Champion Yourself to Wellness Questionnaire

Champion Yourself to Wellness Questionnaire

Welcome to your Champion Yourself to Wellness Questionnaire.  There are 8 questions in total, each one will ask you to rate your response on a scale of 1 to 7.

Name
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HOW IS YOUR ENERGY LEVEL TODAY?

1 being 'Exhausted' and 7 being 'Champion!'

HOW PAIN-FREE ARE YOU TODAY?

1 being 'Worst Pain Ever' and 10 being 'No Pain, Feeling Great!'

HOW RECOVERED DO YOU FEEL TODAY? (OR, HOW MUCH DO YOU FEEL LIKE WORKING OUT?)

1 being 'I'm a Wreck' and 7 being 'I'm Immortal'

HOW CALM AND FOCUSED ARE YOU TODAY?

1 being 'Freaking Out and Frazzled' and 7 being 'Zen Champion'

HOW IS YOUR MOOD AND OUTLOOK RIGHT NOW?

1 being 'Utterly Miserable' and 7 being 'Hooray for Everything!'

HOW MUCH DO YOU IDENTIFY WITH A BIGGER “WHY” OR “PURPOSE” FOR LIVING?

1 being 'Life is Meaningless' and 7 being 'I'm the Champion of my "Big Picture"'

HOW SUPPORTED DO YOU FEEL RIGHT NOW BY THE PEOPLE AROUND YOU?

1 being 'Utterly Alone' and 7 being 'Go Team!'

HOW SUPPORTED DO YOU FEEL RIGHT NOW BY YOUR ENVIRONMENT?

1 being 'Not at All' and 7 being 'It's a Shrine to my Goals'

Champion Yourself to Wellness Questionnaire

PI Final Survey

1. Which part of the program did you find the most helpful (you can choose more than one):

2. In terms of your mindset and, and overall outlook… what’s better now than when you first started the Perfect Imperfection program?

3. Thinking about your daily routines and your life, what are some of the ways you will apply your learnings from the Perfect Imperfection program?

4. What is one thing that you’d like to see more of in future program?

5. One a scale of 1 to 5 (1 being Very Dissatisfied to 5 being Very Satisfied) how would you rate the Perfect Imperfection program?

Additional Comments/Testimonial

If you have any additional comments to add or if you'd like to leave a testimonial, I would love to hear your feedback!

Champion Yourself to Wellness Questionnaire

Perfectly Imperfect Quiz