Welcome to your Lifestyle Check Be as honest with yourself as possible - even if it hurts (think about your behaviours over the last month or three). Look at the scale and award your self a score accordingly (remember honesty is very important). Name & Surname Business Name Email Contact Number Top Management Middle Management Supervisor Employee 1. Skipping meals/dietingNeverSometimesOftenAlways 2. Not exercising or exercising too muchNeverSometimesOftenAlways 3. Avoiding or neglecting relaxation and other ways to calm your central nervous systemNeverSometimesOftenAlways 4. Not getting enough sleepNeverSometimesOftenAlways 5. Blowing past your own fatigue to finish the dayNeverSometimesOftenAlways 6. Breathing shallowly when tense, instead of breathing deeplyNeverSometimesOftenAlways 7. Using sugar, caffeine, nicotine, drugs or herbal stimulants to function at a higher rate when you're already tiredNeverSometimesOftenAlways 8. Worrying. (Constantly thinking of work related issues even when you are at home relaxing)NeverSometimesOftenAlways 9. Mentally replaying stressful inner dialoguesNeverSometimesOftenAlways 10. Neglecting fun and relaxing activities that allow you to clear your mindNeverSometimesOftenAlways 11. You feel you're unable to meet constant demands and you become increasingly overwhelmed and depleted of energyNeverSometimesOftenAlways 12. Eating processed, junk or fake foodsNeverSometimesOftenAlways 13. Putting yourself last. (Never have time to replenish your energy tank)NeverSometimesOftenAlways 14. What is you biggest challenge at this stage? 15. Are you working from home?MostlyOftenSometimesNever 16. Are you in direct contact with people/clients on a daily basis?YesNo 17. When interacting with people are you wearing a.....MaskFace ShieldBothNone If you completed the questionnaire on your mobile phone and you don't see the SUBMIT button, just click the thick BLUE LINE below to submit your answers, and you will see the results immediately. Time is Up!