JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stress & Recovery
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Think about your sleep habits and quality right now. On average, how many hours per night do you sleep?
*
4 or fewer hours
5 hours
6 Hours
7 Hours
8 Hours
9 Hours
10 or more hours
Do you work shift work?
*
No
What is your typical bedtime?
*
Your answer
On a scale of 1-10, how good is your sleep quality?
*
Horrible
1
2
3
4
5
6
7
8
9
10
Awesome!!!
What tends to interfere with you getting enough sleep, and / or the quality of your sleep?
*
Your answer
What, if anything, tends to help you sleep better / longer?
*
Your answer
Do you currently take any medications or natural health products to help yourself sleep? If yes, what?
*
Your answer
In the last six months, what's been causing you stress? Add everything you can think of
*
Your answer
Considering all these factors, how would you rank your overall level of stress right now?
*
No Stress
1
2
3
4
5
6
7
8
9
10
Extreme Stress
Considering all these factors, how well would you say you’re coping right now?
*
Horribly
1
2
3
4
5
6
7
8
9
10
Perfectly
What, if anything, do you do right now to cope and / or recover from stressors?(Include physical, mental, and emotional recovery.)
*
Your answer
How physically energetic and vital do you normally feel on an average day?
*
Exhausted
1
2
3
4
5
6
7
8
9
10
Superstar!!
On an average day, do you have any persistent pain, soreness, stiffness, aching, etc.?
*
Yes
No
If yes, how bad is it?
*
Almost nothing
1
2
3
4
5
6
7
8
9
10
Excruciating/disabling
How mentally “sharp”, quick, and clear do you normally feel on an average day?
*
Total brain fog
1
2
3
4
5
6
7
8
9
10
Genius
How happy and cheerful do you normally feel on an average day?
*
Completely depressed
1
2
3
4
5
6
7
8
9
10
Ray of sunshine
Today, how interested are you in exercise and / or training? How excited to train?
*
Ugh, I'd rather take a nap
1
2
3
4
5
6
7
8
9
10
Let's crush it!!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
