Reset Post Test

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Reset Post Test

We would like to collect some information to understand more about the impact of these sessions. Your feedback is valuable and appreciated!

Name

Profession (and school district, if applicable)

Email Address (to contact winners of incentives) *

I understand and consent to my answers to this survey to be used for research purposes. I understand that my responses will be de-identified and aggregated and may be used for research, presentations, or other reports by HeartSpace Clinic. *

I understand and consent to the use of my survey responses as described.

I do not consent to the use of my survey responses.

We'd love to hear from you about your experience with the nervous system resets. Feel free to provide any comments or suggestions here.

Please indicate how often each statement applies to you, generally, in daily life. *

0-Never

5-Always

When I am tense I notice where the tension is located in my body

I notice when I am uncomfortable in my body

I notice where in my body I am uncomfortable

I notice changes in my breathing, such as whether it slows down or speeds up.

5. I do not notice (I ignore) physical tension or discomfort until they become severe until they become more severe.

I distract myself from sensations of discomfort

When I feel pain or discomfort, I try to power through it

When I feel physical pain, I become upset

I start to worry something is wrong if I feel any discomfort

I can notice an unpleasant body sensation without worry about it

I can pay attention to my breath without being distracted by things happening around me

I can maintain awareness of my inner bodily sensations even when there is a lot going on around me.

When I am in conversation with someone, I can pay attention to my posture.

I can return awareness to my body if I am distracted.

I can refocus my attention from thinking to sensing my body.

I can maintain awareness of my whole body even when a part of me is in pain or discomfort.

I am able to consciously focus on my body as a whole.

I notice how my body changes when I am angry.

When something is wrong in my life I can feel it in my body.

I notice that my body feels different after a peaceful experience.

I notice that my breathing becomes free and easy when I feel comfortable.

I notice how my body changes when I feel happy / joyful.

When I feel overwhelmed I can find a calm place inside.

When I bring awareness to my body I feel a sense of calm.

I can use my breath to reduce tension.

When I am caught up in thoughts, I can calm my mind by focusing on my body/breathing.

I listen for information from my body about my emotional state.

When I am upset, I take time to explore how my body feels.

I listen to my body to inform me about what to do.

I am at home in my body.

I feel my body is a safe place.

I trust my body sensations.