NEXT APPOINTMENT: DAY_______________________TIME____________________ (MY PHONE: (609) 683 1819 IF YOU NEED TO CHANGE THE APT.)

TAKE THIS MATERIAL HOME, STUDY IT, AND REFER BACK TO IT OCCASIONALLY.  THERE IS NO NEED TO BRING IT BACK TO THE OFFICE. THERE IS A COPY IN THE OFFICE WHEN YOU NEED TO LOOK AT IT IN THE OFFICE. FEEL FREE TO ASK TO LOOK AT IT AT ANY TIME.

THIS STUDY PROVIDES AN EXCELLENT OPPORTUNITY FOR PERSONAL GROWTH FOR PEOPLE WITH A PIONEERING SPIRIT WHO CAN MAKE A COMMITMENT OF TIME AND PATIENCE.

YOU WILL:

  * RECEIVE 10 HOURS OF BIOFEEDBACK TRAINING!

* LEARN TO CONTROL YOUR BRAIN WAVES IN UNIQUE WAYS

  * EXPLORE DIFFERENT STATES OF CONSCIOUSNESS

* USE A UNIQUE 5-CHANNEL EEG BIOFEEDBACK DEVICE DEVELOPED BY

  DR. LESTER FEHMI, A PIONEER IN THE FIELD OF BIOFEEDBACK

* YOU WILL RECEIVE APPROXIMATELY $1000 WORTH OF BIOFEEDBACK

  TRAINING FOR $50. (COMPARED TO ORDINARY CLINIC FEES)

(THE TRAINING IS FREE FOR THOSE WHO CAN'T AFFORD IT)

DR. FEHMI'S DEVICE NON-INTRUSIVELY AND UNIQUELY MONITORS "SYNCHRONOUS" BRAIN WAVES FROM 5 DIFFERENT AREAS OF THE BRAIN SIMULTANEOUSLY. IT MAY THEREFORE TEACH MUCH MORE RELEVANT AND USEFUL BRAINWAVE CONTROL THAN PREVIOUS DEVICES.

The purpose of this special biofeedback study is to clarify how you learn to produce brain waves of certain kinds and find out what you are experiencing when you produce these special brain waves.

About half the training may be considered to be about learning to make clearer distinctions in your experience of your "reality". The questionnaires, given after each biofeedback session, actually function as a training in learning to make these new or clearer discriminations in your own experiential world. They can be used as a vehicle for your own growth, to explore new territory and perhaps make exciting discoveries. They can also be used to explore your ordinary, everyday experiences in a new way.

The name of our study is: "Experiential States Associated with the Production of a Brain Wave Biofeedback Signal."

Investigator: Wayne Carr Ph.D. (Cand.) (609) 683-1819

In general, view the training as an excellent opportunity to increase self-awareness in a casual atmosphere, instead of an obligation to perform a task.

In addition, to make the research work, we ask four basic things:

  A) We want you to take good care of yourself during the training.

B) We also want you to be as free as possible of prior expectations and

  pressure.

C) We want you to keep your commitment to attend all the sessions.

  D) We want your honesty.

The following guidelines will help us realize these goals:

1) Please call as far in advance as possible if you can't make a session. Please

have possible alternative dates and times in mind when you call.

2) If you have to miss a day, due to scheduling problems or unexpected

 circumstances, the training session will start the following day or as soon as

possible. We want to avoid waiting a week. You can miss up to 5 sessions as long

as they can be made up without a long wait.

3) Please study all the take home material we give you prior to training.

4) Please get a good night's sleep before each session.

  5) Please wash your hair the morning of, or the night before, an appointment. The

cleaner and more oil-free your face and scalp is, the better the sensor connection

is.

6) 48 hours prior to your weekly session, please abstain from caffeine

 (coffee), alcohol or any other drugs (e.g. aspirin, marijuana).

7) Try to eat wholesome foods before and during the days of training.

  8) If possible avoid excessively stressful activity two days prior to your

weekly session.

9) Before and during training avoid reading any of the literature or flyers

connected to the Princeton Behavioral Medicine and Biofeedback Clinic, also,

during this time, avoid reading about EEG or biofeedback.

10) If you have contact with other subjects during the days you are

participating, please wait until the research project is fully completed

before discussing any part of the experiment or before sharing your take

home material.

11) Please avoid having expectations about what you may or may not experience

during training.

12) Occasionally you may (or may not) experience some boredom from sitting or

filling out questionnaires. This is nothing unusual or bad and is completely

normal. If it occurs, it can just be considered part of the total experience.

13) We are giving you a copy of the experiential questionnaires to take home. Please

familiarize yourself with them so that you can get used to making the experiential

distinctions we will be asking you to make. It sometimes takes a little time and

practice to make an experiential discrimination. Half the training is learning

how to make clear experiential distinctions. Please write down the numbers of

questions that are not clear to you and we will go over them at the beginning of

the next session.

a cold "clinical" "experiment". We want an atmosphere of caring and warmth as

much as possible.

 SESSION FORMAT:

(These trials will usually be broken up into 15 min. periods separated by 2 min. breaks)

D) "Take-home" Questionnaires:

Total session time will be from 3 to 4 hours (with breaks).

(The first 2-3 sessions may take a little longer.)

A "warbling" tone reflect a certain brain wave activity and is the feedback.

1) INSTRUCTIONS TO INCREASE THE FEEDBACK:

The feedback will often come to you in a connected series of "chirps" called "trains". Your intention is to get more and longer "trains" (or fewer and shorter trains). Do not use isolated individual "chirps" as feedback. Rather use trains of two or more connected "chirps" as feedback. In other words, producing a lot of (or a few) non-connected individual chirps doesn't count. We will explain and demonstrate this distinction to you when you are "hooked up" to the equipment.

Biofeedback abundance is how often you can get the tone on and how loud you get the tone to go. The overall abundance of feedback for trial A and the overall abundance of feedback for trial B will not necessarily be equal. The inequality between the abundance of feedback between trials A and B is more likely due to differences in threshold settings and not due to differences in brain wave production. We try to adjust the initial settings at the beginning of each trial so the feedback is on about 40% and off about 60% at the beginning of trial A and of trial B. Adjusting this initial ratio of feedback to silence, however, cannot be done perfectly.

Because of this setting inequality, try not to let any differences in the abundance of feedback between A and B become a measure of your success at producing one brain wave more than the other. Also, try not to let these differences effect your subjective experience since they are not necessarily due to differences in brainwave control. What counts is what happens within each individual trial.

The same thing holds true from week to week for the same trial. This means that feedback for trial A may seem to be more abundant overall for this week than for trial A the following week. This, again, may be a function of the initial threshold settings prior to each trial and not due to your being more successful at one trial A than at the other trial A. What counts is what happens within each individual trial. (The same thing is true for trial B.)

