Please read each statement slowly and carefully and answer as accurately as you can, by circling the number between “0” and “6” that best corresponds to your subjective experience.  For example, circling the “0” means your experience was very much like the statement on the left, while circling “6” means your experience was very much like the statement on the right.  Please feel free to use any one of the numbers between “0”and “6” for each statement and do not leave any out.  Thank you.

1.  I was forever distracted and unable to concentrate on anything.
0     1     2     3     4     5     6
I was able to concentrate quite well and was not distracted.

2.  My thinking was clear and understandable.
0     1     2     3     4     5     6
My thinking was unclear and not easy to understand.

3.  The thoughts and images I had were under my control; I decided what I thought or imagined.
0     1     2     3     4     5     6
Images and thoughts popped into my mind without my control.

4.  I had an experience which I would label as very religious, spiritual, or transcendental.
0     1     2     3     4     5     6
I did not have any experience which I would label as religious, spiritual, or transcendental.

5.  I became aware of very intense sexual feelings.
0     1     2     3     4     5     6
I experienced no sexual feelings.

6.  I was silently talking to myself a great deal.
0     1     2     3     4     5     6
I did not engage in any silent talking to myself.

7.  I felt very, very sad.
0     1     2     3     4     5     6
I felt no feelings of sadness whatsoever.

8.  My attention was completely directed toward my own internal subjective experience.
0     1     2     3     4     5     6
My attention was completely directed toward the world around me.

9.  I felt ecstatic and joyful.
0     1     2     3     4     5     6
I felt no feelings of being ecstatic or joyful.

10.  I cannot remember what I experienced.
0     1     2     3     4     5     6
I can remember just about everything that I experienced.

11. My body ended at the boundary between my skin and the world.
0     1     2     3     4     5     6
I felt my body greatly expanded beyond the boundaries of my skin.

12. I experienced a great deal of visual imagery.  
0     1     2     3     4     5     6
I experienced no visual imagery at all.

13. I was not aware of being aware of myself at all; I had no self-awareness.
0     1     2     3     4     5     6
I was very aware of being aware of myself; my self-awareness was intense.

14. I felt no emotions of rage whatsoever.
0     1     2     3     4     5     6
I felt enraged.

15. My perception of the flow of time changed drastically.
0     1     2     3     4     5     6
I noticed no changes in my perception of the flow of time.

16. I felt very frightened.
0     1     2     3     4     5     6
I felt no emotions of being frightened.

17. My perception of the world changed drastically.
0     1     2     3     4     5     6
I noticed no changes in my perception of the world.

18. My visual imagery was so vivid and three-dimensional, it seemed real.
0     1     2     3     4     5     6
My visual imagery was so vague and diffuse, it was hard to get an image of anything.

19. The muscles of my body felt very tense and tight.
0     1     2     3     4     5     6
The muscles of my body felt very loose and relaxed.

20. I experienced no feelings of love.
0     1     2     3     4     5     6
I experienced very strong feelings of love.

21. My state of consciousness was not any different or unusual from what it ordinarily is.
0     1     2     3     4     5     6
I felt in an extremely different and unusual state of consciousness.

22. I can recall nothing that happened to me.	
0     1     2     3     4     5     6
I can recall everything that happened to me.

23. I had an experience of awe and reverence toward the world.
0     1     2     3     4     5     6
I had no experience of awe and reverence toward the world.

24. Conceptually, my thinking was clear and distinct.
0     1     2     3     4     5     6
Conceptually, my thinking was confused and muddled.

25. I had complete control over what I was paying attention to.
0     1     2     3     4     5     6
I had no control over what I was paying attention to.

26. My bodily feelings seemed to expand into the world around me.
0     1     2     3     4     5     6
My bodily feelings were confined to the area within my skin.

27. I was continually conscious and well aware of myself.
0     1     2     3     4     5     6
I lost consciousness of myself.

28. My attention was totally directed toward the environment around me.
0     1     2     3     4     5     6
My attention was totally directed toward my own internal, subjective experience.

29. The world around me became extremely different in color or form.
0     1     2     3     4     5     6
I noticed no changes in the color or form of the world around me.

30. Time seemed to greatly speed up or slow down.
0     1     2     3     4     5     6
Time was experienced with no changes in its rate of passage.

31. I felt no feelings of unhappiness or dejection.
0     1     2     3     4     5     6
I felt unhappy and dejected.

32. I experienced no profound insights besides my usual cognitive understandings of things.
0     1     2     3     4     5     6
I experienced very profound and enlightening insights of certain ideas or issues.

33. I felt very angry and upset.
0     1     2     3     4     5     6
I felt no feelings of being angry or upset.

34. I was not distracted, but was able to be completely absorbed in what I was experiencing.
0     1     2     3     4     5     6
I was continually distracted by extraneous impressions or events.

35. I was not aware of any sexual feelings.
0     1     2     3     4     5     6
I experienced very strong sexual feelings.

36. My thought processes were nonrational and very hard to comprehend.
0     1     2     3     4     5     6
My thought processes were rational and easy to comprehend.

