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In the past month how often have you felt stressed?
 
Never
 
Almost Never
 
Sometimes
 
Fairly Often
 
Very Often
 
 
 
On a scale of 1 to 10 where 1 means you have little or no stress and 10 means you have a great deal of stress, how would you rate your average level of stress during the past month?
   
 
 
 
On a scale of 1 to 10 where 1 means little or no stress and 10 means a great deal of stress, what would you consider a healthy level of stress?
   
 
 
 
Would you be interested in participating in stress management classes based on mindfulness and positive emotions?
 
Yes
 
No
 
Maybe
 
 
 
Would you prefer to attend the classes in person or watch them electronically?
 
Attend in person
 
Watch classes over the internet
 
Watch classes on DVD
 
 
 
If each class took place once a week, how many classes would you be willing to take?
 
Three
 
Four
 
Five
 
Six
 
 
 
If you attended the classes in person, how long do you feel each class should last?
 
15 minutes
 
30 minutes
 
45 minutes
 
60 minutes
 
 
 
If you watched the classes electronically, how long do you feel each class should last?
 
10 minutes
 
15 minutes
 
20 minutes
 
25 minutes
 
30 minutes
 
 
 
Would you be able to practice the skills taught each week for 10 minutes a day?
 
Yes
 
No
 
Maybe