Again, what does count, is the increase in the feedback within each trial. As mentioned previously, we try to adjust the initial settings at the beginning of each trial so the feedback is on about 40% and off about 60% for A trial and for B trial, so it's how much you increase the amount of feedback after these initial settings during the trial that counts. What is important is how much you increase the feedback from the beginning of trial A to the end of trial A (or from the beginning of trial B to the end of trial B). What does not count is how much the overall abundance varies from trial to trial or week to week.

(3) Differences between trial A and trial B in the QUALITY of the feedback signal

The quality of the feedback may sound different to you for trials A and B. For example, the feedback may sound a little "smoother" or less "choppy" during one than during the other. This difference in the pattern or quality of sound is a function more of the equipment than of how you are doing on one trial compared to the other. Don't think your are doing better at A than at B (or vice versa) or that your state of consciousness is different in one or the other because one feedback sounds "smoother" or less "choppy" etc. Again, what counts is how and how much you increase the abundance within the trial and not the quality of the sound of the feedback. The only "pattern" of feedback we want you to attend to is increasing the number of connected series of "chirps"

From your ability to increase the amount of feedback within trial A or within trial B you may get: (1) a sense of how much you can increase it within the trial, (2) a sense of connection between what you are doing (or not doing) and the bursts of feedback (a sense of control), (3) and a sense of connection between the exact moment you get a burst of feedback sound and what is going on inside you.

To get a sense of connection, remember that the timing of the occurrence of the feedback is important. This means, for example, over a five minute period in trial A, you may experience the same amount of feedback you did in a five minute period of trial B. Your overall frame of mind my also be the same for both five minute periods. The difference in consciousness between the two periods may be at precisely when the burst of feedback occurs. At the precise moment of a feedback burst you might be doing or

experiencing something different for trial A than for trial B even though your overall frame of mind may be the same for both trials.

Bursts of feedback may be markers for specific occurrences in your stream of consciousness. You may want to find out what is being "marked" and allow the increase of the occurrence of these "events". It is still important for you to find out for you what works best and what doesn't work to increase the abundance of the feedback. Keep in mind the possibility that differences in conscious states (if they occur) may be extremely subtle at first. Feel free to ask questions if any of this is unclear to you.

  Remember that your expectations and beliefs can strongly influence your experience, so try to begin each session with minimal or no expectation of what your experience will be during training. Your experience may or may not be what you might expect, so be open to any possibility. Try to start from an unbiased "zero" or "neutral point" and let yourself be free to move (or not move) in any "direction" on any polarity from there. (e.g., you may experience tension or relaxation so you're prepared to go in either direction or in both directions)

  During training, please sit comfortably in your chair with your back straight and both feet on the floor (there is no need to hold this position rigidly though.) Keep your eyes closed. Gently limit eye and head movements while you comfortably sit. Try not to rigidly freeze or tense up your eyes and neck or any other part or your body. Gently avoid going to sleep or becoming extremely drowsy. It is no sin though, if you do become drowsy. Also, while sitting, please avoid "fluttering" your eyelids. Some people unconsciously do this.

  You will have a break roughly every 30 minutes. During the break, we can unplug the sensor wires from the equipment if you want. At this time, you are welcome to stand up and stretch, have a drink of water, use the bathroom. The sensors on your scalp, and their wires, will still be attached to you so try to leave them in place as you move.

First 5 minutes of each 15 minute training period: ("Free-time")

  For the first 5 minutes of each 15 minute training period, no brain wave "data" will be recorded. You will therefore have a little more "leeway" to move around and to experiment and casually "play around". In other words, you can use the first five minutes after each break to just allow yourself to experience the processes present when the tone are present or absent. We will let you know when these first 5 minutes are over. At this time, return to exclusively increasing or decreasing the feedback according to what other instructions were given to you.

Feel free to call for us immediately: if you feel you have to move around, if a sensor slipped off your scalp, if something doesn't seem "quite right" to you about how the system is functioning, if you are feeling frustrated, if you need any kind of help, if you have to use the bathroom, if you feel too warm or too cold, if the head band feels too tight, or if any of the sensors feel uncomfortable on your scalp. This study is not about putting up with anything uncomfortable; it is about learning and exploring in as pleasant an atmosphere as possible. When you call us on the intercom the "data" will stop being recorded, and someone will come into the room to assist you. Calling for us immediately at the above mentioned times helps keep us from recording non-useful data that might

contaminate our results. The experimenter will be wearing ear plugs to keep from hearing the feedback tone so speak loudly.

When you first come in for the training we will give you, in addition to these current instructions, more specific instructions concerning the strategy you will be using to increase the feedback.

A strategy is how you increase the feedback. A strategy may involve something you do (or don't do) inside (or outside) your world of experience, being, and behavior etc. There are no right or wrong strategies nor any particular limit to possible strategies.

Also, be open to the possibility that a strategy that may work does not have to be at one end of a polarity (e.g., the drowsiness-alert polarity). For example, being extremely drowsy, or being extremely awake and alert, may not necessarily work as a good strategy. The best strategy may be found in the middle ground between extreme drowsiness and alertness. The point is to consider the middle ground as well as the extremes when trying out a strategy. (The above example about drowsiness is hypothetical and is not meant to suggest the middle ground is the best strategy in the above case or in any case. Just be open to all possibilities.)

"Strategy instructions" are instructions on how you increase the feedback. Throughout the study, you will be using the same strategy instructions, to increase the feedback.

The specific strategy instructions are sometimes preceded by the phrase: "Can you imagine"....(doing such and such). This is done as a way to gently "ease" you into the instructions. We don't want you to take them as rules being shoved down your throat. The word "imagine" does not mean only "visualization" here. The phrase could also be read to mean: "Can you allow for the possibility of....?" or "Can you allow the permissive conditions for the passive creation of....?"

Please take home the strategy instructions, given to you and these guidelines and continue to familiarize yourself with them for the next sessions.

During the breaks: feel free to talk to us but, for reasons in the design

 of the "experiment", please don't let us know whether you think you are receiving feedback for brain wave "A" or for "B" or the "switch instructions" you were given (see next pages for switch instructions).

We will, during the breaks, love to hear how you are feeling. Just remember we don't know any one "experience" you are "supposed" to be having and can't guide you in that area.

Remember, you have our good will and support on this journey!

SWITCH INSTRUCTIONS Name______________ Code_______

You will be asked to set one switch on the black box located in the cubical. This is done just prior to your actual training. (The location of the box, will be pointed out to you.) The following are the instructions on how to set the switch. You will have one copy of these instructions to take home and look at, and you will be given a copy when you come in for the training. Have the copy with you when you make the setting, then return the copy to the desk top face down.

When to make the "settings": You will be asked to make a setting four times during the session: once just before the each "A" and "B" training trials and once at the end of these training trials. What setting ("A" or "B") you will make prior to each trial is on your sequence sheet (example next page)

Setting the switch at the beginning: On top of the black box is one switch which has three possible settings. (A, B, and Neutral) Each possible setting is designated by a letter (shown on the box).

