We are updating our census information for the Church of Scientology. Please fill out the below information fully and click the submit button at the bottom. Please answer as honestly and correctly as you can. No personal or identifiable information is collected or requested for this survey.
How were you first introduced to Scientology? *
A Personality Test
An advertisement (Radio, TV, Print, Promo)
Lecture
Reading a Dianetics or Scientology Book
Through a Friend or Relative
Other:
What was your age when you first were introduced to Scientology? *
What is your age now? *
How long have you been in Scientology? *
What is your religious background? *
Protestant
Catholic
Jewish
Eastern (Hindu, Buddhist, Eastern Philosophy)
Muslim
None
Other:
Were you married prior to Scientology? *
Yes
No
Are you married now? *
Yes
No
What was your attitude toward Marriage before becoming a Scientologist? *
Vital
Desirable
Unwanted
What is your attitude toward marriage after becoming a Scientologist? *
Vital
Desirable
Unwanted
How many children do you have? *
What activities are your children involved in?
Sports
Art (including music and dance)
School projects
Community projects
Boy Scouts
Girl Scouts
None
Other:
What type of accommodation do you live in? *
Own a home
Rent a home
Staff housing
Rent an apartment
What is your education level? *
Some high school
Graduated high school
Some University (college)
Graduated University (college)
Some Graduate school
Completed Graduate School
Vocational training
Business School
Art School or Training
What was your average grade in High School?
A average or top grades
B average or 2nd highest grades
C average or 3rd best
D average or 4th best
What was your average grade in University (college)?
A average or top grades
B average or 2nd highest grades
C average or 3rd best
D average or 4th best
How has Scientology helped you in the field of education? *
Increased reading & writing ability
Better concentration
Increased ability to study
Increased ability to apply what I leared
Increased understanding of what is studied
Other:
What have your occupational gains been as a result of Scientology? *
Increased competence
More able to deal with stress at work
Improved relationships with other employees
Other:
What is your current occupation? *
Managerial position
Arts (all forms of art - design, music, writing etc.)
Owner or part-owner of company
Sales
Computers
Teaching
Medical (including nursing, dental etc.)
Construction
Student
Marketing & Advertising
Clerical
Secretarial
Communications
Law
Sports
Civil service
Armed forces
Technical & Engineering
Manual
Homemaker
Retired
Auditor
FSM
Other
Is your average yearly income? *
Above the national average
National average
Below the national average
Do you receive welfare? *
What has your absenteeism from work been in the last year? *
How has your state of health been since becoming a Scientologist? *
Sick less often
Stayed the same
Sick more often
How many car accidents have you been involved in per year prior to becoming a Scientologist? *
0 per year
Less than 1 per year
1-3 per year
More than 3 per year
How many car accidents have you been involved in per year since becoming a Scientologist? *
0 per year
Less than 1 per year
1-3 per year
More than 3 per year
How often do you exercise? *
What type of exercise do you do? *
Had you taken street drugs prior to being in Scientology *
Do you currently take street drugs? *
Have you used medical drugs in the past year? *
How often do you use alcohol? *
Do you have family members who are Scientologists? *
If so, which family member(s) are Scientologists?
Father
Mother
Sister
Brother
Spouse
Uncle
Aunt
Cousin
Grandparent
In-Laws
Children
Other:
How many books do you read per year? *
What is important in life? *
Living a life of honesty and moral integrity
Developing fully as an individual
Having something meaningful to work toward
Using my full potentials
Enjoying good health
Really helping others
Having loving relationships
Having a stable family life
providing for my family
Creating a future for my children
Having good, close friends
Having enough money to live well
Having new experiences and excitement
Having a steady job
Having the best things in life
What type of community activities are you involved in? *
Educational groups
Human Rights Groups
Community goodwill programs
Environmental/Conservation groups
Professional associations
Art Groups
Sports clubs/groups
Charities
Political parties/groups
Civic community groups
Trade/Business unions
Youth groups
Consumer groups
Women's League
None
Other:
Do you enjoy making a positive difference in your community? *
Do you feel that Scientology has made a great deal of difference in your life? *
Do you feel that Scientology has exceeded/met your expectations? *
Do you feel that auditing was helpful? *
Do you have a desire to continue auditing? *
Do you agree that Scientology teaches people to think more clearly? *
Please provide some basic information about yourself:
What Scientology Services have you done? *
Introductory Services only (Division 6 Services)
HGC Processing Services (Div 4 Processing)
Academy Training Services (Div 4 Training)
Your highest case level? *
Introductory Auditing
Purification Rundown
TRs & Objectives
Scientology Drug Rundown
Happiness Rundown
ARC Straightwire
On the Grades or completed the Grades
On or completed New Era Dianetics
Power/Power Plus
Clear
OT I-III
OT IV - OT V
OT VI - OT II
OT VIII
Your highest training level? *
None
Division 6 coureses
Student Hat
Pro TRs/Upper Indoc TRs
Pro Metering
Academy Levels 0-IV
NED / Class V Auditor
Class V Graduate Auditor
On or completed SHSBC
Class VIII
Other
What Country do you live in? *
Australia
New Zealand
Taiwan
Japan
United States
Other:
Leak: Scientology Census 2012 Questionaire
Reply With Quote
Originally Posted by Synthia
Oh, Freethinker, I needed that! You can just imagine the results. Of the 3% of Scientologists who had sex with their gerbils ....
