Anxiety Checklist

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Anxiety Checklist

Thanks for completing the anxiety checklist. The checklist will take about 5 minutes to complete. Once you have submitted your answers I'll be in touch to arrange a 1-2-1 zoom call in order to create your personalised action plan so that you can get to your place of calm and clarity. If you have any questions please contact me at lana@lanmorris.com.

This checklist is under copyright of LanaMorris 2021- all rights reserved.

Email *

I am rarely tired *

yes

I drink 8 glasses of water a day *

yes

I walk in nature for 40 mins daily *

yes

I journal daily *

yes

I meditate daily *

yes

I eat regularly *

yes

I have a balanced diet *

yes

My food and drink are healthy *

yes

I take time for myself daily *

yes

I have good healthy boundaries *

yes

I find it easy to receive *

yes

I find it easy to ask for help *

yes

I am rarely overwhelmed *

yes

When I'm overwhelmed I cope *

yes

I don't 'numb-out' or disconnect *

yes

I keep a healthy perspective *

yes

I am 'energy drained' by others *

yes

I easily pick up others emotions *

yes

I am usually positive, calm and balanced around others *

yes

I need time alone to recharge *

yes

I need to be around people to recharge *

yes

I always sleep restfully & well *

yes

My body is free from tension *

yes

My weight is steady *

yes

I have clear skin *

yes

My work/life balance is good *

yes

I have a lot of support from family & friends *

yes

I am pretty organised *

yes

I am able to respond to unexpected people and situations calmly *

yes

There is clutter around me *

yes

I spend time worrying *

yes

I rarely over-react *

yes

I rarely overanalyse situations *

yes

I have some daily 'me' time *

yes

I rarely drink and/or smoke *

yes

My finances are good *

yes

I rarely feel overwhelmed *

yes

I rarely feel lonely & isolated *

yes

Your Name *

Your Phone Number *

When is the best time to contact you to discuss your results and personalised action plan ( time will be UK time GMT) *

Morning 8am-midday (noon)

Afternoon - noon- 5pm

Evening 5pm-8pm

Required

You will be sent a zoom link and time for the call to the email that you have provided. Please check spam or junk folders if you can't see an invitation to our anxiety action plan call *

Yep, absolutely, I will do!

No, I think on reflection I don't really want to go ahead and get my results

A copy of your responses will be emailed to the address you provided.

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