Placing the cover on after each setting: Just after you make the settings, please place the cover over the black box. Also, place your copy of these instructions to the desk top face down. We will show how to do this. Do not let anyone know or see your assigned switch position during the entire study. Make sure the trainer is in the other room when flipping the switch. Placing the cover on prevents us from seeing what setting was made. Make sure no other knobs or switches are accidentally moved.

Resetting the switch at the end: At the end of trials A and B, you will be asked to reset the top switch to the "neutral" position. Again, make sure the trainer is in the other room when flipping (or not flipping) the switch.

Making a check mark on the sequence sheet immediately after each switch setting: In the following sample sequence sheets are some spaces to check right after you set the switch to make doubly sure the switch is set.

SAMPLE SEQUENCE SHEET 

(THE SEQUENCE ASSIGNED TO YOU MAY BE DIFFERENT, E.G. TRIAL B MAY COME FIRST)

Trial Sequence: Name:________________ Date:________

  AB, BA, AB, BA, AB,

1 2 3 4 5

  BA, AB, BA, AB, BA

6 7 8 9 10

 Put check mark in space right after setting switch position:

Day 1: Date______

  (1ST Trial position:__A__ Check_____Return to "N" position: check_____)

(2ND Trial position:__B__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 2: Date______

  (1ST Trial position:__B__ Check_____Return to "N" position: check_____)

(2ND Trial position:__A__ Check_____Return to "N" position: check_____)

  __________________________________________________________________________

Day 3: Date______

  (1ST Trial position:__A__ Check_____Return to "N" position: check_____)

(2ND Trial position:__B__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 4: Date______

  (1ST Trial position:__B__ Check_____Return to "N" position: check_____)

(2ND Trial position:__A__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 5: Date______

  (1ST Trial position:__A__ Check_____Return to "N" position: check_____)

(2ND Trial position:__B__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 6: Date______

  (1ST Trial position:__B__ Check_____Return to "N" position: check_____)

(2ND Trial position:__A__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 7: Date______

  (1ST Trial position:__A__ Check_____Return to "N" position: check_____)

(2ND Trial position:__B__ Check_____Return to "N" position: check_____)

  ____________________________________________________________________________

Day 8: Date______

  (1ST Trial position:__B__ Check_____Return to "N" position: check_____)

(2ND Trial position:__A__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 9: Date______

  (1ST Trial position:__A__ Check_____Return to "N" position: check_____)

(2ND Trial position:__B__ Check_____Return to "N" position: check_____)

  ___________________________________________________________________________

Day 10: Date______

(1ST Trial position:__B__ Check_____Return to "N" position: check_____)

(2ND Trial position:__A__ Check_____Return to "N" position: check_____)

  _______________________________________________________ ___________________

Prior to your answering the experiential questionnaires, we will sit down with you and go over all the questions and their specific meanings, and attempt to provide examples of the experiential distinctions made.

Give each question a few seconds of attention and avoid "over-analyzing" it in order to understand it perfectly. Take the pressure off yourself to answer it perfectly, rather "hang loose" and trust more in your own initial "experience-based", "gut-level" intuitive response. There is no need to make yourself uncomfortable effortfully thinking out every detail. There is no need to feel you have to be consistent. Let the answering of the questions be enjoyable as possible. Let the questions expand your awareness instead of capturing your intellect. The following will help clarify how to answer:

When answering the questions, recall, recreate, or imagine the actual experience as effortlessly as you can. Please be as honest as you can. You may be asked to make distinctions in your experience you've never made or aren't used to making. This simply takes some initial getting used to. There are, at times, some very subtle distinctions between questions. Don't expect an immediate connection to your experience when you first read a question.

Some words in the questions may be hard for you to give a specific "nuts and bolts" meaning to (e.g,. an experience of "melting"). In this case, try to get as clear as you can as to what the question is asking or pointing to, then use your own experience to attempt a more meaningful understanding. Think of the question as only a sign post that may point to a real experience. Read the sign post and notice if you can experience where it's pointing. Some answers will require your best intuitive estimate, rough or exact.

To better help you understand and answer the questions, the following "rough," "non-absolute," distinctions, or discriminations may provide reference points, or a "map" from which you may "plot" your own experience. The distinctions given, are definitely not meant to suggest the kind of experiences that you should have:

7) One experience does not necessarily exclude another:

For the next 15 minutes, please sit comfortably with your eyes closed. Gently limit eye and head movements while you comfortably sit. Try not to rigidly freeze or tense up your eyes and neck or any other part or your body. Gently avoid going to sleep or becoming extremely drowsy. During this period, try not to deliberately use any particular meditative or any other kind of discipline or strategy.

In addition: Don't go into any unusual or meditative states. Sit comfortably in your chair with your back straight an both feet on the floor (do no hold this position rigidly though.) Feel free to use the intercom if you feel uncomfortable for any reason.

BASELINE INSTRUCTIONS, WITH TONE:

Sit comfortably in the same manner as before. The only difference is, this time we will turn on a tone for the next 15 minutes. During this 15 minute period, do not use the tone as feedback to increase it or decrease it.

As during the previous period, please sit comfortably with your eyes closed. Gently limit eye and head movements while you comfortably sit. Try not to rigidly freeze or tense up your eyes and neck or any other part or your body. Gently avoid going to sleep or becoming extremely drowsy. During this period, try not to deliberately use any particular meditative or any other kind of discipline or strategy.

In addition: Pretend you are waiting in a doctors office waiting room. Don't go into any unusual or meditative states. Sit comfortably in your chair with your back straight an both feet on the floor (do no hold this position rigidly though.)

  Feel free to use the intercom if you feel uncomfortable for any reason.

STRATEGY INSTRUCTIONS TO INCREASE FEEDBACK (A & B)

Name______________

 Code_______

The tone reflects certain brain wave activities and is the feedback.  Gradually and gently increase the intensity and abundance of the tone. You want the tone to get louder and stay on more. Your instructions for a strategy to increase the feedback is no more specific than this. Can you imagine eventually discovering, on your own, the best strategy or strategies for you to increase the feedback? Can you imagine feeling free to change or to "evolve" your strategy to increase the feedback? Can you imagine that there is no one absolutely "perfect" strategy that one must strive to attain?

Spend some time now (e.g., 5-10 min.), familiarizing yourself with this "strategy" and the other guidelines given to you.

 INITIAL QUESTIONNAIRE:

First name:________________ Last name:________________ M. I.:_______

Home address:_______________________________________________ ____

Work address:_______________________________________________ ____

Position/profession:________________________________

Home phone:(____)_______________ Work Phone:(____)______________

Can we call you at work? _____

Best times to call you:

M______ T______ W______ Th______ F______ Sa_______ Su______

Times available for training: (between 7 am and 11 pm)

  M______ T______ W______ Th______ F______ Sa_______ Su_______

 Age_____ Marital status:______ Number of children _____ Handedness_____

Education____________ Special training:___________________________________

Currently employed?:_______ Professional goals:__________________________

Religious background_____________ Current religious activity:______________

Ethnic background:________ Hobbies:________________________________________

How did you first find out about the research?:____________________________

Do you think you might have difficulty sitting for long periods of time during the training?_____. If so, please explain:

Do you think you might have difficulty answering a lot of questionnaires about

your experience?_____. If so, please explain:

Do you have difficulty dealing with boredom in general?_____. If so, please

explain:

Please include the length of time of your involvement. Also briefly include how enjoyable and important it is to you, and how successful you feel at it.

