Sacred History Questionnaire for Devotees of Adi Da Samraj

(There are 2 pages: Page 1 is for text input, page 2 is for photos upload.)

Page 1: Personal Information

A. Contact information


E-mail
Address
Phone number

B. Background information

Date of birth
Place of birth or childhood
Parental religious or spiritual background
Spiritual or religious involvements before approaching Adi Da

C. Approach to Adi Da and Adidam

Date of contact with Adi Da or Adidam
Date of formal involvement with Adidam (m/d/y)
Where or how was approach made

D. Involvement with Adi Da and Adidam

Date of first Darshan with Adi Da or visit to Sanctuary

Level or Congregation of practice
Regions associated with
Service to Adi Da and Adidam over the years of involvement
Where do you “dance” with Adi Da?
Did you receive any Notes or comments from Adi Da?
Tell a story of an interaction with Adi Da or response to His Presence.
Were you married or have children in Adidam?
Did you live at a Sanctuary or go on retreat at a Sanctuary or visit Naitauba?
How were you “known” within the community of devotees or/and, is any particular characterization that depicts you as a devotee?

Recount a Leela of Adi Da‘s play that you personally witnessed or that you heard of and which was significant to you


What else is good to be known about your relationship to Adi Da and Adidam?

Thank you!


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