Medical and Spiritual therapies - Working Hand in Hand

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About the Spiritual Health Questionnaire

 

Welcome to the CAMERS Questionnaire, a comprehensive tool designed to
explore and evaluate your spiritual well-being. Research suggests that spirituality
can significantly impact health and longevity, with studies showing an 18%
reduction in mortality among individuals with a strong spiritual life. Comparable to
the heart health benefits of consuming fruits and vegetables, the positive effects of
spirituality even surpass those of cholesterol-lowering medications, such as statins.
The acronym 'CAMERS' encompasses seven vital domains: Congruency,
Attitude, Mind or thoughts, Emotions, Response or Reaction, Speech, and Spiritual
dysregulation. Our primary goal is to gain deeper insights into these dimensions
and provide support for your spiritual health. Your participation in this survey
plays a pivotal role in advancing our understanding of spiritual well-being,
contributing to essential research, and facilitating the development of resources
like counseling or spiritual guidance for personal growth.
Your honest and thoughtful responses are integral to the validation process of the
CAMERS questionnaire, ensuring its reliability. Kindly answer each question to
the best of your ability. Your participation represents a significant stride in the
advancement of knowledge in the realm of spiritual health. Thank you for your
valuable contribution.


Demographic Data

 



Ethnicity/Race: (Select multi)



Sexual orientation:



Family Structure:



Religious affiliation:



Frequency of Religious/Spiritual
Practice:



Highest level of education:



Employment Status:



Income Level:


Main Questionnaire


Cogruency


Actual Self-Assessment

Self-Perception:
Reflecting on your life experiences and personal beliefs, how would you describe your current spiritual or philosophical perspective (stance), and what are the core
values that guide your daily life?


Life Alignment:

The degree of alignment between beliefs and actions (you self-assess the congruence between your beliefs and your everyday actions)

How closely do you feel that your daily actions and lifestyle reflect your current spiritual or philosophical beliefs and values?


Ideal Self-Assessment

acknowledging that the concept of an 'ideal self' is deeply personal and can vary significantly among individuals.


Spiritual or philosophical Aspirations:

Considering your personal spiritual or philosophical journey, how would you
describe the ideal version of yourself that you aspire to become?


Goals and Values:

In the context of your spiritual or philosophical journey, what are the key goals or milestones you wish to achieve or are currently striving towards?


Ought-Self Assessment:

Perceived Expectations: The degrees of influence and pressure from your surrounding environment regarding your spiritual or philosophical beliefs.

How do you perceive the expectations of others (such as society, family, friends or your religious community) regarding your spiritual or philosophical beliefs and life?


Societal Influence: Assess the impact of external expectations on your spiritual or philosophical life or beliefs.

In what ways do you feel the expectations of others (such as family, friends, society, or your religious community) influence or affect your own spiritual or philosophical beliefs and life?


Congruency Assessment:

Harmony and Dissonance:

Considering your actual self (who you are now in terms of beliefs and life/journey/practices) and your ideal spiritual or philosophical self (who you aspire to be), how would you rate the degree of alignment or congruence between these two aspects of yourself?


Tension and Relief:

How do you typically feel when you notice a difference or alignment between your daily actions and your spiritual or philosophical beliefs? Do you experience feelings of tension or relief, and in what situations?


Spiritual Health Indicators:

Well-Being and Satisfaction:

Reflecting on your current spiritual or philosophical journey, how satisfied are you with where you are in terms of your beliefs, life, and overall sense of well-being?


Behavioral Consequences:

Have you made any recent changes in your behavior, beliefs, or practices due to a
misalignment or dissonance between your actions and your spiritual or philosophical
values? If so, what motivated these changes?


Attitude

For each of the following statement, please choose one of the possible answering options that best reflects your spiritual heart attitude.


Mind or thought

For each of the following statement, please choose one of the possible answering options that best reflects your thought patterns


Emotions

For each of the following statement, please choose one of the possible answering options that best reflects your personal perceptions of spirituality, emotional connection to spiritual beliefs, and responsiveness to spiritual experiences.


Response or reaction

For each of the following statement, please choose one of the possible answering options that best reflects your reactions and attitudes in different life circumstances.


Speech

For each of the following statement, please choose one of the possible answering options that best reflects your thought patterns. 


Spiritual Dysregulation

Please select the option that best describes your experience for each of the following
statements.


Health Statement

 


Physical Health Conditions

 

For each condition, please specify the type or grade, if applicable. If you don't have
any of these conditions, please leave the corresponding field blank.


Mental Health Condition

For each condition, please specify the type or grade, if applicable. If you don't have
any of these conditions, please leave the corresponding field blank.