Mindfulness Questionnaires

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Mindfulness Interest and Practice Questionaires

Mindfulness Questionnaires

What areas of your work and life that you want to improve or change? *

(Please check all that apply.)

Business/Career

Finances

Health

Family & Friends

Romance

Personal Growth

Fun & Recreation

Environment

Others: please write below

What other areas of your work and life that you want to improve or change?

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What would you most want to get out of the HEART-MINDfulness training and coaching programmes?*

(Please check all that apply.)

Reduce stress

Improve physical health

Increase performance and productivity

Have more clarity and make better choices

Have better relationships at work, with friends and loved ones

Feel stronger and more resilient to deal with challenges

Have more calmness and inner peace

Feel more alive, fulfilled and happy

Others: please write below

What else would you most want to get out of the HEART-MINDfulness training and coaching programmes?

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What are your learning experiences with mindfulness?*

(Please check all that apply.)

I know little about it.

I’ve read books / listened to talks.

I’ve dipped in and out / learnt about it here and there.

I’ve attended a proper course(s).

I’ve attended a retreat(s).

I am learning about it most of the time.

I'm a professional practitioner.

Others: please write below

What other learning experiences with mindfulness do you have?

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How is your mindfulness practice going?*

(Please check all that apply.)

I want to do it but I'm not doing it.

I’m not sure how mindful I am.

I have practised before but not now.

I practise it occasionally.

I practise it regularly.

I practise it daily.

It has become a natural habit.

It has become a way of being for me.

Others: please write below

Other answers about your mindfulness practice:

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How has mindfulness worked for you?*

(Please check all that apply.)

It has done nothing for me.

I’m not sure how it works.

It’s improved the quality of my life a little.

It’s improved the quality of my life a great deal.

It’s changed my life.

Others: please write below

How has mindfulness improved or changed your life?

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What is holding you back from meditation in general and mindfulness in particular?*

I don't have time.

It's not my priority right now.

I don't think it works for me.

I don't deserve self-care.

It's self-indulgent.

It's selfish.

It's boring.

It's weird to meditate.

It's too passive.

It's an escape from reality.

It's religious.

It's too difficult.

It's easier said than done.

I forget to meditate.

It doesn't make me relax at all.

Mindfulness only works when you sit and meditate.

I can't meditate. My mind is too busy.

When I practice, I think even more. My mind is even busier!

I think more than usual when I try to be mindful.

I feel even more uncomfortable when I am mindful - lots of difficult thoughts and feelings arise.

A lot of past issues come up when I practice mindfulness.

I find it hard to make it into a habit.

I lose interest and motivation.

I found some of those who practice meditation or mindfulness quite cold or indifferent instead of being cool or caring.

Mindfulness is easy: I’ve been there, done that and I don’t need to do more.

Others: please write below

Other answers for what holding you back from meditation or mindfulness practice:

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What is your number #1 question about mindfulness?

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