Overview terms and definitions Page 1 of 5

You qualify to fill this out if:

1)You were raised in an observant home (Observed at least Shabbat and kosher according to Orthodox Judaism) OR became observant on your own
                  AND
2) You stopped being observant either permanently or temporarily:

  1. * How would you classify your upbringing?
  2. Traditional
    Secular
    Modern Orthodox
    Halachik
    Yeshivish/Black
    Chassidic
  3. * How would you classifiy your elementary school?
  4. Secular
    Modern Orthodox
    Black
  5. * How would you classifiy your high school?
  6. Secular
    Modern Orthodox
    Black
    Chassidic
  7. * Did you attend yeshiva after high school?
  8. Yes
    No
  9. If yes, how many years did you attend?
  10. How would you classifiy the Yeshiva?
  11. Modern Orthodox
    Black
    Chassidic
  12. Did you attend YU?
  13. Yes
    No
  14. * At what age did you stop being observant?
  15. * What was the first mitzvah you broke?
  16. * At the time, did you feel bad about breaking the mitzvah?
  17. Yes
    No
    Not Sure
  18. For how long have you not been or were you not observant (keep shabbat and kosher)?
  19. * Are you observant now?
  20. Yes
    No
  21. If you had to attribute your NOT being observant to one thing, what would it be (in a sentence)?
  22. * If you are single, do you see yourself being observant when/if you marry?
  23. Yes
    No
  24. * If you are married, did your marriage lead you to become more observant than you had been?
  25. Yes
    No
  26. * Overall, how would you rate the following?
  27. Relationship with parents growing up: Good Bad Fair Non-existent

    Relationship with teachers: Good Bad Fair Non-existent

    Orthodox Jewish school experience: Good Bad Fair Non-existent

    Orthodox Jew communal experience: Good Bad Fair Non-existent
  28. Did/do you have a Rav?
  29. Growing up
    Currently
    Neither
    Both
  30. Please identify which of the following you think are the three most ultimate values in life:
  31. Happiness
    Freedom
    Truth
    Goodness
    Love
    Family
    Growth
    Other



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