Ritual Impurity Risk Assessment—Adult

Instructions: The following questions ask about thoughts, feelings, and behaviors that you may have had in a variety of situations. Please respond to each item by marking one box per row.

During the PAST 7 DAYS, I have…

Not at all

Once or Twice

Almost every day

About once a day

More than once a day

Click to mark all body regions that are lacking in purity, OR select the checkbox below:

My front is clean, my back is cleansed, there is no limb of mine that is lacking in purity

Select all of the following which apply to you:

I am without falsehood

I am without guilt

I am without evil

I am without a witness against me

I have made divine offerings for the gods

I have given bread to the hungry

I am pure, I am pure, I am pure, I am pure!