THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T134
Template Title: Individual Practice & Precepts Review Sheet
Related Research Case IDs / Cluster: Cluster B – Non-Human Guardians & Vocation (Cases 11–20)
Linked Templates / Policies: T126 (Vocation Application & Interview), T127 (Spiritual Biography & Motivation Sheet), T133 (Mentor–Mentee Assignment Form), Duty of Care & Wellbeing Guidelines, HSWAGATA 15 Principles
Date of form: ____ / ____ / ______
Prepared by / Role: _________________________________
Office / Unit: _______________________________________
Country / Location: _________________________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only [ ]
SECTION 1 – PERSON & PERIOD UNDER REVIEW
1.1 Custodian / practitioner details
-
Full name: _________________________________________
-
Dharma / monastic name (if any): ____________________
-
Status (tick):
[ ] Bhikkhu / Monk [ ] Bhikkhunī / Nun
[ ] Novice [ ] Lay male
[ ] Lay female [ ] Other: __________________ -
Main role at HSWAGATA:
[ ] Core Relic Custodian
[ ] Assistant Custodian
[ ] Trainee Custodian
[ ] Security / guard
[ ] Guide / teacher
[ ] Other: ________________________________________
1.2 Review period
This review covers my practice and precepts for:
From: ____ / ____ / ______
To: ____ / ____ / ______
Usual length (tick):
[ ] 1 month [ ] 3 months [ ] 6 months [ ] 12 months
[ ] Other: _____________________________
1.3 Who is filling this form?
[ ] Self-review by custodian
[ ] Joint review with mentor (T133)
[ ] Supervisor-led review
[ ] Other: _____________________________
SECTION 2 – FREQUENCY OF PRACTICE
Short picture of how often you practise in daily life.
2.1 Daily / weekly rhythm
Meditation (formal sitting / walking):
[ ] Almost every day (6–7 days a week)
[ ] Often (3–5 days a week)
[ ] Sometimes (1–2 days a week)
[ ] Rarely (less than once a week)
Average time on days when I meditate:
[ ] Less than 15 mins
[ ] 15–30 mins
[ ] 30–60 mins
[ ] More than 1 hour
Chanting / pūjā:
[ ] Daily
[ ] A few times per week
[ ] Only on special days
[ ] Rare / almost never
Dhamma study (reading / listening / class):
[ ] Daily
[ ] A few times per week
[ ] A few times per month
[ ] Rare / almost never
2.2 Retreats / intensive practice in this period
Did you attend any retreat or intensive practice days in this review period?
[ ] No
[ ] Yes – short details:
Place / teacher: _________________________________
Dates / length: _________________________________
Main lesson learned:
2.3 Short self-comment on practice rhythm
In my own words, my practice during this period was:
[ ] Strong and steady
[ ] Up and down
[ ] Very light / weak
Short explanation (2–5 lines):
SECTION 3 – PRECEPTS & DISCIPLINE (SĪLA)
3.1 Precept pattern
Which precept set do you normally keep? (tick all that apply)
[ ] Five precepts (lay)
[ ] Eight precepts (special days)
[ ] Ten precepts (novice)
[ ] Full monastic Vinaya
[ ] Extra personal vows: ____________________________
How steady was your precept keeping in this period?
[ ] Very steady – no serious breaks I know of
[ ] Mostly steady – some small slips
[ ] Many problems – I need help
3.2 Possible precept issues (tick any that apply this period)
Tick honestly. This form is to support you, not to punish you.
[ ] Speech – gossip, harsh speech, lying, online comments
[ ] Anger – shouting, unkind words, revenge thoughts
[ ] Sexual conduct – relationships, boundaries, thoughts leading to risky acts
[ ] Use of money – confusion, pressure, conflict of interest
[ ] Gifts / donations – being tempted, unclear lines, “special favours”
[ ] Intoxicants – alcohol, drugs, misuse of medicine
[ ] Use of power – misusing role as custodian or teacher
[ ] Neglect – being careless with duties, including relic care
[ ] Other: ________________________________________
Short note on main area(s) of concern (no need for detail, just the “headline”):
3.3 Self-reflection on one precept issue
If you wish, write a short reflection on one precept issue that touched you this period (can be small, e.g. sharp words, laziness, etc.):
-
What happened (in simple words)?
-
Which precept or virtue was touched? (e.g. right speech, right effort)
-
What did you learn from this?
-
What will you do next time?
