Champion Yourself to Wellness Questionnaire by amflinn | Sep 27, 2021 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 Email HOW IS YOUR ENERGY LEVEL TODAY? 1 being 'Exhausted' and 7 being 'Champion!' 1 2 3 4 5 6 7 None HOW PAIN-FREE ARE YOU TODAY? 1 being 'Worst Pain Ever' and 10 being 'No Pain, Feeling Great!' 1 2 3 4 5 6 7 None 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' 1 2 3 4 5 6 7 None HOW CALM AND FOCUSED ARE YOU TODAY? 1 being 'Freaking Out and Frazzled' and 7 being 'Zen Champion' 1 2 3 4 5 6 7 None HOW IS YOUR MOOD AND OUTLOOK RIGHT NOW? 1 being 'Utterly Miserable' and 7 being 'Hooray for Everything!' 1 2 3 4 5 6 7 None 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"' 1 2 3 4 5 6 7 None HOW SUPPORTED DO YOU FEEL RIGHT NOW BY THE PEOPLE AROUND YOU? 1 being 'Utterly Alone' and 7 being 'Go Team!' 1 2 3 4 5 6 7 None 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' 1 2 3 4 5 6 7 10 None Time's up
PI Final Survey by amflinn | Mar 15, 2021 1. Which part of the program did you find the most helpful (you can choose more than one): Understanding the 4 levels of learning The Shoulds and Comparison Trap Understanding the Dial Method Biography of the Inner Critic Discovering your Super Hero Reframing self talk Nourishment Menu Tiny Habits Creating your destination post card Other: (Enter Response in the Comments Field) 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? 1 2 3 4 5 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! Time's up
Perfectly Imperfect Quiz by amflinn | Dec 18, 2020 I speak positively about myself internally 1 2 3 4 5 6 7 None I speak positively about myself externally 1 2 3 4 5 6 7 None I tend to bounce back quickly after hard times, stressful events and/or major setbacks 1 2 3 4 5 6 7 None I feel confident in my ability to take charge of my life 1 2 3 4 5 6 7 None I view mistakes as feedback vs failures 1 2 3 4 5 6 7 None I have a clear vision of where I'm going and how to get there 1 2 3 4 5 6 7 None I feel I'm a good problem solver 1 2 3 4 5 6 7 None I allow myself to receive support from others 1 2 3 4 5 6 7 None My social environment supports my wellness and well-being 1 2 3 4 5 6 7 None I am able to positively contribute to the happiness and well-being of others 1 2 3 4 5 6 7 None I am optimistic about my future over the next five years 1 2 3 4 5 6 7 None I feel a sense of meaning and purpose 1 2 3 4 5 6 7 None I have healthy boundaries around social media 1 2 3 4 5 6 7 None I am the person I know I'm meant to be 1 2 3 4 5 6 7 None I give myself permission to take care of my personal wellbeing 1 2 3 4 5 6 7 None I feel a full range of emotions but mostly calm, hopeful, positive 1 2 3 4 5 6 7 None I can express my emotions without judgement 1 2 3 4 5 6 7 None I feel energized and thriving 1 2 3 4 5 6 7 None I perform and function well 1 2 3 4 5 6 7 None I am the person I want to be 1 2 3 4 5 6 7 None I lead a meaningful life 1 2 3 4 5 6 7 None I feel good about the way I look and feel 1 2 3 4 5 6 7 None Time's up