1) Experience in meditation, art, martial arts or athletics:

2) Involvement in any "discipline", "growth process" or therapy emphasizing increasing

"self-awareness":

3) Experience with, knowledge of, biofeedback (especially EEG or alpha

biofeedback):

4) Experience with, and knowledge of, "Open Focus", or the Princeton

Behavioral Medicine and Biofeedback Clinic:

A) I am willing to make a commitment for the 10 sessions of training

  over the 10 week period given that it fits my present schedule:_____

B) I may be willing to make a commitment for the 10 sessions of training

  over the 10 week period and I would like some time to think about it.

Please contact me later:_____ How soon?_________

Possible difficulties:______________________________________________

____________________________________________________________________

____________________________________________________________________

 Signature:__________________________________ Date____________

I am willing to pay the $50 charge (or part of it) for the entire training:

(weekly payments are ok) _____________

I would like to waive the $50 charge of the training because I have difficulty affording it, or because I would just feel more comfortable doing it this way: _________

Name of study: "Experiential States Associated with the Production of a Brain Wave Biofeedback Signal."

Investigator: Wayne Carr Ph.D. Cand.)

(609) 683-1819

The purpose of this biofeedback study is to determine how you learn to produce brain waves of certain kinds and find out what you are experiencing when you produce these brain waves. You may be given special "awareness exercises" to aid you in the training. The cost of participation is $50 unless you have difficulty affording this, in which case, the cost can be waved.

If you agree to participate you will be asked to make a strong commitment of time. The daily training sessions are about 3 hours long. You will receive about 10 total hours of biofeedback training. Total participation time will be about 30 hours. We will attempt to schedule the sessions on the same day, at the same time, once a week, for about 10 weeks. This daily time of your training can be in the morning, afternoon or evening depending on what time best fits your schedule.

If you have to miss a day, due to scheduling problems or unexpected circumstances, the

training session will start the following day or as soon as possible. You can miss up to 5 sessions as long as they can be made up. Two days prior to your weekly session, you will be asked to get a good night's sleep and abstain from caffeine, alcohol or any other drugs.

During training, soft felt sensors will be placed on the surface of your scalp (the hair is parted) so that brain waves can be recorded. Certain brain waves will turn on the biofeedback signal so that you can know when you are making then. The biofeedback signal is made up of a tone which is adjusted to an intensity you find comfortable.

At least once during each session you will be given a series of questionnaires on your experience. Time spent answering questionnaires will be approximately 60 minutes total for a session. If you feel that answering questionnaires about your experience will easily become very boring or tedious or, if you feel you will become very easily impatient doing this then please honestly tell us now since patience and interest are desired. In any case, you may (or may not) occasionally experience some boredom from sitting or filling out questionnaires. This is nothing unusual or bad and is completely normal. If it occurs, it can just be considered part of the total experience.

In addition, you will be sitting for long periods (with breaks every 15 to 30 minutes) in a small dimly lit room. You will not be required to sit rigidly still, however if you generally feel very uncomfortable about remaining in a small space over a period of time please tell us. Obviously there is a small risk that you may find the sitting, even with the breaks and freedom to move, stressful. We will keep the atmosphere as informal, friendly, and supportive as possible. We will also be available for questions concerning the research. At the conclusion of the study there will be a debriefing session to further explain the purpose of the study.

For some training trials you will receive training using one type of brain wave biofeedback and for other trials you will receive training using a different type of brain wave biofeedback. You will be told when the type of feedback changes. In all training trials, you will receive brain wave biofeedback training. In addition, you will be video taped once, for a few minutes, prior to your beginning any training. Of course any tapes and records will be kept strictly confidential.

If you are not satisfied with the manner in which this study is being conducted, you may report (anonymously, if you so choose) any complaints to the UNR Biomedical Human Subjects Review Committee (702) 784-4040. The University of Nevada may not provide compensation or free medical care for an unanticipated injury sustained as a result of participation in this research.

I have read the above and would like to participate in this project. I understand that I can voluntarily withdraw from participation in this study at any time and my money will be refunded in full. I also understand all my records will be kept confidential.

_________________________ ____________________________

Name Signature

_________________________

Date

Name__________________ Date__________

  Please fill out the following health questionnaires the best you can. Some questions may be repeated in different questionnaires. One purpose is to try and detect anything that might interfere with your full participation. The explanations asked for can be brief. Remember all information given will be held in the strictest confidence.

Name and phone number of your medical doctor: (To contact in case of emergency)

_______________________________________________________ ______________

Do you have medical insurance?____ Name of company:_____________________

Name and number of another person to contact in any emergency:

_______________________________________________________ _______________

Please list and explain anything physical or psychological that might

interfere with:

1) Sitting for long periods of time:

2) Attending to a task or to questionnaires for short or long periods of time

3) Staying awake during the day and evening

Do you have, or have you had any of the following: (Mark "Y", "N" or mark "C" if you Currently have the condition)

1) Epilepsy:_____ 7) Hypoglycemia_____

  2) Sleep disorders_____ 8) Extreme nervousness_____

3) Extreme depression _____ 9) Schizophrenia _____

4) Frequent headaches _____ 10) Learning disorders_____

5) Neurological problems_____ 11) Alcoholism_____

  6) Drug addiction_____ 12) Hearing difficulties_____

1) What is the time of day you feel at your "best"? _________

2) What is the time of day you feel at your "lowest"? _________

3) Do you currently have any problems concentrating? _________

4) Do you currently have any problems sleeping? _________

5) Would you describe yourself as nervous or impatient? _________

6) Are there any current psychological or emotional problems that are causing you a great deal

deal of stress?______ If so, please briefly explain:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

7) Are there currently any unusually stressful problems at work or with your family?_____

If so, please explain:

______________________________________________________________________________________

8) Are you currently seeing a counselor or psychotherapist?_____ If so, please give reason:

______________________________________________________________________________________

9) Have you ever been hospitalized for a psychiatric problem? _____ If yes, please explain:

______________________________________________________________________________________

10) Have you ever been debilitated by a "mental disorder"?______ If yes, please explain:

______________________________________________________________________________________

OTHER HEALTH CONSIDERATIONS:

  1) Do you smoke tobacco?______

2) Cups of caffeinated coffee per day:______

  3) Amount of alcohol per week:________________________

4) Weekly or monthly use of any other drugs: (Please give name of drug

 and amount) __________________________________

5) Medications currently taking:_______________________________________

6) Allergies:___________________________________________________

7) Are you currently dieting?_____

HANDEDNESS QUESTIONNAIRE

Name__________________

Date__________

Please indicate which hand you habitually use for each for the following activities by writing R for right, L for left, or E for either.

