APPENDIX Ib
Meditators' Checklist
Please read carefully before filling in
the checklist.
Thanks for accepting to participate, on
a purely voluntary basis, in this study, which shall focus on working memory
in meditators, contemporary actors and matched control groups. This research
is part of a B. Psychology (Hons.) dissertation recognised by the University
of Malta, and is being carried out by a fourth year student.
Please fill in this short questionnaire
by ticking the appropriate answers. The questionnaire is essential as preliminary
groundwork for the working memory experiments run on a computer programme, which
are at the core of the study. The replies on the questionnaire are strictly
confidential, so please do not write your name on it. However, give your name,
address and telephone number (e-mail as well if available) to Kamala, with whom
I shall be directly in touch. Later I shall contact you again to verify whether
you are still interested in participating in the study, by undergoing the working
memory tests themselves.
For further details about the study do not
hesitate to contact me on 46 68 29 or by e-mail at <nadya@nextgen.net.mt>.
Thanks for your help and patience,
Nadia Farrugia
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Sex:
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Male
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_____
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Female
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_____
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Age:
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________
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years
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Level of education:
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Primary
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______
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Secondary
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______
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Post-secondary
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______
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Tertiary
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______
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Occupation:
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___________________________________________________________
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Have you been diagnosed with any
health problems?
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Yes
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_____
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No
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_____
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If yes:
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Physical
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___________________________________________________
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Mental
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___________________________________________________
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For how long have you been practising meditation?
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________
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years.
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How often do you meditate?
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once a day
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________
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twice a day
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________
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other (please specify)
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____________________________
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How long is each meditation sitting?
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___________
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minutes.
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