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2015
June
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Self-care Quiz
Self-care Quiz
DareWellness Self-care Quiz
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Exit Survey
Hello:
You are invited to participate in our self-care Quiz.
It will help you to clarify a main area of life where a small change will lead to more energy and motivation to keep going.
In this survey, you will be asked to complete questions about things which people often neglect when stressed or overwhelmed. It will take approximately 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Dare Wellness at
[email protected]
.
We hope your journey is a fulfilling one, and that our assistance provides a healthy direction with which to begin.
Please start with the survey now by clicking on the
Continue
button below.
I understand and accept the described conditions. I acknowlege that my participation is voluntary and I may withdraw at any time. I am an adult in my country of residence.
Outer Life Description
For each statement, choose the response that best describes you:
I worry a lot about things that might happen
Very much like me
Quite like me
A little like me
Not at all like me
I worry a lot about things that might happen.
My favourite 'comfort foods' aren't very nutritious but they get me through the day.
I just don't have the time or energy to learn new skills.
I don't have any hobbies that I engage in regularly.
I rarely have time to catch up with friends.
I don't have any particularly valuable gifts.
It's hard for me to relax.
I spend a lot of time siting: in the car, at a desk, in front of TV etc.
I often feel upset about things that have happened in the past
I just don't have the time or energy to prepare nutritious meals.
Very much like me
Quite like me
A little like me
Not at all like me
I am not interested in learning new things.
I rarely do things 'just for fun'.
I don't have the energy to socialize.
I don't have much opportunity to help other people.
I rarely get a full night's sleep.
I don't exercise to the point of feeling puffed out very often.
I often wish my life was different than it is.
I often rely on convenience foods and fast foods / take-always
I am too old to take up a new hobby or interest.
I can't remember the last time I had a really good laugh.
Very much like me
Quite like me
A little like me
Not at all like me
I don't really have any close relationships.
I don't feel I have much to contribute to others.
When it's time to wake up, I still feel tired.
I don't walk or move my body much.
I spend a lot of time zoning out in front of the TV.
I often skip meals because I'm too busy or don't feel like eating.
I don't like to try new things.
I don't have time for leisure activities.
I don't have much involvement in my community.
I can barely look after myself, let alone help anyone else.
I rely on coffee or energy drinks to keep me alert.
I don't really pay much attention to my body.
Inner Life Description
Which of these words best describes how you are feeling (Select all that apply)?
Overwhelmed
Depleted
Fatigued
Exhausted
Stressed
Anxious
Depressed
Burnt-out
Despairing
Frazzled
Overloaded
Tense
Worn-out
Irritable
Flat
Defeated
Other
Comments/Suggestions:
Please enter your name and best email address so that we can send you your results. Then check your email inbox to discover your first steps toward building greater stress resilience TODAY!
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That's it! Well done ;-)The first step towards undoing the overwhelm is often the hardest one to take. We have to get real about where we are, so that we can work out how to move on.I'm so glad that you decided to take this step with us today.
Copyright 2015 DareWellness
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