Free Web Hosting Provider - Web Hosting - E-commerce - High Speed Internet - Free Web Page
Search the Web

Web Survey

Thanks for participating in completing

your information accurately!

Thank you for completing the form.

You may write us at any time to review your information.

at Webmaster@devotee.s5.com

Jai Radha Govinda

Please list your spouse, devotee parents and children on separate individual forms,


Use your mouse, or tab your way through the questions.

Do not hit the enter key till you are ready to send the form.

See the privacy statement at the end of this page

or write us at Webmaster@devotee.s5.com

if you have any reservations concerning the Devotee list.
Please enter the following information:

What Is your initiated Name?




Which choice best describes your initation?




Who is your Spiritual master?


What Temple were you initiated at?
What Month were you initiated?













What year were you initiated?


What Ashram do you belong to ?




What Varna? Your primary occupation or service?


Would you like to participate in other online Surveys?





Date of Birth? Month/day/year
Do you have a home page you would like to share with others?
What information about yourself would you like recorded?
What you've done, what your doing, what you want to do.
Name of Spouse? Generally listed as the devotee name.
You may list detailed information on your spouse here or on a seperate form, thank you.
Your listing in Yahoo IM, AOL, AIM, ICQ, or other instant messenger?
Any additional information you want listed (mother, father, siblings, children)?
info: age and sex of children.

CurrentTemple. What Temple do you currently attend?


Demographics
 Please provide the following



Contact Information
 This information will not be given out, but will be used to contact you in the event another devotee is inquiring. You will be contacted with the contact information of the devotee looking for you so your privacy is asured. It is your choice if you want to contact them or not.





Concerning privacy:

In the final form of the database the only information seen by the public will be your spiritual name, your ashram, varna, spiritual master, time and place of first initiation, your temple attending and/or city, age, and your website. Your first name will be listed only as an aid to those who knew you as Bhakta or Bhaktin.

The E-mail addresses, phone numbers, and home addresses and Last names will not be available to the public. That information will never be given to any organization. The managers of the list give you this promise.

Confidentiality will be observed at a professional level. No e-mail spaming will be done as all communications are on an individual one to one basis. Occasionally Surveys will be conducted.

Demographic information will only be used to make statistical comparisons between different groups of respondents; it will not be used to profile individual respondents.

All other information is held confidential, and will not be released until after 100 years has passed.

This list is the beginning of the documentation of the first centaury of the 10,000 years of the Golden Age within Kali Yuga that is prophesied.

Create Internet Web Surveys