Spiritual Health Questionnaire

About the Spiritual Health Questionnaire

Welcome to the CAMERS Questionnaire, a reflective self-awareness tool created to help individuals explore aspects of their spiritual well-being and inner life.

CAMERS is part of Heaven Foundation - Fondation CIEL’s broader educational and research work on spirituality, meaning, values, emotional-spiritual balance, and whole-person well-being. It is designed to invite thoughtful reflection, not to diagnose, treat, cure, or prevent any medical or mental health condition.

The CAMERS framework explores several areas we associate with spiritual reflection and personal growth, including:

Congruency: the relationship between personal values and daily life.
Mind or Thoughts: patterns of thought, reflection, and self-awareness.
Emotions: emotional openness, inner balance, and spiritual connection.
Response or Reaction: how a person responds to challenges, pressure, or conflict.
Speech: the role of words, expression, honesty, and communication.
Spiritual Orientation and Regulation: a person’s sense of meaning, connection, hope, and spiritual grounding.

Some earlier versions of CAMERS also included Attitude as a separate area. In the current framework, related elements have been integrated into the Mind or Thoughts and Emotions domains.

The Spirit Index is the companion summary framework connected to CAMERS. It is designed to help organize questionnaire responses into a simple reflective profile, showing areas of relative strength and areas that may benefit from further personal reflection, spiritual support, or growth practices. The Spirit Index is not a medical score, risk score, diagnosis, or measure of a person’s worth, faith, or spiritual maturity.

Our goal is to better understand how people experience spiritual well-being and to develop supportive educational resources, including spiritual guidance, reflection tools, coaching resources, and counseling-informed materials where appropriate.

Participation is voluntary. Your honest and thoughtful responses help us continue refining the CAMERS Questionnaire and the Spirit Index as reflective tools for spiritual growth and whole-person awareness.

The CAMERS Questionnaire and Spirit Index are offered for educational, spiritual, and research purposes only. They are not substitutes for medical care, mental health care, therapy, diagnosis, or advice from qualified professionals. If you have medical or mental health concerns, please seek support from an appropriate healthcare provider.

Demographic Data

Age

Current Country of Residence (the country where you are living right now)

City

State

Postal Code

Gender

Birth Country (the Country where you were born)

Ethnicity/Race: (Select multi)

American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment)

Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Black or African American (A person having origins in any of the black racial groups of Africa)

Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race).

Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands).

White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa).

Other

Sexual orientation:

Heterosexual (Straight)

Homosexual (Gay/Lesbian)

Bisexual

Pansexual

Asexual

Queer

Family Structure:

Marital Status

Number of dependents

Religious affiliation:

Atheist

Agnostic

Christianity

Islam

Hinduism

Buddhism

Judaism

Sikhism

None

Spiritual, but not religious

Other (Please specify)

Frequency of Religious/Spiritual
Practice:

Daily

Weekly

Monthly

Occasionally

Rarely

Never

Prefer not to say

Highest level of education:

None

Elementary School

Middle School

High School

Vocational/Technical Training

Diploma

Associate's Degree

Bachelor's Degree

Master's Degree

Doctorate (Ph.D.)

Postdoctoral Studies

Professional Certification

Employment Status:

Full-time

Part-time

Unemployed

Student

Housewife

Other

Income Level:

None

Under $20,000

$20,001 - $40,000

$40,001 - $60,000

$60,001 - $80,000

$80,001 - $100,000

$100,001 - $150,000

$150,001 - $200,000

Over $200,000

Prefer not to say

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?

Please choose one of the possible answering options that best resonates with your current spiritual or philosophical stance

Religiously Devout: "My life is guided primarily by the teachings and practices of my religion"

Spiritually Inclined: "I follow a personal set of spiritual beliefs and practices outside of organized religion."

Humanist/Secular: "I focus on human values and concerns without religious or spiritual elements."

Philosophical: "adhere to specific philosophical teachings or ideologies that guide my life."

Eclectic/Mixed: "I incorporate a mix of religious, spiritual, or philosophical beliefs in my life."

Undecided/Exploring: "I am currently exploring and haven't settled on a specific set of beliefs or values."

refer Not to Say: This option respects the privacy of respondents who may not wish to disclose their beliefs.

Other (Please Specify): Allows respondents to describe their perspective if it doesn't fit into the provided categories.

Please Specify

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?

Please choose one of the possible answering options that best represents your experience

Complete Alignment: "My daily actions and lifestyle fully reflect my spiritual or philosophical beliefs."

Mostly Aligned: "Most of my actions and lifestyle choices are in line with my beliefs."

Somewhat Aligned: "Some of my daily actions align with my beliefs, but there are inconsistencies."

Seldom Aligned: "Only a few of my actions reflect my spiritual or philosophical beliefs."

Not Aligned at All: "My daily actions and lifestyle do not align with my beliefs."

