This questionnaire explores how satisfied you are with different aspects of your life.  For each of the areas of your life described below, please mark a number indicating the answer that best describes the importance of that aspect of your life to your overall happiness, and your satisfaction with that aspect of your life.

1.  Health refers to being physically fit, not sick, and without pain or disability.  How important is your health to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your health?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

2.  Self-esteem refers to liking and respecting yourself in light of your strengths and weaknesses, successes and failures, and your ability to handle problems.  How important is your self-esteem to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your self-esteem?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

3.  Goals and values (or philosophy of life) refers to your beliefs about what matters most in life and how you should live, both now and in the future.  This includes your goals in life, what you think is right or wrong, and the purpose or meaning of life as you see it.  It may or may not include spiritual beliefs.  How important are your goals and values or philosophy of life to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your goals and values or philosophy of life?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

4.  Money (or standard of living) refers to three things.  It is the money you earn, the things you own (like a car or furniture), and believing that you will have the money and things that you need in the future.  How important is money or your standard of living to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your money or standard of living?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

5.  Work refers to your career or how you spend most of your time.  You may work at a job, at home taking care of your family, or at school as a student.  Work includes your duties on the job, the money you earn (if any), and the people you work with.  (If you are unemployed, retired, or can’t work, you can still answer this question.)  How important is your work to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your work?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

6.  Play (or recreation) refers to what you do in your free time to relax, have fun, or improve yourself.  This could include watching movies, visiting friends, or pursuing a hobby like sports or gardening.  How important is your play or recreation to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your play or recreation?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

7.  Learning refers to gaining new skills or information about things that interest you.  Learning can come from reading books or taking classes on subjects like history, car repair, or using a computer.  How important is learning to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your learning?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

8.  Creativity refers to using your imagination to come up with new and clever ways to solve everyday problems or to pursue a hobby like painting, photography, or needlework.  This can include decorating your home, playing the guitar, or finding a new way to solve a problem at work.  How important is your creativity to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your creativity?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

9.  Helping (or social service and civic action) refers to helping others in need or helping to make your community a better place to live.  Helping can be done on your own or in a group like a church, a neighborhood association, or a political party.  Helping can include doing volunteer work at a school or giving money to a good cause.  Helping refers here to helping people who are not your friends or relatives.  How important is helping (or social service or civic action) to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your helping (or social service or civic action)?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

10.  Love (or a loving relationship) refers to a very close romantic relationship with another person.  Love usually includes sexual feelings and feeling loved, cared for, and understood.  (If you do not have a loving relationship, you can still answer this question.)  How important is love, or a loving relationship, to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your love, or loving relationship?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

11.  Friends (or friendships) refers to people (other than relatives) you know well and care about who have interests and opinions like yours.  Friends have fun together, talk about personal problems, and help each other out.  (If you have no friends, you can still answer this question.)  How important are friends or friendships to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your friends or friendships?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

12.  Relationships with children refers to how you get along with your child or children.  Think of how you get along as you care for, visit, or play with your child or children.  (If you do not have children, you can still answer this question.)  How important are your relationships with your children to your happiness? Kids ask the best questions like, "Why are misquotes so sneaky?".

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your relationships with your children?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

13.  Relationships with relatives refers to how you get along with your parents, grandparents, brothers, sisters, aunts, uncles, and in-laws.  Think about how you get along when you are doing things together like visiting, talking on the telephone, or helping each other out.  How important are your relationships with your relatives to your happiness?  (If you have no living relatives, mark “0” for “not at all important.”)

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your relationships with your relatives?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

14.  Home refers to where you live.  It is your house or apartment and the yard around it.  Think about how nice it looks, how big it is, and your rent or house payment.  How important is your home to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your home?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

15.  Neighborhood refers to the area around your home.  Think about how nice it looks, the amount of crime in the area, and how well you like the people.  How important is your neighborhood to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your neighborhood?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

16.  Community refers to the whole city, town, or rural area where you live.  (It is not just your neighborhood, but a larger area.)  Community includes how nice the area looks, the amount of crime, and how well you like the people.  It also includes places to go for fun like parts, concerts, sporting events, and restaurants.  You may also consider the cost of things you need to buy, the availability of jobs, the government, schools, taxes, and pollution.  How important is your community to your happiness?

             0············································1············································2
not at all important                      important                      extremely important 

How satisfied are you with your community?

         -3 ················· -2 ················· -1 ················· 0 ················· +1 ················· +2 ················· +3
very dissatisfied                                                                                                             very satisfied

People’s past experiences sometimes affect their ability to do certain day-to-day tasks in their lives.  Please read each statement and mark a number on the scale provided to indicate how much your near-death experience affects your ability to carry out the activity.

1.  Because of my NDE, my ability to work is impaired.

      0--------1--------2--------3--------4--------5--------6--------7--------8
not at all	   slightly	  definitely	   markedly	   very severely

2.  Because of my NDE, my home management (cleaning, tidying, shopping, cooking, looking after home and children, paying bills) is impaired. 

      0--------1--------2--------3--------4--------5--------6--------7--------8
not at all	   slightly	  definitely	   markedly	   very severely

3.  Because of my NDE, my social leisure activities (with other people, such as parties, bars, clubs, outings, visits, dating, home entertainment) are impaired. 

      0--------1--------2--------3--------4--------5--------6--------7--------8
not at all	   slightly	  definitely	   markedly	   very severely

4.  Because of my NDE, my private leisure activities (done alone, such as reading, gardening, collecting, sewing, walking alone) are impaired. 

      0--------1--------2--------3--------4--------5--------6--------7--------8
not at all	   slightly	  definitely	   markedly	   very severely

5.  Because of my NDE, my ability to form and maintain close relationships with others, including those I live with, is impaired. 

      0--------1--------2--------3--------4--------5--------6--------7--------8
not at all	   slightly	  definitely	   markedly	   very severely

903