7/27/2019 Mind Chi Stress Questionnaire

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Mind Chi Stress Questionnaire

Hows your Mind Chi?

To give you an idea of how you are presently functioning and how Mind Chi can be of assistance

to you, please complete this short questionnaire.

*Instructions: Use a scale where 0 = none / negative and 8 = high / perfect!

Name:

Email:

Please take the quiz below:

How would you rate your energy throughout your work day

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8

How much energy do you have at the end of a work day?

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8

How well are you sleeping?

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3

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8

How would you rate your memory?

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56

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8

How would you rate your concentration?

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8

How is your ability to make choices?

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8

How clear is your thinking?

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3/5

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8

How positive are your inner thoughts?

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23

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8

How would you rate yourself?

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8

How well are you managing negative stress?

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6

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8

How satisfied are you with your work/life balance?

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8

How is your general health?

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8

Submit Quiz

What does this questionnaire reveal about how you are currently using your Mind Chi (mental

energy)?

Any response less than four needs your attentionnow! Mind Chi will be able to assist you.

Brilliant!

81 96 = Top notch, you are in great Mind Chi form. After your 28 days, select a specific

Mind Chi Strategy goal to achieve. You will be able to accomplish everything you wish!

Proficient!

64 80 = You are holding your own very well, look at any of your low scores and

particularly address those. Apply yourMind Chi Basic 8 Minute Routinefor the next 28

days and you will up at the Brilliant! level very soon.

Observe!

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48 63 = This is the beginning of some signs that positive action is required. Select one

or two specific questions that either have the lowest score or that you would like to

concentrate on and do yourMind Chi Basic 8 Minute Routinefor 28 days.

Attention!

32 47 = This your time to take hold of your situation and start some constructive MindChi, just settle into yourMind Chi Basic 8 Minute Routineand you will see a general

improvement at the end of your 28 days.

Red Flag!

16 31 = Life might be a struggle at this time. Remember that you can control your

response to each moment, begin yourMind Chi Basic 8 Minute Routineand look for each

positive aspect that you can find in every day.

Urgent!

0 15 = Mind Chi is your life line! Grab a hold and with your remaining strength (because

you are still ALIVE) start to gain a toe hold. Focus on the smallest

improvements. YourMind Chi Basic 8 Minute Routineis free, easy to do and is just for

you to start on the way to a better life.

NOTE: This little comment pertains to all activities and is also a life philosophy!

* We have used a scale of 18 because that is what most people find it easy to relate to.

However, in workshops we prefer a scale of 0100, as it provides a far greater level of

refinement. (e.g. a 93 score versus a 97 on a scale of 1100 speaks volumes that a simple 7 on

a scale of 18 does not convey.) Please feel encouraged to use the 0100 scale on any of the

activities in Mind Chi if you would like to.

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