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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 1 2 3 4 5 6 7 8 How much energy do you have at the end of a work day? 1 2 3 4 5 6 7 8 How well are you sleeping? 1 2 3

4 5 6 7 8 How would you rate your memory? 1 2 3 4 5 6 7 8 How would you rate your concentration? 1 2 3 4 5 6 7 8 How is your ability to make choices? 1 2 3 4 5 6 7 8 How clear is your thinking?

1 2 3 4 5 6 7 8 How positive are your inner thoughts? 1 2 3 4 5 6 7 8 How would you rate yourself? 1 2 3 4 5 6 7 8 How well are you managing negative stress? 1 2 3 4 5 6

7 8 How satisfied are you with your work/life balance? 1 2 3 4 5 6 7 8 How is your general health? 1 2 3 4 5 6 7 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 attention now! 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 your Mind Chi Basic 8 Minute Routine for the next 28 days and you will up at the Brilliant! level very soon. Observe!

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 your Mind Chi Basic 8 Minute Routine for 28 days. Attention! 32 47 = This your time to take hold of your situation and start some constructive Mind Chi, just settle into your Mind Chi Basic 8 Minute Routine and 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 your Mind Chi Basic 8 Minute Routine and 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. Your Mind Chi Basic 8 Minute Routine is 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.