Interests in Spirituality

Encountering the Divine

Child Spiritual Survey

The purpose of this survey is to assess children's spiritualness and spiritual experiences. please think of a child you know who is between the ages of 3 and 7 years of age and answer the following questions to the best of you knowledge. Thank you and enjoy!
a. What is your relation to the child?
Parent
Teacher
Sibling
Cousin
Friend
Aunt/Uncle
Neighbor
Grandparent
Babysitter
Nanny
Other
b. What is the child’s gender?
Male
Female
c. What is the child’s age?
3.0 to 3.11
4.0 to 4.11
5.0 to 5.11
6.0 to 6.11
d. What is the child’s ethnicity?
African American
Asian American
Latin/Hispanic
White/Caucasian
Mixed
Other
e. What is your gender?
Male
Female
f. What is your age?
Under 20
20 to 25
26 to 30
31 to 35
36 to 40
41 to 45
46 to 50
51 to 55
56 to 60
61 to 65
Over 65
g. What is your ethnicity?
African American
Asian American
Latin/Hispanic
White/Caucasian
Mixed
Other
Answer questions 1 through 8 with this in mind:
I.- When coming in contact with an ailing family member, the child:
1. Shows affection with words toward the person who is ill
Never
Sometimes
Frequently
Very Frequently
Always
2. Physically shows affection toward the person who is ill
Never
Sometimes
Frequently
Very Frequently
Always
3. Wants to console the person who is ill
Never
Sometimes
Frequently
Very Frequently
Always
4. Consoles the person’s family members
Never
Sometimes
Frequently
Very Frequently
Always
5. Seems to understand people’s expressions of feelings for the person who is ill
Never
Sometimes
Frequently
Very Frequently
Always
6. Can feel for the person who is ill
Never
Sometimes
Frequently
Very Frequently
Always
7. Can tell that the person’s soul is not hurting.
Never
Sometimes
Frequently
Very Frequently
Always
8. Seems to know that the person might die, but the soul will remain
Never
Sometimes
Frequently
Very Frequently
Always
Please keep this in mind while answering questions 9 through 13:
II.- When struck by the beauty of nature and art, or excited through participation in sports, the child:
9. Expresses awe
Never
Sometimes
Frequently
Very Frequently
Always
10. Shows understanding of where the feeling comes from
Never
Sometimes
Frequently
Very Frequently
Always
11. Shares the joy verbally with others
Never
Sometimes
Frequently
Very Frequently
Always
12. Seems “connected to” the experience
Never
Sometimes
Frequently
Very Frequently
Always
13. Searches for experiences like this spontaneously
Never
Sometimes
Frequently
Very Frequently
Always

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