Mindful Leadership Dipstick
Please fill this assessment up honestly. It should take you about 15 minutes.

Your response will NOT be shared with anyone else. We need your email so that you can receive your answers and evaluate whether participating in a mindfulness program will be of value to you.
Sign in to Google to save your progress. Learn more
Email *
What big changes in your life have you experienced in the past 6-12 months? *
What top 3 challenges in your life keeps you awake at night? *
What 3 things are you grateful for in life? *
Overall, I feel well and whole (emotionally, physically, etc). *
I am able to balance work with play and other aspects of my life. *
I am flexible and adapt to change in a positive way. *
I am able to recognize and manage the things that cause me stress. *
I manage my stress the moment it happens. *
I am kind and compassionate to myself. *
I am able to be curious and keep an open-mind even in challenging situations. *
I am able to be creative and explore different solutions even in challenging situations. *
I actively listen to what my body is telling me and take action accordingly. *
I do physical exercise or some other activity on a regular basis. *
I feel like my life has purpose and meaning. *
I have found a balance between meeting my needs and the needs of others. *
What benefits are you expecting from participating in a mindfulness program that levels up your strategic awareness? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TGIMonday Pte Ltd. Report Abuse
Google Forms