undefined

Mindfullness Self Assesment Questionnaire

Evaluation of Mindfulness sessions. Read your weekly evaluations then complete the following questions honestly and in as much detail as possible.

2 minutes to complete

Eligibility

Any individual who needs to be more aware of their thoughts and feelings in order to better manage stress and emotions can fill out this form.

undefined

Questions for Mindfullness Self Assesment Questionnaire

Questions

1.

What are the most important things in your life right now?

The answer should be a text input.
2.

What is the purpose of "___" things for you?

The answer should be a text input.
3.

How would you describe your relationship with yourself?

The answer should be a multiple choice:
  1. I practice being grateful for your body
  2. I'm kind to myself
  3. I let go of being perfectionist
  4. I let go of judgement
4.

How would you describe your relationship with others?

The answer should be a single choice:
  1. I like to surround myself with people who have similar interests and ideas to my own; my friends and I just get each other.
  2. I love my best friends, but I’m always trying to expand my circle to include new people.
  3. I tend to have just a few best friends, and I would trust them with anything.
  4. I think of my close friends as family, and I know that we all have each other’s backs.
5.

How often do you feel overwhelmed by physical pain?

The answer should be a text input.
6.

How often do you avoid doing things that make you uncomfortable because of the fear of pain?

The answer should be a single choice:
    7.

    How frequently are your thoughts on a particular day?

    The answer should be a single choice:
    1. Too much
    2. Too little
    3. Just right
    8.

    How often do you feel happy?

    The answer should be a single choice:
    1. Too much
    2. Too little
    3. Just right
    9.

    How often do you feel angry with others?

    The answer should be a single choice:
    1. Too much
    2. Too little
    3. Just right
    10.

    What types of thoughts do you tend to engage in when doing something that requires thinking before acting (e.g., driving)?

    The answer should be a text input.

    Scales Similar to Mindfullness Self Assesment Questionnaire

    • The Five Facet Mindfulness Questionnaire (FFMQ)
    • The Cincinnati Mindfulness Scale
    • The Kentucky Inventory of Mindfulness Skills
    • The Toronto Mindfulness Scale
    • The San Diego Mindfulness Scale

    Here are some FAQs and additional information
    on
    Mindfullness Self Assesment Questionnaire

    What is mindfulness self-assessment?

    Mindfulness self-assessment is a process of observing and assessing one's own thoughts, emotions, and behaviors in order to gain insight into one's own mental state. This process can be used to identify areas of improvement and work on personal growth.

    Who needs a self-assessment?

    Mindfulness self-assessment can be beneficial for anyone who wants to gain insight into their own thoughts, emotions, and behaviors. This process can be particularly helpful for those who are struggling with mental health issues, such as anxiety or depression.

    How it helps you maintain your mental health?

    Mindfulness self-assessment can help you maintain your mental health by providing you with insight into your own thoughts, emotions, and behaviors. This process can help you identify areas of improvement and work on personal growth. This can ultimately lead to a more positive outlook on life and increased mental well-being.

    Want to use this template?

    Loved by people at home
    and at work

    undefined
    “BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
    Nelson Emilio
    Personal Branding Strategist
    undefined
    “I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
    Georgina García-Mauriño
    Author & Designer
    BlockSurvey social proof
    G2 Crowd
    4.8 Star Rating
    BlockSurvey social proof
    Dapp.com
    Editor's choice
    BlockSurvey social proof
    Capterra
    4.9 Star Rating

    What's next? Try out templates like
    Mindfullness Self Assesment Questionnaire

    1000+ Templates, 50+ Categories

    Want to create secure online forms and surveys?

    Join BlockSurvey.

    SHARE