Variable/Fluctuating: "The alignment between my actions and beliefs varies frequently."

Not Applicable/Unsure: For those who might find the alignment concept not applicable or are unsure about it.

refer Not to Say: This option respects the privacy of respondents who may not wish to disclose their beliefs.

Not Applicable/Unsure: For those who might find the alignment concept not applicable or are unsure about it.

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?

Please choose one of the possible answering options that best matches your ideal self.

Spiritually Enlightened: "I aspire to reach a state of spiritual enlightenment and deep understanding."

Morally Virtuous: "My ideal self is someone who embodies moral virtues such as kindness, honesty, and integrity."

Philosophically Wise: "I aim to become a person of wisdom, guided by philosophical insights and rational thinking."

Religiously Devout: "I aspire to be deeply devout and aligned with the teachings and practices of my religion."

Compassionate and Empathetic: "My ideal self is one who excels in compassion and empathy towards others."

Self-Actualized: "I aim to realize my full potential and live a life true to my personal beliefs and values."

Agent of Change: "I aspire to be an individual who actively contributes to positive change in society or in my community."

Balanced and Harmonious: "My ideal self is someone who maintains a balance between spiritual/philosophical beliefs and everyday life."

Other (Please Specify): Allows respondents to articulate a unique vision of their ideal self that might not fit into predefined categories.

Unsure: For respondents who are still exploring and haven't formed a clear picture of their ideal self.

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?

Please choose one of the possible answering options that best matches your spiritual and philosophical objectives.

Deepening Spiritual Understanding: "I aim to deepen my understanding and connection to my spiritual beliefs."

Personal Enlightenment or Awakening: "My goal is to achieve a state of personal enlightenment or awakening."

Moral and Ethical Growth: "I am striving towards greater moral and ethical development."

Religious Devotion and Practice: "I wish to enhance my devotion and practice within my religious faith."

Philosophical Mastery: "I aim to gain a profound understanding and mastery of certain philosophical ideologies."

Compassionate Living: "My goal is to live a life characterized by greater compassion and empathy towards others."

Self-Actualization: "I am working towards realizing my full potential in alignment with my true self."

Contributing to Community/Society: "I aspire to make a positive impact on my community or society in line with my beliefs."

Achieving Balance and Harmony: "My goal is to achieve a harmonious balance between my spiritual/philosophical beliefs and daily life."

Other (Please Specify): This option allows respondents to articulate their specific goals that may not be covered in the listed options.

Unsure/Exploring: For individuals who are still exploring their path and have not yet defined specific goals.

Please Specify

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?

Please choose one of the possible answering options that best matches your perceptions about external expectations.

Aligned Expectations: "I feel that others expect me to continue my current spiritual or philosophical practices, which aligns with my own beliefs."

Expectation of Greater Devotion: "There is an expectation from others for me to be more devoted or involved in spiritual or religious practices than I currently am."

Expectation of Conformity: "Others expect me to conform to certain spiritual or philosophical norms that may differ from my personal beliefs."

Expectation of Change or Exploration: "I sense an expectation from others for me to explore different or new spiritual or philosophical paths."

Expectation of Secularism: "There is an expectation from others that I should adopt a more secular or non-religious approach to life."

Mixed or Conflicting Expectations: "I receive mixed or conflicting messages from different groups or individuals about what is expected of me."

No Specific Expectations: "I do not perceive any particular expectations from others regarding my spiritual or philosophical life."

Uncertain about Expectations: "I am unsure or unclear about what others expect from me spiritually or philosophically."

Other (Please Specify): This option allows respondents to describe a unique perception of external expectations that might not fit into the provided categories.

Prefer Not to Say: Respects the privacy of respondents who may not wish to disclose this information.

Please Specify

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?

Please choose one of the possible answering options that best matches the impact of perceived external expectations on your spiritual or philosophical life/journey and believes.

Strongly Positive Influence: "These expectations positively reinforce and strongly encourage my spiritual or philosophical practices."

Moderately Positive Influence: "They somewhat positively influence my practices, providing guidance and support."

Neutral Influence: "There is no significant influence; I maintain my beliefs and practices independently of these expectations."

Mixed Influence: "I experience both positive and negative influences, which sometimes creates conflict or confusion in my spiritual or philosophical life."

Moderately Negative Influence: "These expectations somewhat negatively impact my practices, causing occasional doubts or conflicts."

Strongly Negative Influence: "They have a strongly negative impact, often leading me to question or alter my beliefs and practices."Strongly Negative Influence: "They have a strongly negative impact, often leading me to question or alter my beliefs and practices."

Inspiration for Change or Exploration: "These expectations motivate me to explore new or different spiritual or philosophical paths."

No Impact or Irrelevant: "These expectations have no impact on my beliefs or practices; I follow my path regardless of them."

