An appropriate next step, even in a brief screening, would be to ask in more detail about spiritual practices. Regularly engaging in such activities identifies a person as spiritually engaged as much as does holding and expressing spiritual or religious beliefs. Listing one or more ‘mainly secular’ spiritual practices may give cause to people who describe themselves as atheist, agnostic or unsure to reconsider their self assessment, and – whatever beliefs they have – to begin to accept themselves as in some way ‘spiritual’ and therefore spiritually influenced.