____________________________________________________________________

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If YES: 1 - How often? (check one) .... Daily .... Regularly .... Few Times

2 – How long do you look at the symbol (Chit Drishti)?

.... 3 minutes .... 5 min .... 7 min .... 9 min .... Other:_____________

3 – Do you like this Meditation? .... Very much .... Good .... O.K

4 – What do you like the most about it? ________________________________________________

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5 – What benefits have you received from doing Chidhakaashyog? _____________________________

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Thank you for your valuable feedback.

_____________________________(Signature)

Please give to your class teacher when completed.

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