Please rate how important each of the following values is to you AS A GUIDING PRINCIPLE IN YOUR LIFE, from 7 = “of supreme importance” to 0 = “not important,” or -1 = “opposed to my values”: 

1.  equality (equal opportunity for all)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

2.  inner harmony (being at peace with myself)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

3.  social power (control over others, dominance)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

4.  pleasure (gratification of desires)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

5.  freedom (freedom of thought and action)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

6.  a spiritual life (emphasis on spiritual rather than material matters)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

7.  sense of belonging (feeling that others care about me)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

8.  social order (stability of society)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

9.  an exciting life (stimulating experiences)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

10.  meaning in life (a purpose in life)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

11.  politeness (courtesy, good manners)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

12.  wealth (material possessions, money)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

13.  national security (protection of my nation from enemies)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

14.  self-respect (belief in my own worth)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

15.  reciprocation of favors (avoidance of indebtedness)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

16.  creativity (uniqueness, imagination)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

17.  a world at peace (free or war and conflict)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

18.  respect for tradition (preservation of time-honored customs)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

19.  mature love (deep emotional and spiritual intimacy)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

20.  self-discipline (self-restraint, resistance to temptation)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

21.  privacy (the right to have a private sphere)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

22.  family security (safety for loved ones)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

23.  social recognition (respect, approval by others)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

24.  unity with nature (fitting into nature)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

25.  a varied life (filled with challenge, novelty, and change)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

26.  wisdom (a mature understanding of life)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

27.  authority (the right to lead or command)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

28.  true friendship (close, supportive friends)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

29.  a world of beauty (beauty of nature and the arts)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

30.  social justice (correcting injustice, caring for the weak)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

31.  being independent (self-reliant, self-sufficient)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

32.  being moderate (avoiding extremes of feeling and action)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

33.  being loyal (faithful to my friends, my group)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

34.  being ambitious (hardworking, aspiring)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

35.  being broad-minded (tolerant of different ideas and beliefs)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

36.  being humble (modest, self-effacing)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

37.  being daring (seeking adventure, risk)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

38.  protecting the environment (preserving nature)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

39.  being influential (having an impact on people and events)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

40.  honoring parents and elders (showing respect)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

41.  choosing my own goals (selecting my own purposes)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

42.  being healthy (not being sick physically or mentally)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

43.  being capable (competent, effective, efficient)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

44.  accepting my portion in life (submitting to life’s circumstances)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

45.  being honest (genuine, sincere)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

46.  preserving my public image (protecting my “face”)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

47.  being obedient (dutiful, meeting obligations)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

48.  being intelligent (logical, thinking)

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opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

49.  being helpful (working for the welfare of others)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

50.  enjoying life (enjoying food, sex, leisure, etc.)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

51.  being devout (holding to religious faith and belief)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

52.  being responsible (dependable, reliable)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

53.  being curious (interested in everything, exploring)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

54.  being forgiving (willing to pardon others)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

55.  being successful (achieving goals)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

56.  being clean (neat, tidy)

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

57.  being self-indulgent (doing pleasant things) 

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

58.  being detached from worldly concerns 

       -1------------0------------1------------2-----------3------------4------------5------------6------------7
opposed to            not                                                    important                                                     very      of supreme
my values        important                                                                                                             important    importance

Near-Death Experience Rating

1. How memorable was your NDE?

	1------------2------------3------------4------------5------------6------------7
    forgettable								    memorable

2.  How unique was your NDE? 

	1------------2------------3------------4------------5------------6------------7
 not at all unique							    very unique

3.  How real did your NDE feel? 

	1------------2------------3------------4------------5------------6------------7
     felt unreal								     felt real

4.  How vivid was your NDE? 

	1------------2------------3------------4------------5------------6------------7
        vague								         vivid

5.  How dream-like was your NDE? 

	1------------2------------3------------4------------5------------6------------7
     dream-like								     event-like

6.  How important was your NDE in terms of its impact on your life? 

	1------------2------------3------------4------------5------------6------------7
of no importance							extremely important

7.  What type of emotion did your NDE bring about, and how intense was that emotion?
The negative level 4 emotions after the DE were mostly from dealing with the death of
my friend. Level positive level 4 emotions were from realizing my DE was not a dream.
The DE provided comfort in knowing there is something more. 

      -5 ----- -4 ----- -3 ----- -2 ----- -1----- 0 ----- +1----- +2 ----- +3 ----- +4 ----- +5
very intense			          not intense				very intense
  negative				  at all					   positive

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