1. To write a letter legibly? ________

2. To throw a ball to hit a target? ________

3. To hold a racket in tennis, squash, or badminton? ________

4. To hold a match while striking it? ________

5. To cut with scissors? ________

6. To guide a thread through the eye of a needle? ________

7. At the top of a shovel when shoveling sand? ________

8. To deal out playing cards? ________

9. To hammer a nail into wood? ________

10. To hold a toothbrush while brushing your teeth? ________

OTHER QUESTIONS: (Y , N, or DK for don't know)

11. Are either of your blood parents left-handed? ________

12. Are any of your blood brothers or sisters left-handed? ________

13. As far as you know, are you right-eyed or left-eyed?

R________ L ________ E________ DK________

(either) (don't know)

GENERAL INSTRUCTIONS:

In the next few minutes a variety of questions will be asked. Just relax and answer the best you can in one or two sentences. When you have finished answering one question there will be a pause before the next question. What we want to know is, how different people approach various problems. Don't worry about your answer. This is not a test to see how well you do. There are no right or wrong answers. A video tape will be taken and eventually erased. Feel free to change any uncomfortable sitting position you may be in.

  A) What is today's date? __________________________________________

B) What is your full name? __________________________________________

  1) What time of year do you enjoy the

most? L_____ R_____ U_____ D_____ S_____

  2) What part of the country would you

like most to visit? L_____ R_____ U_____ D_____ S_____

  3) What might you be doing next

Christmas vacation? L_____ R_____ U_____ D_____ S_____

  4) What kinds of activities do you usually

do for enjoyment? L_____ R_____ U_____ D_____ S_____

 Neutral Questions:

5) What do you think is our country's greatest

  natural resources? L_____ R_____ U_____ D_____ S_____

6) How might colleges or schools be

  different 25 years from

today? L_____ R_____ U_____ D_____ S_____

7) What friend in your life have you

  spent the most time with? L_____ R_____ U_____ D_____ S_____

8) How might a classroom situation

  differ form a real life situation?

L_____ R_____ U_____ D_____ S_____

  9) In general, what is one important

event that may happen in the world

  during your lifetime? L_____ R_____ U_____ D_____ S_____

10) What do you think is the most important

  difference between Communism and

Capitalism? L_____ R_____ U_____ D_____ S_____

  11) What is the most important event that

has ever happened to you? L_____ R_____ U_____ D_____ S_____

  12) In general, what kinds of people are

your friends? L_____ R_____ U_____ D_____ S_____

  13) What is one important event that has

happened in the past few years in

  the Peoples Republic of

China? L_____ R_____ U_____ D_____ S_____

Spatial Questions: EYE MOVEMENT QUESTIONNAIRE, PAGE 3

  14) What kind of people are (or were) your parents?

L_____ R_____ U_____ D_____ S_____

  15) What colors might you see on the same

tree in the fall? L_____ R_____ U_____ D_____ S_____

  17) What color shirt and pants would you

wear if you really wanted them to

  clash? L_____ R_____ U_____ D_____ S_____

19) What person or thing had the scariest

  face you have ever seen? L_____ R_____ U_____ D_____ S_____

21) What is the position earth relative to one or two

  the other planets? L_____ R_____ U_____ D_____ S_____

23) What is the most vivid impactful movie

  seen you have ever viewed? L_____ R_____ U_____ D_____ S_____

25) Where is New Jersey relative to

  several nearby states? L_____ R_____ U_____ D_____ S_____

27) What is the most unusual pattern

  you have ever seen in nature?

L_____ R_____ U_____ D_____ S_____

  29) Try to give the arrangement of the

colors of a rainbow from top to

  bottom? L_____ R_____ U_____ D_____ S_____

31) What did your last vivid nightmare

  or dream have in it? L_____ R_____ U_____ D_____ S_____

33) What are several colors that may evoke

  the feeling of sadness in you?

L_____ R_____ U_____ D_____ S_____

35) What is the most vivid, real, visual

  picture that currently comes to your

mind right now? L_____ R_____ U_____ D_____ S_____

  37) Where (e.g. in your bedroom) do you find yourself

imagining the most vivid pictures or shapes?

L_____ R_____ U_____ D_____ S_____

  39) What are three colors that you feel

might all clash with each other?

L_____ R_____ U_____ D_____ S_____

  41) As you rotate a cube, how might its

apparent shape change? L_____ R_____ U_____ D_____ S_____

  43) What are two unusual colors that might look

beautiful together? L_____ R_____ U_____ D_____ S_____

  EYE MOVEMENT QUESTIONNAIRE, PAGE 4

45) Describe a simple creative geometric pattern

you could make with circles and triangles?

  L_____ R_____ U_____ D_____ S_____

47) Describe a creative pattern you could

  make with multicolored feathers?

L_____ R_____ U_____ D_____ S_____

49) Describe the location of a

  beautiful cabin in a forest that you picture in your

imagination right now? L_____ R_____ U_____ D_____ S_____

  51) What kind of brush stokes might you

paint on a blank canvas that you

  picture in your mind right now?

L_____ R_____ U_____ D_____ S_____

53) Can you imagine and describe somewhat, a never before seen,

sculpture with shapes and colors that may evoke the emotion of

  loneliness in you? L_____ R_____ U_____ D_____ S_____

  16) What is the difference in the meanings

of the word "should" and the word

  "would"? L_____ R_____ U_____ D_____ S_____

18) Name two words that rhyme with

  explanation? L_____ R_____ U_____ D_____ S_____

20) What could be the opposite of the word

  "explain"? L_____ R_____ U_____ D_____ S_____

22) What is the most difficult "tongue

  twister" you can think of right now?

L_____ R_____ U_____ D_____ S_____

  24) What are some words that may mean

"abstract"? L_____ R_____ U_____ D_____ S_____

  26) What word could the following phrase

be a definition of?: "sounding

  overly verbal" L_____ R_____ U_____ D_____ S_____

28) When is good sentence structure the most

  important? L_____ R_____ U_____ D_____ S_____

30) What are one or two things that could be grammatically wrong

  with the following sentence: "I think linguists that talk too much

  and who define words are too abstract?

L_____ R_____ U_____ D_____ S_____

  32) What are some English words that mean

"language"? L_____ R_____ U_____ D_____ S_____

  34) What is the most important linguistic

concept you can think of right now?