Other (Please Specify): Allows respondents to articulate an impact that might not fit into the predefined categories.

Unsure: For respondents who are uncertain about the impact or are still evaluating it.

Please Specify

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?

Please choose one of the possible answering options that best matches the level of congruence or alignment between your current state and your aspirational state.

Complete Congruence/Alignment: "I feel a complete alignment between my actual self and my ideal spiritual or philosophical self."

High Congruence/Alignment: "There is a high level of alignment between my current beliefs/practices and my ideal self."

Moderate Congruence/Alignment: "I see a moderate degree of congruence between my actual self and my ideal self."

Some Congruence: "There are some areas of alignment, but also notable differences between my actual self and my ideal self."

Low Congruence/Alignment: "I experience low congruence; my current state and ideal state are quite different."

No Congruence/Alignment: "There is no alignment; my actual self and my ideal self are completely different."

Fluctuating or Variable Congruence/Alignment: "The degree of congruence between my actual self and ideal self varies over time.”

Aspiring for Congruence/Alignment: "I am actively working towards aligning my current self with my ideal self."

Unsure or Exploring: "I am currently unsure or still exploring the relationship between my actual self and my ideal self."

Other (Please Specify): Allows respondents to provide a unique description of their perceived congruence that may not fit within the provided options.

Please Specify

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?

Please choose one of the possible answering options that best matches your emotional responses to the alignment or misalignment of your beliefs and actions.

Significant Tension in Misalignment: "I feel significant tension or discomfort when my actions don't align with my beliefs."Significant Tension in Misalignment: "I feel significant tension or discomfort when my actions don't align with my beliefs."

Moderate Tension: "There is moderate tension or unease when there's a mismatch between my actions and beliefs."

Minor Tension: "I experience minor tension, but it's manageable and doesn't deeply affect me."

No Tension: "I don't feel tension; I accept the differences between my actions and beliefs without stress."

Variable Tension: "My feelings vary; sometimes I feel tension, other times I don't."

Relief (significant, moderate, minor, none, variable) in Alignment: "I feel a sense of relief and satisfaction when my actions align with my beliefs."Relief (significant, moderate, minor, none, variable) in Alignment: "I feel a sense of relief and satisfaction when my actions align with my beliefs."

Relief (significant, moderate, minor, none, variable) in Misalignment: "Interestingly, I sometimes feel relief even when there's a misalignment, as it leads to self-discovery or change."

Indifferent or Neutral: "I don't have strong feelings either way, whether there's alignment or not."

Other (Please Specify): This option allows respondents to describe feelings that might not fit within the predefined categories.

Unsure or Not Applicable: For respondents who are unsure about their feelings or find the concept not applicable to them.

Please Specify

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?

Please choose one of the possible answering options that best matches their level of satisfaction and well-being.

Completely Satisfied: "I am completely satisfied and fulfilled with my current spiritual or philosophical life."

Very Satisfied: "I am very satisfied, with only minor aspects I might wish to improve or explore further."

Moderately Satisfied: "I am moderately satisfied, but there are several areas I am working on or considering changing."

Somewhat Satisfied: "I am somewhat satisfied, but I am actively seeking ways to enhance or alter my spiritual or philosophical path."

Slightly Satisfied: "I am slightly satisfied, but there are many areas I am dissatisfied with or questioning."

Not Satisfied: "I am not satisfied with my current spiritual or philosophical state and am seeking significant changes or new directions."

Variable Satisfaction: "My level of satisfaction varies over time; sometimes I feel more fulfilled than at other times."

Unsure or Exploring: "I am currently unsure or still exploring my spiritual or philosophical path and can't gauge my satisfaction level yet."

Other (Please Specify): This option allows respondents to articulate a unique level of satisfaction that might not fit into the predefined categories.

Please Specify

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?

Please choose one of the possible answering options that best matches changes and reasons behind such changes, in your spiritual or philosophical beliefs and practices/life.

Significant Changes for Alignment: "Yes, I've made significant changes to better align my actions with my beliefs."

Moderate Changes for Personal Growth: "Yes, I've made moderate changes to foster personal growth and better reflect my values."Moderate Changes for Personal Growth: "Yes, I've made moderate changes to foster personal growth and better reflect my values."

Minor Adjustments for Better Harmony: "Yes, I've made minor adjustments to improve the harmony between my beliefs and actions."

Exploratory Changes: "Yes, I am exploring new beliefs or practices out of curiosity or in search of a better fit."

Changes Due to Life Events or Experiences: "Yes, recent life events or experiences prompted me to change my beliefs/practices."

Exploratory Changes: "Yes, I am exploring new beliefs or practices out of curiosity or in search of a better fit."

No Changes, No Dissonance: "No, I haven't experienced dissonance that would prompt changes."

Unsure or Not Applicable: For respondents who are unsure about changes or find the concept not applicable to their situation.