SECTION 4 – SUPPORT NEEDS & INNER STATE
4.1 General inner state in this period
In this review period I felt, most of the time (tick all that apply):
[ ] Calm and grounded
[ ] Able to meet duties with balance
[ ] Often tired or low energy
[ ] Often irritated or easily angry
[ ] Often anxious or worried
[ ] Often sad or heavy in heart
[ ] Very stressed or close to burnout
[ ] Other: ________________________________________
Short comment:
4.2 Support already used
Did you get support from any of these during this period?
[ ] Mentor (T133) – regular mentoring
[ ] Spiritual teacher / preceptor
[ ] Friends in the Saṅgha / community
[ ] Family
[ ] Counsellor / therapist
[ ] Doctor / health worker
[ ] Other: ________________________________________
[ ] No support – kept things mostly to myself
Short note on which kind of support helped you most:
4.3 Support you feel you need now
Please tick what you would find helpful in the next period:
[ ] More time for personal practice / retreat
[ ] Help to set daily practice routine
[ ] Talk with mentor about vocation and stress
[ ] Guidance about one precept issue
[ ] Training in speech / conflict handling
[ ] Health check (body)
[ ] Mental health / counselling support
[ ] Adjusted duties (less pressure / more balance)
[ ] I feel ok – normal support is enough
[ ] Other: ________________________________________
If you wish, explain your main wish in 2–5 lines:
SECTION 5 – PRACTICE & SĪLA PLAN (NEXT PERIOD)
Set small, realistic steps. Better a small promise you can keep than a big one you break.
5.1 Practice goals (next 1–6 months)
Goal 1 – Daily or weekly practice
(e.g. “Sit 20 minutes a day”; “Read one sutta each week”)
Goal 2 – Inner quality to grow
(e.g. more kindness, patience, truthfulness, energy)
Optional extra goals:
Goal 3 – Study or retreat
Goal 4 – Service or giving
5.2 Sīla / precept plan
Pick 1–2 precept areas to focus on (not all at once).
Main precept area 1: _________________________________
My concrete step for this area:
(e.g. “Pause before speaking in meetings”; “Say sorry quickly when I speak harshly.”)
Main precept area 2 (optional): _______________________
My concrete step:
5.3 Support and checking
Who will help you keep this plan? (tick)
[ ] Mentor (T133)
[ ] Spiritual teacher / preceptor
[ ] Friend / kalyāṇamitta (good friend in Dhamma)
[ ] Family member
[ ] Supervisor / senior custodian
[ ] Other: ________________________________________
How will you check progress?
[ ] Short self-review once a week
[ ] Talk in mentoring meeting
[ ] Write notes in diary / app
[ ] Other: ________________________________________
SECTION 6 – JOINT REVIEW (MENTOR / SUPERVISOR)
(To be filled if this form is used together with a mentor or supervisor.)
6.1 Mentor / reviewer details
-
Name: _____________________________________________
-
Role:
[ ] Mentor (T133)
[ ] Teacher / preceptor
[ ] Supervisor / Siridantamahāpālaka
[ ] Other: ____________________________
Date of review meeting: ____ / ____ / ______
6.2 Reviewer’s short comments
On practice rhythm:
On precepts and sīla:
On support needs:
6.3 Reviewer’s suggestions for next period
[ ] Keep current practice – already balanced
[ ] Increase practice slowly
[ ] Reduce external duties / avoid overload
[ ] Focus on healing / rest for now
[ ] Take specific training (conflict, speech, etc.)
[ ] Seek health / mental health support
[ ] Other: ________________________________________
Short note:
SECTION 7 – AGREEMENT & SIGNATURES
7.1 Custodian’s statement
I have answered honestly to support my own path and my guardianship of the relics.
I will try to follow the simple plan we have written here.
Name (print): ________________________________________
Signature: ___________________________ Date: ____ / ____ / ______
7.2 Mentor / reviewer (if involved)
I have read this review and will support this custodian as agreed, within my ability and in line with HSWAGATA policies.
Name (print): ________________________________________
Signature: ___________________________ Date: ____ / ____ / ______
SECTION 8 – ARCHIVING & LINKS
8.1 File storage
-
Physical file code / folder: _________________________
-
Digital archive path / ID: __________________________
8.2 Linked records
[ ] T126 – Vocation Application & Interview
[ ] T127 – Spiritual Biography & Motivation Sheet
[ ] T133 – Mentor–Mentee Assignment Form
[ ] T132 – Spiritual Emergency / Disturbance Incident Log (if any)
[ ] Wellbeing plan / duty of care file (code: __________)
[ ] Training / retreat records
[ ] Other: __________________________________________