  L_____ R_____ U_____ D_____ S_____

36) Name two words that rhyme with

  conjunction? L_____ R_____ U_____ D_____ S_____

38) What are some other types of words

  besides adverbs? L_____ R_____ U_____ D_____ S_____

40) Under what circumstances do you find yourself thinking in

  words the most? L_____ R_____ U_____ D_____ S_____

42) Why is good sentence structure

  important? L_____ R_____ U_____ D_____ S_____

44) What are some things you often, silently or aloud, talk

  to yourself about? L_____ R_____ U_____ D_____ S_____

46) What are one or two new or unusual words

  that you may have learned in the

past two years? L_____ R_____ U_____ D_____ S_____

  48) What specific kinds of problems require

step by step language? L_____ R _____ U_____ D_____ S_____

50) What are two words that don't have

  opposites? L_____ R_____ U_____ D_____ S_____

52) What are some positive functions that might be served talking to

  yourself? L_____ R_____ U_____ D_____ S_____

54) What is possibly the hardest to define word

  you can think of? L_____ R_____ U_____ D_____ S_____

POST BASELINE QUESTIONNAIRE:

(Given once on first session)

Name__________________

  Date__________

  1) Tone:

unpleasant 1 2 3 4 5 6 7 8 9 pleasant

  2) Was the tone too intense to feel comfortable with? ________

3) Did you make any effort to increase, decrease or alter the

  feedback?

4) Did you go into any unusual or meditative state? If so, please

 explain:

5) Any additional comments on your experience of the feedback:

Investigator: Wayne Carr, 39 Tamarack Circle, Skillman, NJ 08558, (609)683-1819

Name __________________________________Date________________Session#____________

This questionnaire is designed to give us an idea of what your life experiences are like today. There are no right or wrong answers. We do not give grades or measure how well or poorly you are doing. Everyone experiences their "reality" differently. Without pressure, please be as honest as you can. We are trying to gently get "the lay of the land" and not trying to intrusively probe into your experience. Try not to "deduce" what your experience is by thinking: "since such and such is happening, I must therefore be experiencing and such". For example, "since I'm sitting quietly, I must be relaxed". Go rather by actual experience of relaxation (or tension). Please answer the following honestly to help us assess how you are doing prior to training.

1) Amount of alcohol in the last two days:_______________________________________________

2) Amount of caffeinated coffee in the last two days:_____________________________________

3) Amount of any kind of drug or medication in the last:_________________________________

4) Were there any unusually stressful circumstances in your life in the last week?_______

If so, briefly explain:

5) Have you had any physical symptoms in the last week? (E.G., cold, allergy, or headache

symptoms.) ______________________ If so, briefly explain:

Please mark your answers on the 9 point rating scale. Each scale is a continuum between two polarities. Circle the point that best represents your experience.

1) Please rate your current level of "awakeness":

Very drowsy 1 2 3 4 5 6 7 8 9 Wide awake

2) Please rate your last nights sleep:

Poor 1 2 3 4 5 6 7 8 9 Refreshing

3) Please rate your current overall mood:

Bad 1 2 3 4 5 6 7 8 9 Good

4) How well do you feel you will do during today's training?:

Poorly 1 2 3 4 5 6 7 8 9 Very well

5) What is your current experience of your motivation to participate in

the training?:

Don't feel like 1 2 3 4 5 6 7 8 9 Very excited about

doing the training doing this

If your motivation is low at present, please briefly explain:

A number of statements which people have used to described themselves are given below. Read each statement and then circle the appropriate number to the of the statement to indicate how you feel right now, that is, at this moment. There are no right or wrong answers. Do no spend too much time on any one statement but give the answer which seems to describe your present feelings best.

Not at all Somewhat Moderately Very much

1. I feel calm............ 1 2 3 4

2. I feel secure.......... 1 2 3 4

3. I am tense............. 1 2 3 4

4. I am regretful......... 1 2 3 4

5. I feel at ease......... 1 2 3 4

6. I feel upset........... 1 2 3 4

7. I am presently

worrying over possible

misfortunes............ 1 2 3 4

8. I feel rested.......... 1 2 3 4

9. I feel anxious......... 1 2 3 4

10. I feel comfortable..... 1 2 3 4

11. I feel self-confident.. 1 2 3 4

12. I feel nervous......... 1 2 3 4

13. I am jittery........... 1 2 3 4

14. I feel "high strung"... 1 2 3 4

15. I am relaxed........... 1 2 3 4

16. I feel content......... 1 2 3 4

17. I am worried........... 1 2 3 4

18. I feel over-excited.... 1 2 3 4

19. I feel joyful.......... 1 2 3 4

20. I feel pleasant....... 1 2 3 4 

Investigator: Wayne Carr, 39 Tamarack Circle, Skillman NJ 08558, (609)683-1819

Name_________________________ Date______________ SESSION #_______________

  Please to complete the following experiential questionnaires. The first 2-3 times you take these experiential questionnaires they may take a lot longer than usual until you get familiar with the questions and terminology. After that, they should take about 60 minutes to do.

Give each question a few seconds of attention and avoid "over-analyzing" it in order to understand it perfectly. Take the pressure off yourself to answer it perfectly, rather "hang loose" and trust more in your own initial "experience-based", "gut-level" intuitive response. There is no need to make yourself uncomfortable effortfully thinking out every detail. There is no need to feel you have to be consistent. Let the answering of the questions be enjoyable as possible. Let the questions expand your awareness instead of capturing your intellect. The following will help clarify how to answer.

When answering the questions, recall, recreate, or imagine the actual experience as effortlessly as you can. Please be as honest as you can. You may be asked to make distinctions in your experience you've never made or aren't used to making. This simply takes some initial getting used to. There are, at times, some very subtle distinctions between questions. Don't expect an immediate connection to your experience when you first read a question.

Some words in the questions may be hard for you to give a specific "nuts and bolts" meaning to (e.g.,. an experience of "melting"). In this case, try to get as clear as you can as to what the question is asking or pointing to, then use your own experience to attempt a more meaningful understanding. Think of the question as only a sign post that may point to a real experience. Read the sign post and notice if you can experience where it's pointing. Some answers will require your best intuitive estimate, rough or exact.

"FREE RESPONSE"(FR) QUESTIONNAIRES (FOR A TRIAL ONLY)

In reference to what your experience was like at periods or moments when your feedback (tone) was at its greatest intensity and abundance, please answer the following "questions":

Please write a 1/2 page response to the first "question".

  1) Freely describe what your experience and experiencing was at these periods or

moments.

Be free to include, emphasize (or de-emphasize) processes such as attending, thinking, feeling emotions, feeling impulses and urges, sensing, imaging, perceiving, being, etc. Also be free to include, emphasize (or de-emphasize) your experiencing of the "outside" world and "inside" world. By this we do not presume to suggest or bias what your experience was, or what was prominent in it. Only you know that.

In addition, answer the following in two or more sentences:

  2) What seemed to increase the intensity and abundance of the tone?

3) What seemed to stop or inhibit your increasing the intensity and abundance of the

tone?

4) How did your experience at the end of the trial differ from your experience at

beginning of the trial?

5) Please give a very short description of your experience or experiencing

 right now.

Name_________________________ Date______________ SESSION #_______________

  In reference to what your experience was like at periods or moments when your feedback (tone) was at its highest intensity and abundance, please answer the following "questions":

Please write a 1/2 page response to the first "question".

  1) Freely describe what your experience and experiencing was like at these periods or moments.