Other (Please Specify): This option allows respondents to describe other motivations for changes that might not fit within the predefined categories.

Please Specify

Could you share a pivotal moment or experience in your spiritual or philosophical journey that significantly shaped your beliefs or practices/life? How did this moment impact your spiritual or philosophical life perspective?"

Attitude

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

How often do you engage in conscious reflection on your thoughts?How often do you engage in conscious reflection on your thoughts?

Never

Rarely

Sometimes

Often

Always

When a negative or impure thought arises, how quickly are you able to recognize it?

Instantly

Within a few minutes

After some time

Struggle to recognize

Rarely recognize

How do you respond to thoughts that are not true, honorable, or pure?

Suppress them immediately

Reflect on them but struggle to suppress

Often engage with them

Ignore without reflection

Unsure about how to respond

In challenging situations, how does your self-awareness influence your thoughts and actions?

Greatly enhances control and positivity

Somewhat helps in maintaining composure

Has little effect

Often overwhelmed, leading to negative thoughts

Completely lose self-awareness

Greatly enhances control and positivity Somewhat helps in maintaining composure Has little effect Often overwhelmed, leading to negative thoughts Completely lose self-awareness?

Daily

Several times a week

Once a week

Occasionally

Never

How do you assess the truthfulness and honorability of your thoughts?

Constant self-reflection and correction

Seek guidance from spiritual texts or mentors

Compare with societal norms

Rarely assess

Do not assess

Can you identify a recent instance where you successfully suppressed an unwholesome thought? Describe the experience.

How do external challenges (like stress or conflict) impact your ability to maintain heart-working exercises (heart-working exercises means conscientiously and constantly, and daily observing, studying and diligently watching your thoughts and look scrupulously to their motives, and suppress doubts and complaining)?

Improve my focus and assiduity

Have a slight impact but remain focused

Sometimes disrupt my exercises

Often cause significant disruption

Completely derail my practice

What techniques do you find most effective in maintaining a heart-working exercise?

How has your practice in heart-working exercises impacted your overall spiritual well-being?

Significantly positive impact

Moderate positive impact

Neutral

Negative impact

Not sure/no impact

Mind or thought

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

How often do you find yourself thinking about facts or situations that are verifiably true?

Always

Often

Sometimes

Rarely

Never

To what extent do your thoughts reflect a deep respect for yourself and others (This encompass self-esteem/kindness, empathy, non-judgment, integrity, and an appreciation for individual worth and diversity)?

Always

Often

Sometimes

Rarely

Never

Consider the purity of your thoughts, in terms of moral and ethical standards. How often do you maintain pure thoughts (honest, good, and doesn't harm others)?

Always

Often

Sometimes

Rarely

Never

How frequently do you engage in thoughts that are focused on positive, uplifting, and beautiful aspects of life?

Always

Often

Sometimes

Rarely

Never

When facing challenging situations, how often do your thoughts remain truthful and based on reality?

Always

Often

Sometimes

Rarely

Never

Assess how often your thoughts are guided by a sense of honor (thoughts and actions guided by principles of integrity, honesty, and a strong moral code), especially in difficult or tempting circumstances.

Always

Often

Sometimes

Rarely

Never

Consider the frequency with which your thoughts are free from malice, envy, or impurity.

Always

Often

Sometimes

Rarely

Never

How often do your thoughts contribute to your overall sense of joy and positivity?

Always

Often

Sometimes

Rarely

Never

To what extent do your thoughts align with your personal values and principles?

Always

Often

Sometimes

Rarely

Never

Reflect on the level of kindness and empathy in your thoughts towards yourself and others.

Always

Often

Sometimes

Rarely

Never

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.

How often do you feel a deep connection with your spiritual beliefs or practices?

Almost always

Frequently

Occasionally

Rarely

Never

When encountering spiritual teachings or truths, how do you usually feel?

Deeply moved and reflective

Somewhat inspired

Indifferent or neutral

Disconnected or uninterested

Uncomfortable or resistant

How would you describe the warmth of your affection towards the divine or spiritual truth?

Intensely warm and passionate

Warm and appreciative

Moderately warm

Lukewarm or fluctuating

Cold or non-existent

How often do you engage in activities that you feel enrich your spiritual life?

Daily

Several times a week

Once a week

Occasionally

Rarely or never

In moments of personal challenge or hardship, how much do you rely on your spiritual beliefs for guidance and comfort?

Always

Often

Sometimes

Seldom

Never

How open are you to new spiritual insights or perspectives?

Very open and eager

Open but cautious

Neutral or indifferent

Somewhat resistant

Completely closed

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.

During Times of Temptation ( inclination or urge to think, say, or act in ways that contradict one's ethical standards, moral beliefs, or personal goals): "How often are you able to recognize and suppress temptations before they become stronger?"