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Question 1 of 11
Productivity: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2 I felt clear about priorities, organized, and like I got much done.
3-4
5-6
7-8
9-10 I felt disorganized, confused, unproductive, and overwhelmed.
Question 2 of 11
Sleep: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2 I slept optimally (usually between 7-9 hours), woke refreshed, had ample energy.
9-10 (slept poorly, woke tired, remained fatigued)
Question 3 of 11
Priorities: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: I prioritized my day, felt like I got important and urgent work done before bedtime.
9-10 Felt unproductive, like I left important things incomplete or didn't start them at all.
Question 4 of 11
Mood: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Was optimistic, able to reframe negative thoughts, not easily triggered by events.
9-10 Felt negative thoughts frequently, felt unable to break the cycle of negative thoughts.
Question 5 of 11
Coping Techniques: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Used positive techniques like exercise, visualization, meditation, breathing, rest, and thought upgrades to effectively manage mood, energy, and behavior.
9-10: Used substances/distractors like alcohol, food, pills, media, or complaining to cope.
Question 6 of 11
Concentration & Focus: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Felt able to focus and concentrate well on important matters.
9-10: Was easily distracted, overwhelmed by inputs, error prone, and had a hard time concentrating for long.
Question 7 of 11
Workload: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Workload was stimulating with just enough challenge.
9-10: Too much work, felt submerged, couldn't keep up.
Question 8 of 11
Physical Symptoms: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Felt little muscular tension, low cravings
9-10: Felt shoulder aches, headaches, teeth grinding, high food cravings, low sexual desire, fatigue.
Question 9 of 11
Reactivity: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: I was thoughtful before responding, was poised, calm & curious.
9-10: I gave snap reactions, was frustrated easily, spoke in irritable tone.
Question 10 of 11
Self-Talk: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Felt confident & secure. Said and believed positive things about myself. Felt like I could handle problems and figure things out.
9-10: I was self-critical, beat myself up for perceived mistakes, had perfectionist tendency, compared myself to others and felt inferior.
Question 11 of 11
Relationships: Rate anywhere from 1-10, with 1 representing as good as it gets.
1-2: Spent time with people I can be myself with, didn't take others' comments personally, was caring and curious, was able to communicate well and influence despite differences in opinion.
9-10: Felt misunderstood, judged, unseen, frustrated by others. Felt victimized by others' behavior. Felt like I couldn’t be myself around others.