Be free to include, emphasize (or de-emphasize) processes such as attending, thinking, feeling emotions, feeling impulses and urges, sensing, imaging, perceiving, being, etc. Also be free to include, emphasize (or de-emphasize) your experiencing of the "outside" world and "inside" world. By this we do not presume to suggest or bias what your experience was, or what was prominent in it. Only you know that.

In addition, answer the following in two or more sentences:

  2) What seemed to increase the intensity and abundance of the tone?

3) What seemed to stop or inhibit your increasing the intensity and abundance of the tone?

4) How did your experience at the end of the trial differ from your experience at beginning of the trial?

Each "question" covers a possible dimension of your experience and is "answered" by marking points on two 9-point rating scales. How you do this will be explained shortly.

Here is an example of a "question":

Amount of "mental stillness" you experienced:

Scale 1: None 1 2 3 4 5 6 7 8 9 A lot

In addition, for each question, there are two boxes ([ ]) in which you will be marking:

Amount of "mental stillness" you experienced: Box 1: R:[ ]

None 1 2 3 4 5 6 7 8 9 A lot

1 2 3 4 5 6 7 8 9 Box 2: DK:[ ]

By marking on the above scales and boxes, you will be giving the following ratings in response to each question: (Again, exactly how you do this will be explained shortly.)

(A) = Your experience during the "A" trial at times

  when the feedback was at its highest. (Scale 1)

(B) = Your experience during the "B" trial at times

when the feedback was also at its highest. (Scale 1)

(E) = Your "Everyday," "average" awareness. (Scale 2)

(R) = The Relevance of the question to your experience during

the trial. (Box 1)

(DK) = You Don't Know an answer to one of the above ratings (Box 2)

The following will fully explain how to answer: (Also, you can see examples

at the end of the instructions.)

a) Rating the (A) Trial:

On the first scale, circle a number in reference to what your experience was like at periods or moments when your feedback (tone) was at its greatest intensity and abundance when you were asked to increase the feedback.

Draw a circle around your answer in this case. (Circle = A trial)

For example:

  Amount of "mental stillness":

(A & B): None 1 2 3 4 5 6 7 8 9 A lot

  1 2 3 4 5 6 7 8 9

Also, on the first scale, draw a square around a number in reference to what your experience was like at periods or moments when your feedback (tone) was at its greatest intensity and abundance when you were asked to increase the feedback.

Draw a square around your answer in this case. (Square = B trial)

For example:

Amount of "mental stillness":

(A & B): None 1 2 3 4 5 6 7 8 9 A lot

1 2 3 4 5 6 7 8 9

In addition to answering each question in relationship to the times when the feedback was at its highest points, also answer each question in relationship to your "normal," "everyday," "average" awareness or experiencing. (Of course, everyone's way of experiencing varies; however, try to get a sense of your "average" or "most often" way of experiencing over the past two or three months.)

Use a triangle to mark your answer on the second scale in this case.

(Triangle = Everyday awareness)

For example:

Amount of "mental stillness":

(A&B): None 1 2 3 4 5 6 7 8 9 A lot

Some questions may measure dimensions that are highly relevant or applicable to your experience when the feedback was highest. Other questions may not seem to measure very relevant dimensions of your experience during the trials. A dimension or subjective distinction that is new or difficult for you does not mean that it is irrelevant. A dimension is irrelevant if it plays little or no role in your experience or in any change of your experience during the increase trial.

For each (R) question, please rate the dimension being measured (e.g., relaxation) as to its relevancy or applicability to your experience during the increase training. (Also, please note, the (R) rating is not in reference to your "everyday" awareness.)

You rate relevancy by writing a number from 1 to 9 in the single box

(R:[ ]) following the question. (A "9" would mean high relevancy, a "1" would mean low relevancy.)

Example:

Amount of "mental stillness": Relevance: R:[ ]

(A&B): None 1 2 3 4 5 6 7 8 9 A lot

  (E): 1 2 3 4 5 6 7 8 9 DK:[ ]

Also, although you might rate a particular dimension as low on the (A) and (B) scale (e.g., relaxation being rated low), this does not necessarily mean that this dimension (relaxation) is irrelevant or plays no role in your experience. Remember that a dimension is irrelevant only to the degree it plays little or no role in your experience or in any change of your experience.

If you honestly don't know the answer to one or more of any the rating scales, then finish filling in the scales you do know and don't mark any answer to ratings you don't know. Then check the "Don't know" box: DK:[X].

Don't mark "Don't know" if you have any "sense" of what the answer is.  You don't have to be absolutely certain, just don't totally guess an answer.

Example:

 Amount of "mental stillness": R:[ ]

(A&B): None 1 2 3 4 5 6 7 8 9 A lot

  (E): 1 2 3 4 5 6 7 8 9 DK:[ ]

Also, keep in mind that not knowing an "answer" to a question when it is first asked does not mean that you will not know an answer at other times.

Please be as honest as you can, and avoid "deducing" an answer by using logic. Instead, use direct experience or a memory of a direct experience.

  (A) = CIRCLE = your experience during the A trial at times when the feedback was at

its highest.

(B) = SQUARE = your experience during the B trial at times when the feedback was at

its highest.

(E) = TRIANGLE = your "Everyday," "average" awareness.

How relaxed did you feel?

Relevance or Applicability (R): [8]

A B

  (A&B):Tense 1 2 3 4 5 6 7 8 9 Relaxed

Everyday (E): Tense 1 2 3 4 5 6 7 8 9 Relaxed

Don't Know (DK):[ ]

How "free" did you feel?

Relevance or Applicability (R): [7]

B A

(A&B): Unfree 1 2 3 4 5 6 7 8 9 Free

Everyday (E): 1 2 3 4 5 6 7 8 9

Don't Know (DK):[ ]

How pleasant was your experience?

Relevance or Applicability (R): [5]

B

(A&B): Not pleasant 1 2 3 4 5 6 7 8 9 Pleasant

Everyday (E): 1 2 3 4 5 6 7 8 9

Don't Know (DK):[X]

(You don't need to mark "A" or "B" above a number. They are marked above the number in the example to better clarify the meaning of the shapes used to give an answer Also, remember that you can mark a square and a circle around the same number if you find no difference in your experience between the "A" and "B" trial.)

