Pre-Course Survey: Rediscovering the Body: Level 1 Pre-Course Survey: The Mindful Body This survey helps us assess baselines for The Mindful Body Course participants. How do I currently feel about my physical health (diet, exercise, weight)?(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in regards to my physical health?(Required)If there were one statement that encapsulated how I feel about my body today, it would be:(Required) How do I currently feel about my mental health (anxiety, depression, stress levels)?(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in regards to my mental health?(Required)What do I see as the connection between my mind and body today, if any?(Required) How do I currently feel about my emotional health (ability to feel emotion, name emotions, and move through emotions in healthy ways)?(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in regards to my emotional health?(Required)What do I see as the connection between my emotions and my body today, if any?(Required) How do I currently feel about my spiritual health (level of connection to something Higher or Greater than myself)?(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in regards to my spiritual health?(Required)What do I see as the connection between my spirit and body today, if any?(Required) How do I currently feel about the health of my close relationships? (with my life partner, family members, or friends)(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in regards to my relationships?(Required)What do I see as the connection between my relationship with others and my relationship with my body, if any?(Required) How do I currently feel about the health of my relationship with myself? (my self-concept)(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied What would I specifically like to improve through this program in the way I relate to myself?(Required)What connection do I see in the way I relate to myself and the way I relate to my body, if any?(Required)How do I currently feel about my problem-solving capacity and ability to navigate my life challenges?(Required) 5 - Totally Capable 4 - Somewhat Capable 3 - Neutral 2 - Somewhat Uncapable 1 - Very Uncapable What is my current level of overall life satisfaction?(Required) 5 - Totally Satisfied 4 - Somewhat Satisfied 3 - Neutral 2 - Somewhat Dissatisfied 1 - Very Dissatisfied Would you like this information emailed to you?(Required) Yes please No thanks Your Email(Required) Δ
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