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- SPIRITUAL PROSPERITY SURVEY
- FAMILY HEALING SURVEY

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MEDIA
RESEARCH STUDIES
- SPIRITUAL PROSPERITY SURVEY
- FAMILY HEALING SURVEY

Family Healing Survey

Family Healing Survey

Enter Your Information Below To Begin

Thank you for your willingness to participate!

The Survey Should Take Less Than 5 Min To Complete.

Full Name

Email *

*

I am 18 years or older and voluntarily consent to take this survey.

*

I identify as Black or African American (including Afro-Caribbean, Afro-Latinx, African diaspora)

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A. Family Emotional Atmosphere

Thinking about your family of origin, how would you describe the overall emotional atmosphere in your home? *

Very tense and stressful

Somewhat tense and stressful

Mixed — sometimes tense, sometimes calm

Somewhat calm and peaceful

Very calm and peaceful

In my family, conflict felt: *

Constant

Frequent

Sometimes

Rare

Almost never

Truthfulness and transparency in my family were: *

Very low

Low

Moderate

High

Very high

Emotional support in my family was: *

Very low

Low

Moderate

High

Very high

B. Trauma Resonance (Issues in the Tissues)

Certain family experiences still “resonate” energetically in my life. *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Which energies best describe that resonance today? (Select up to two) *

Grief

Anger

Fear/Anxiety

Shame

Numbness

Betrayal

Other (please describe)

When that resonance is most noticeable, I feel it primarily in: *

Head

Throat

Chest/Heart

Solar plexus/upper abdomen

Stomach/gut

Pelvis/womb

Lower back

Limbs

All over

Nowhere specific

How often do you notice this resonance in a typical week? *

Never

1–2 days

3–4 days

5–7 days

When it is noticeable, the intensity feels: *

Very low

Low

Moderate

High

Very high

C. Systemic and Historical Experiences

Growing up, my household experienced (select all that apply): *

Housing instability

Food insecurity

Neighborhood violence

Police harassment or over-policing

Redlining or segregation impacts

Loss due to urban renewal or displacement

Parental incarceration

None of the above

In my lifetime, I have experienced racial discrimination that affected my health or stress: *

Never

Rarely

Sometimes

Often

Very often

D. Health (Self-Reported)

Have you ever been told by a clinician that you have any of the following? (Select all that apply) *

Hypertension

Heart disease

Diabetes or prediabetes

Obesity (BMI 30 or higher)

Asthma

Autoimmune condition

Depression

Anxiety

PTSD

Womb or reproductive issues

None of the above

In the past 30 days, my physical health was not good: *

0 days

1–5 days

6–10 days

11–20 days

21–30 days

In the past 30 days, my mental or emotional health was not good: *

0 days

1–5 days

6–10 days

11–20 days

21–30 days

E. Spiritual and Metaphysical Practices

Which practices do you use at least weekly? (Select all that apply) *

Meditation (Dr. Paul Leon Masters–style or equivalent)

Affirmations (Masters/Hay style)

Prayer

Energy work (Reiki, energy medicine, chakra balancing)

Ancestor veneration or ritual

Breathwork or HRV-biofeedback

Yoga, Tai Chi, or Qigong

Church, mosque, or temple services

Therapy

None

On days I practice, I feel a shift in energy (the resonance eases): *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

How often do you practice these methods? *

Less than weekly

1–2 days a week

3–4 days a week

5–7 days a week

Which intention best matches your practice? *

Protection and sealing space

Clearing and forgiveness

Calling on elevated ancestors or Orisa

Raising vibration and divine consciousness

Grounding and safety (root)

Other (please describe)

F. Healing Awareness and Exposure

Before taking this survey, had you ever heard of practices for healing family or generational trauma? *

Yes, I have heard of several

Yes, I have heard of one or two

No, I have never heard of any

Which of the following have you heard about or tried before? (Select all that apply) *

Meditation or mindfulness practices

Affirmations or positive self-talk

Prayer or spiritual guidance

Ancestral healing or reverence rituals

Energy work (Reiki, energy medicine, chakra work)

Therapy or counseling

Trauma-informed community programs

None of these

Do you believe family or generational trauma can be healed? *

Yes

Maybe / I am not sure

No

How confident are you that you personally could find or use practices to heal family or generational trauma? *

Very confident

Somewhat confident

Not sure

Not confident

Would you like to learn more about different healing approaches for family or generational trauma? *

Yes

Maybe

No

I believe healing involves connecting to something greater than myself (God, Spirit, higher power, divine consciousness): *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

G. Healing Readiness and Support

I am open to learning new practices to transform family trauma resonance: *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

I have supportive people to practice healing with (family, friends, community, spiritual group): *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

H. Demographics (Optional)

Age *

18–24

25–34

35–44

45–54

55–64

65 or older

Gender *

Woman

Man

Nonbinary

Prefer to self-describe

Prefer not to say

Education *

High school or less

Some college or Associate degree

Bachelor’s degree

Master’s degree

Doctorate

Other

Household income (optional)

Less than $25,000

$25,000–49,999

$50,000–74,999

$75,000–99,999

$100,000–149,999

$150,000 or more

Prefer not to say

Zip code (optional, short entry)

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