Things in your head, stomach ache, feeling the flow, everything managable
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Very stressed, stomach ache
Totally relaxed, on top of everything
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10
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How well can you CONCENTRATE?
*
Question
How well can you CONCENTRATE?
*
Question Type
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Paragraph
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Date
Time
Description
Ability to focus, ignore distraction, concentration
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Very unfocussed, distracted
Very focussed, in the flow
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10
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(0 points)
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Hours of SLEEP last night?
*
Question
Hours of SLEEP last night?
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Question Type
Short answer
Paragraph
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Date
Time
Description
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Caption
No sleep at all
10+ hours
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10
Label (optional)
Answer key
(0 points)
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Hours of dedicated PHYSICAL TRAINING? (>30 mins) during the last 24 hours?
*
Question
Hours of dedicated PHYSICAL TRAINING? (>30 mins) during the last 24 hours?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Date
Time
Description
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Caption
Lazy
All day
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10
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7
Label (optional)
Answer key
(0 points)
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SEX during the last 24 hours?
*
Question
SEX during the last 24 hours?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
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Checkbox grid
Date
Time
Description
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Caption
Abstinent
All day
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7
8
9
10
0
Label (optional)
7
Label (optional)
Answer key
(0 points)
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How HEALTHY did you EAT?
*
Question
How HEALTHY did you EAT?
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Question Type
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Time
Description
How healthy and balanced was your food? fat, fast food, vegies, alcohol, water, ...
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Very bad, irregular, unhealthy, lots of alcohol
Very healthy, no alcohol, salad and vegies, lots of liquids
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Whats happening? What are you up to?
*
Question
Whats happening? What are you up to?
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Question Type
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Date
Time
Description
Today's incidents, notes, events
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Long answer text
Length
Regular expression
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Number
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Answer key
(0 points)
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Learnings
*
Question
Learnings
*
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Date
Time
Description
What did you learn in the last 24 hours
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(0 points)
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Comfort zone
*
Question
Comfort zone
*
Question Type
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Paragraph
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Date
Time
Description
Did you leave your comfort zone in the last 24 hours? If yes, how?
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1.
Yes
Continue to next section
2.
No
Continue to next section
1.
Other…
3.
Add option
or
add "Other"
…
Answer key
(0 points)
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How do you feel PHYSICALLY?
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How do you feel MENTALLY?
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How is your STRESS LEVEL?
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How well can you CONCENTRATE?
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Hours of SLEEP last night?
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Hours of dedicated PHYSICAL TRAINING? (>30 mins) during the last 24 hours?
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SEX during the last 24 hours?
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How HEALTHY did you EAT?
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Whats happening? What are you up to?
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Learnings
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Comfort zone
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