Confidential Pre-Assessment

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This assessment is for the sole use of MBAwareness to gauge the effectiveness of the workplace program and will not be connected to any individual respondent.

I think bringing mindfulness to my workplace will: (choose all that apply) *

Improve workplace culture

Improve workplace communication

Create better relationships

Reduce absenteeism

Reduce Stress

Required

My current relationship to mindfulness is:

This will be my first experience with mindfulness

I have heard of it, but never tried it

I have practiced a little bit

I would like to start a formal practice

I have a formal practice

Clear selection

What is your age? *

18 - 25

26 - 35

36-45

46-55

56-65

65+

Generally, my stress level is:

Totally Chill

Totally Stressed

Clear selection

How true is each of these about you? *

Not at all true

A little bit true

Mostly true

Very true

I often feel lonely

I feel sad a lot of the time

I worry about excelling at work

I worry about completing projects

I feel ashamed when I make mistakes

I feel angry when I have a conflict

I often argue with others

I get distracted easily

I collaborate well

I enjoy my work

Work is easy for me

I look forward to going to work

My job is stressful

I often feel overwhelmed

I have healthy work-life balance

I have hobbies outside of work

I feel appreciated at work

I have a positive relationship with my boss

I have a positive relationship with my coworkers