Experiences in Close Relationships Questionnaire

Dear Applicant,

We extend our heartfelt gratitude for considering participation in the Integrated Meditation Program. This survey is an integral part of our commitment to fostering transformative experiences for our participants. It should only take 10-15 minutes to complete.

Before you proceed, we want to ensure that you have a comprehensive understanding of the purpose, process, and privacy measures associated with this survey.

Purpose and Procedures: The Integrated Meditation Program aims to create a path towards growth and self-discovery, rooted in meditation and the transformation of negative core beliefs. As part of our assessment process, we employ the Experiences in Close Relationships Revised (ECR) questionnaire. By administering this questionnaire both before and after the program, we intend to measure and understand the potential impact of the Integrated Meditation Program on your meditation experiences and core beliefs.

Anonymity and Data Security: We want to emphasize that your privacy and confidentiality are paramount to us. All the data collected from this survey will be anonymized, ensuring that any responses you provide remain completely dissociated from your identity. No personally identifiable information will be linked to your survey responses. We have implemented a robust data security plan to safeguard your information from unauthorized access, ensuring the utmost protection.

Voluntary Participation: It's important to note that your participation in this survey is entirely voluntary. Your decision to participate or not will have no influence on your potential acceptance into the Integrated Meditation Program. Should you choose to participate, you retain the right to withdraw from the survey at any point, without needing to provide an explanation.

Self Care: If any of the questions are triggering, please pause. If you need more support to return to equilibrium, the video below is offered as a resource.

Use of Data: The data collected from this survey will be used exclusively for research purposes. It will contribute to the analysis of the potential impact of the Integrated Meditation Program, helping us refine our approach and ensure its effectiveness. While findings may be shared through publications or presentations, all data shared will be aggregated to maintain complete anonymity.

Questions and Concerns: Should you have any questions or concerns about the survey, its purpose, or your participation, please feel free to contact Amma Thanasanti, Spiritual Director, at Thanasanti@AwakeningTruth.org.

Consent to Participate: By proceeding with this survey, you confirm that you have read and understood the information provided in this consent form. Your voluntary participation in the survey signifies your understanding that your responses will be used for research purposes. We greatly appreciate your consent and your dedication to contributing to our collective journey of growth and self-discovery.

Thank you for your consideration and commitment to this endeavor.

Below are a series of statements concerned with how you feel in emotionally intimate relationships. We are interested in how you generally experience relationships, not just in what is happening in a current relationship. Respond to each statement by selecting a number to indicate how much you agree or disagree with the statement.