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.
What are the most important things in your life right now?
What is the purpose of "___" things for you?
How would you describe your relationship with yourself?
How would you describe your relationship with others?
How often do you feel overwhelmed by physical pain?
How often do you avoid doing things that make you uncomfortable because of the fear of pain?
How frequently are your thoughts on a particular day?
How often do you feel happy?
How often do you feel angry with others?
What types of thoughts do you tend to engage in when doing something that requires thinking before acting (e.g., driving)?