The document appears to be a survey collecting information about an organization called Samhita and its goal of propagating Veda Adhyayanam, or Vedic study. It asks respondents about their views on what makes Vedic study difficult now, their opinion on whether Samhita's idea is workable, which aspects appeal to them or are objectionable, and whether Samhita's proposed facilities are sufficient. It also collects information about potential ways for respondents to get involved, such as by spreading information, coordinating events, or arranging funding. Names of potential associates are also requested.

1. Name: email: Cell No.
1. What makes Veda Adhyayanam difficult now? (Rate your priority)
Change in life No Social No scope of Not Others
style and value Acceptability / employment necessary (specify)
systems - No relevance in the society
2. Is Samhita idea workable? (tick)
Yes, for sure No, definitely not Somewhat, but worth Doubtful, don’t
the try try
3. Which aspect appeals you most?
…………………………………………………………………………………………………
4. Which aspect is objectionable / repulsive?
…………………………………………………………………………………………………
5. Are the facilities envisaged by Samhita enough to propagate Veda
Adhyayanam?
Yes No Somewhat, but … More required... (elaborate)
6. Apart from facilities at Patashala what is else is required?
Awareness Awareness of Career planning Projection of Others
of Vedam Veda of Adhyayis Vedam and its
in Society Adhyayanam apart from study in high
among parents Purohityam esteem
7. Are you keen to involve yourself with Samhita?
Yes – Actively Yes – at times No – Thanks
8. How can you involve yourself with Samhita?
Information Organizational Coordinate Arrange Others-
dissemination work Funding specify
9. Suggest few stalwarts/ dignitaries / friends /relatives whom you think
will like to be associated with Samhita Ideology?
…………………………………………………………………………………………………..
10. Do you plan to send your son/grandson for Veda Adhyayanam?