First Name
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Email
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Last Name
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I fall asleep easily without the need of supplements medications or other support.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I stay asleep throughout the entire night and don't need extra support to do so.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I wake up feeling rested renewed and refreshed from restorative sleep.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I am motivated and engaged in activities with enthusiasm maintaining a positive outlook.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I am trusting of myself. I feel capable to participate in and navigate most situations.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I practice mindfulness and/or meditation regularly.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I have a consistent passion for life and am open to new experiences.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I feel emotionally balanced throughout the day I can relax and feel inner peace.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I rarely feel overly anxious, fearful, overwhelmed, and am tension free.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I am resilient. I handle stress well and recover quickly from stressful situations.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I adapt quickly to interruptions and am not easily agitated or irritated.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I live with self-confidence and do not require excessive reassurance.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I rarely experience excessive worry, fear or doubt and am not prone to overthinking things.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I easily maintain focus and concentration and can stay on task.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me