(in the questionnaire that was given to subjects, questions were in randomized order without any group headings)

Name_________________________ Date______________ SESSION #_______________

In reference to what your experience was like at periods or moments when your feedback(tone) was at its highest intensity and abundance, please answer the following "questions":

(I) MERGING OR SEPARATING:

(A) "MERGING" WITH EXPERIENCE:

-------------------------------------------------------------------

1 ( ) Degree of "merging" with, or being "absorbed" into, your experience:

R:[ ]

(I&D): No merging 1 2 3 4 5 6 7 8 9 Total merging

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

2 ( ) Degree of "dissolving" or "melting" into your experience:

R:[ ]

(I&D) No dissolving 1 2 3 4 5 6 7 8 9 Total dissolving

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

4 ( ) Degree that you and your experience became one "unified field":

R:[ ]

(I&D): Not one 1 2 3 4 5 6 7 8 9 Totally one

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

5 ( ) Degree of "only experiencing," with no separate "experiencer" or experience:

(I&D:) Not "only experiencing" R:[ ]

1 2 3 4 5 6 7 8 9 "Only experiencing"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(B) "SEPARATION" FROM EXPERIENCE:

-------------------------------------------------------------------------

6 ( ) Degree of being "separate," "distant," or "detached" from your experience: R:[ ]

(I&D): Not separate 1 2 3 4 5 6 7 8 9 Totally separate

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

7 ( ) Degree to which your experiences, or to which stimuli (internal and/or external), seemed to be "objects":

R:[ ]

(I&D): Not objects 1 2 3 4 5 6 7 8 9 Totally objects

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

8 ( ) Degree to which you have a sense of demarcation, boundary, distance, or space between the "experience" and you the "experiencer": R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

9 ( ) Degree of your being "here" and your experience being "there," outside of you, having a separate existence: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(II) SIMULTANEOUS "WITHIN-SENSE" OR "BETWEEN-SENSE" AWARENESS:

(A) "WITHIN-SENSE" AWARENESS:

---------------------------------------------------------------------------

(1) SIMULTANEOUS "WITHIN-SENSE" EXPERIENCES: (Inclusiveness)

10 ( ) Simultaneous "thinking sensations" or "thinking processes" that you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

11 ( ) Simultaneous "emotional sensations" or emotional feelings that you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

12 ( ) Simultaneous internal visual sensations or images (visualizations) that you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

13 ( ) Simultaneous body sensations from different parts of your body that you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

14 ( ) Simultaneous visual sensations or "events" (lights, colors, etc.) in various areas of your field of vision that you were aware of (even with eyes closed): R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

15 ( ) Simultaneous odor sensations or odors you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

16 ( ) Simultaneous taste sensations or tastes you were aware of: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(2) "WITHIN-SENSE" ATTENTIONAL "FIELD SIZE": (Expansiveness)

17 ( ) "Expansion" or "contraction" of your visual "receptive field," "screen," "space," or "sensitivity" (even with eyes closed) R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

18 ( ) "Expansion" or "contraction" of your auditory "receptive field," "space," or "sensitivity to sound": R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

19 ( ) "Expansion" or "contraction" of your "receptive field," or "space" for, or "sensitivity" to, body sensation or body "presence": R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

20 ( ) "Expansion" or "contraction" of your "receptive field," or "space" for, or "sensitivity" to, emotional feelings or sensations: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

21 ( ) "Expansion" or "contraction" of your "receptive field," "screen," or "space" of, or "sensitivity" to, "visualization" or internal visual images: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

22 ( ) "Expansion" or "contraction" of your "receptive field" or "space" of, or "sensitivity" to, verbal thinking and self-talk: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

23 ( ) "Expansion" or "contraction" of your "receptive field," "screen," or "space" of, or "sensitivity" to, spatial or visual thinking: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

24 ( ) "Expansion" or "contraction" of your "receptive field" or "space" for, or "sensitivity" to, taste sensations: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

25 ( ) "Expansion" or "contraction" of your "receptive field" or "space" for, or "sensitivity" to, sensations of smell: R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(B) "BETWEEN-SENSE" AWARENESS:

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(1) SIMULTANEOUS "BETWEEN-SENSE" EXPERIENCES:

26 (39) Simultaneous awareness of both internal and external senses together. (e.g.: visualizations, feelings, memories of sounds, and/or verbal thoughts along with sights, sounds, touch, and/or smells): R:[ ]

(I&D): No awareness 1 2 3 4 5 6 7 8 9 total awareness

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

27 ( ) Different external senses (e.g.: sights, sounds, touch, tastes, smells, etc.) you were aware of simultaneously: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

28 ( ) Different internal senses (e.g.: images, feelings, memories of sounds, thoughts, etc.) you were aware of simultaneously: R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 Many

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(2) "BETWEEN-SENSE" ATTENTIONAL "FIELD SIZE"

29 ( ) If your total experience can be considered one "field," was there "expansion" or "contraction" of your whole experiential "field," "sensitivity" or "space," which includes both internal and external sensations (e.g.: visualizations, feelings, memories of sounds, verbal thoughts along with sights, sounds, touch, and smells): R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

30 ( ) If your "internal sensations" can be considered one "field," was there "expansion" or "contraction" of your "receptive field" or "space" of your internal senses (e.g.: images, feelings, memories of sounds, thoughts, etc.): R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

31 ( ) If your "external sensations" can be considered one "field," was there "expansion" or "contraction" of your "receptive field" or "space" of your external senses (e.g.: sights, sounds, touch, tastes, smells, etc.,): R:[ ]

(I&D): "Contraction" 1 2 3 4 5 6 7 8 9 "Expansion"

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(III) INTEGRATED-SENSORY AWARENESS:

(A) "MULTI-SENSORY" & "SINGLE-SENSORY" "PERCEPTIONS" OR "IMAGES ":

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32 ( ) The degree to which sensations from or within one sense operated or blended together to form a unified perception, experience, or "single-sensory image": (e.g.: the blending of different tastes to form one overall perception of flavor): R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

33 ( ) To what degree were sensations from different senses (e.g.. sight, sound, feeling etc.) incorporated, "blended," or integrated to form a "unified" perception, experience, or "multi-sensory image? R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

34 ( ) How often did you "see-feel" (or "visualize-feel") R:[ ]

(I&D): Never 1 2 3 4 5 6 7 8 9 Often

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

35 ( ) How often did you "think-feel" R:[ ]

(I&D): Never 1 2 3 4 5 6 7 8 9 Often

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

36 ( ) How often did you "hear-feel" R:[ ]

(I&D): Never 1 2 3 4 5 6 7 8 9 Often

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

37 ( ) How often did you "see-hear-think-feel" R:[ ]

(I&D): Never 1 2 3 4 5 6 7 8 9 Often

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

38 ( ) How often did you "think-see" (or "think-visualize") R:[ ]

(I&D): Never 1 2 3 4 5 6 7 8 9 Often

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

(B) INTEGRATION AND INCORPORATION VS. FRAGMENTATION:

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39 ( ) To what degree did you experience different senses as separate, split, competing, fragmented, or non-unified fields of experience? R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

40 ( ) How much would you describe the content of your consciousness as "disintegrated," chaotic, or confused? R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

41 ( ) How much would you describe the content of your consciousness as a "integrated," "unified," orderly, or "nonconfused" whole or totality? R:[ ]

(I&D): None 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

42 ( ) How much would you describe your experience as "single-minded" yet "all-inclusive": R:[ ]

(I&D): Not at all 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

43 ( ) How much were several feelings and/or moods incorporated into one overall feeling or mood? R:[ ]

(I&D): Not at all 1 2 3 4 5 6 7 8 9 A lot

(E): 1 2 3 4 5 6 7 8 9 DK:[ ]

44 ( ) How much were several mental states incorporated into one overall mental state?