37. I felt no feelings of tension or tightness at all.
0     1     2     3     4     5     6
I felt tense and tight.

38. My memory of the events I experienced is extremely clear and vivid.
0     1     2     3     4     5     6
My memory of the events I experienced is extremely blurred and hazy.

39. I noticed no changes in the size, shape, or perspective of the objects in the world around me.
0     1     2     3     4     5     6
Objects in the world around me changed in size, shape, or perspective.

40. My state of awareness was very different from what I usually experience.
0     1     2     3     4     5     6
My state of awareness was no different than usual.

41. I relinquished control and became receptive and passive to what I was experiencing.
0     1     2     3     4     5     6
I was willfully controlling what I was experiencing.

42. I had no feelings of being scared or afraid.
0     1     2     3     4     5     6
I felt very scared and afraid.

43. I felt no sense of timelessness; time flowed as I usually experience it.
0     1     2     3     4     5     6
Time stood still; there was no movement of time at all.

44. I experienced no or very few images.
0     1     2     3     4     5     6
My experience was made up almost completely of images.

45. I did not engage in any silent talking to myself.
0     1     2     3     4     5     6
I was silently talking to myself a great deal.

46. I experienced no feelings of ecstasy or extreme happiness beyond my usual feelings.
0     1     2     3     4     5     6
I felt feelings of ecstasy and extreme happiness.

47. I experienced no sense of sacredness or deep meaning in existence beyond my usual feelings.
0     1     2     3     4     5     6
Existence became deeply sacred or meaningful.

48. My imagery was very vague and dim.
0     1     2     3     4     5     6
My imagery was as clear and vivid as objects in the real world.

49. I felt very intense feelings of loving-kindness.
0     1     2     3     4     5     6
I felt no feelings of loving-kindness.

50. I maintained a very strong sense of self-awareness the whole time.
0     1     2     3     4     5     6
I did not maintain a very strong sense of self-awareness at all.

51. I continually maintained a very strong sense of separation between myself and the environment.
0     1     2     3     4     5     6
I experienced intense unity with the world; the boundaries between me and the environment dissolved away.

52. My attention was completely inner-directed.
0     1     2     3     4     5     6
My attention was completely outer-directed.

53. My state of awareness was not unusual or different from what it ordinarily is.
0     1     2     3     4     5     6
I felt in an extraordinarily unusual and nonordinary state of awareness.

1. My attention was focused on one subjective event at a time.
0     1     2     3     4     5     6
My attention was focused on many subjective events simultaneously.

2. Too many thoughts, feelings, sensations, etc., kept rushing through my mind.
0     1     2     3     4     5     6
Not a single thought, feeling, sensation, etc., went through my mind.

3. I felt my consciousness to be very much within my body.
0     1     2     3     4     5     6
I felt my consciousness to be “out of” and disconnected from my body.

4. I felt a spatial expansion of my awareness; I felt like a sphere of consciousness and I was simultaneously aware of everything within the sphere of consciousness.
0     1     2     3     4     5     6
I felt no spatial expansion of awareness: I did not feel like a sphere of consciousness and was not aware of everything simultaneously.

5. I felt I was willfully and actively controlling what I was attending to.
0     1     2     3     4     5     6
I stopped actively controlling what I was attending to and became passive and receptive to my experience.

6. I was not continually scanning and observing my attentional field for different-occurring events and impressions.
0     1     2     3     4     5     6
I was continually scanning and observing my attentional field for different-occurring events and impressions.

7. I became extremely distracted and was not able to become absorbed in what I was experiencing.
0     1     2     3     4     5     6
I was able to become absorbed in what I was experiencing; I gave no notice to distracting events.

8. My attention was totally directed toward the environment around me.
0     1     2     3     4     5     6
My attention was directed toward my own internal subjective experience.

9. My mind became one-pointed; I was able to focus on one thing to the exclusion of all others.
0     1     2     3     4     5     6
My mind was not one-pointed; many different impressions or thoughts intruded into my awareness.

10. I was not equally attentive to every thought, feeling, sensation, etc., in my stream of consciousness; I focused on some impressions to the exclusion of others.
0     1     2     3     4     5     6
I was equally attentive to every thought, feeling, sensation, etc., in my stream of consciousness.

11. I felt my attention was very flexible; I could easily focus my attention on any thought, feeling, or sensation that came to my attention.
0     1     2     3     4     5     6
My attention was not very flexible; I felt my mind kept dwelling on thoughts, feelings, and sensations that I could not get out of my mind.

12. I felt absorbed in my thoughts, feelings, and sensations.
0     1     2     3     4     5     6
I felt very distant and detached from my thoughts, feelings, and sensations.
		
13. My mind was in a state of “no thought”; I was not aware of a single thought, feeling, sensation, etc.
0     1     2     3     4     5     6
My mind was continually occupied; I was always aware of thoughts, feelings, sensations, etc.

14. My attentional focus was not spatially expanded; my consciousness did not feel like a sphere of awareness illuminating everything in it.
0     1     2     3     4     5     6
My attentional focus was spatially expanded; my consciousness felt like a sphere of awareness illuminating everything within it.

15. I did not experience my consciousness to be outside of, or separated from, my physical body.
0     1     2     3     4     5     6
I actually experienced my consciousness to be outside of, and separate from, my physical body.

16. I became deeply absorbed in what I was attending to; I lost track of the world around me.
0     1     2     3     4     5     6
I did not become deeply absorbed in what I was attending to; I was extremely aware of the world around me.

17. I was able to “let go” and receptively experience whatever came to my attention.
0     1     2     3     4     5     6
I was actively involved in controlling what I was attending to.

18. My attention was completely outer-directed.
0     1     2     3     4     5     6
My attention was completely inner-directed.

19. I felt it very difficult to move and focus my attention; my mind kept returning to certain impressions.
0     1     2     3     4     5     6
I was easily able to move, control, and focus my attention on whatever impressions that came into my mind.

20. I was simultaneously aware of everything at once; I could perceive many subjective events simultaneously.
0     1     2     3     4     5     6
I was not simultaneously aware of everything at once; I could not perceive many subjective events simultaneously.

21. I felt very distant and detached from my thoughts, feelings, and sensations.
0     1     2     3     4     5     6
I felt absorbed in my thoughts, feelings, and sensations.

22. I was able to easily and completely focus my mind on a single impression or event for as long as I wanted.
0     1     2     3     4     5     6
I found it impossible to focus my mind on a single impression or event for any length of time at all.

23. I was not able to experience each and every sensation, feeling, or thought equally; I focused on some of them more than others.
0     1     2     3     4     5     6
I was able to experience each and every sensation, feeling, or thought equally.

24. I was constantly aware of and scanning my internal or external environment for any changes in that environment.
0     1     2     3     4     5     6
I did not scan or try to be constantly aware of my internal or external environment for any changes in that environment.

25. I felt my awareness completely separate and distant from my body.
0     1     2     3     4     5     6
I felt my awareness to be focused or centered within my body.

26. My consciousness felt spatially expanded beyond my body so that I felt my awareness to be simultaneously everywhere.
0     1     2     3     4     5     6
My consciousness did not feel spatially expanded beyond my body; I did not feel my awareness to be simultaneously everywhere.

27. My attentional field was completely empty of any sensations, feelings, or thoughts at all.
0     1     2     3     4     5     6
My attentional field felt “crowded” with many sensations, feelings, thoughts, etc.

28. I was actively involved in controlling what I was attending to.
0     1     2     3     4     5     6
I was able to “let go” and receptively experience whatever came to my attention.

29. I was not able to become absorbed in what I was experiencing; I was acutely aware of other things around me.
0     1     2     3     4     5     6
I became so deeply absorbed in what I was experiencing that I became oblivious (neglectful) to everything else around me.

30. My attention was not very flexible; I felt my mind kept dwelling on thoughts, feelings, and sensations that I could not get out of my mind.
0     1     2     3     4     5     6
I felt my attention was very flexible; I could easily focus my attention on any thought, feeling, or sensation that came to my attention.

31. I was aware of many sensations, thoughts, feelings, etc., simultaneously.
0     1     2     3     4     5     6
I was aware of only one sensation, thought, feeling, etc., at a time.

32. I felt detached or distant from my thoughts, feelings, and sensations.
0     1     2     3     4     5     6
I felt immersed and lost in my thoughts, feelings, and sensations.

33. I was equally aware of all the different impressions and events that went through my mind; I did not dwell on some more than others.
0     1     2     3     4     5     6
I was not equally aware of all the different impressions and events that went through my mind; I dwelled on some more than others.

34. My attention was not focused on a single subjective event; many other events or impressions intruded into my attention.
0     1     2     3     4     5     6
My attention was focused on a single subjective event or impression to the exclusion of all other events.

35. I was extremely vigilant and continually observant of everything in my attentional field.
0     1     2     3     4     5     6
I was not vigilant or continually observant of everything in my attentional field.

36. My attention was completely directed toward my own internal, subjective experience.
0     1     2     3     4     5     6
My attention was completely directed toward the world around me.

37. I was equally attentive to every thought, feeling, sensation, etc., in my stream of consciousness.
0     1     2     3     4     5     6
I was not equally attentive to every thought, feeling, sensation etc. in my stream of consciousness; I focused on some impressions to the exclusion of others.
	
38. I was continually scanning and observing my attentional field for different-occurring events and impressions.
0     1     2     3     4     5     6
I was not continually scanning and observing my attentional field for different-occurring events and impressions.

39. My mind was continually occupied; I was always aware of thoughts, feelings, sensations, etc.
0     1     2     3     4     5     6
My mind was in a state of “no thought”: I was not aware of a single thought, feeling, sensation, etc.

40. I was not simultaneously aware of everything at once; I could not perceive many subjective events simultaneously.
0     1     2     3     4     5     6
I was simultaneously aware of everything at once; I could perceive many subjective events simultaneously.

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