27 Feb The brain health evaluation By cymmk 0 comment Welcome to your The brain health evaluation Instructions: There are 30 questions. Select the best answer for each question. IMPORTANT NOTE: For best results, instead of answering in a way designed to make you “look good”, strive to be as honest and objective as possible. Name Email Phone 1. When I encounter a setback, my first instinct is to: Feel disappointed and discouraged but I get over it. Throw in the towel; it obviously isn’t working anyway. Throw in the towel; it obviously isn’t working anyway. Feel angry and try to find out whose fault it is. None 2. I feel stressed, with my nerves on edge: Never or almost never Occasionally Always or almost always Often None 3. As I go through my day my most common feeling is: I feel good most of the time. Always calm, focused, happy, and confident. Stressed and agitated. Frequently overwhelmed. None 4. I lose hope and want to give up when something goes wrong: Occasionally Never or almost never Often Always or almost always None 5. Regarding my energy level during the day: I have energy to spare and always look for new challenges. I have trouble getting going and I often fade in the afternoon. I have moments of energy, but I can’t sustain it. I have decent energy for most of the day. None 6. I get feedback that I am a sensitive and understanding person: Never or almost never Often Always or almost always Occasionally None 7. When I need a creative solution: I can almost always rely on my ability to find a creative solution. Sometimes an idea comes to me. It’s often difficult to find one. I often have creative ideas. None 8. I usually take the initiative and introduce myself to strangers: Often Always or almost always Never or almost never Occasionally None 9. When faced with tempting food I know I shouldn’t eat: I eat some of it and then try to stop. Sometimes I do. I eat it anyway. You only live once. I more often than not have enough willpower, but sometimes I indulge. I nearly always choose to not eat unhealthy foods or not eat too much. None 10. When I look back on my decisions: About half my decisions work out okay. The others aren’t so good. I make consistently good decisions and suffer very few avoidable consequences. Most of the time my decisions work out well. I often suffer consequences I didn’t anticipate. None 11. In terms of my relationships with other people: I like people. Being with other people is easy for me. I can trust others, but it take me a while to warm up. I often find myself instantly disliking someone. Being with other people often feels awkward. None 12. I respond well to positive feedback about myself: Never or almost never Often Occasionally Always or almost always None 13. I’m aware of how I affect other people: It’s not something I usually think about or notice. How others react is their problem. I sometimes notice how I affect others after the fact, especially if someone says something. I consistently notice how I affect others; my affect on others is very important to me. I often think about and notice how I affect others. None 14. My bad feelings: Often seem to just happen, out of the blue. Sometimes I’m able to change the way I feel. I create my feelings and I’m easily able to let them go. Are generally because of my circumstances or the acts of others. None 15. Regarding my general level of motivation: I have trouble staying motivated and leave many things unfinished. I’m pretty good at motivating myself, and almost always finish what I start. I can motivate myself if I absolutely have to do something, but it’s difficult. Motivation is effortless and I easily stay on track. What I start, I finish. None 16. Regarding my general level of confidence: I have complete faith that I can figure out how to accomplish anything I set out to do. I’m confident that I can handle most things I need to do. I’m not very confident, but I try, and keep going anyway. When starting a new task, I often worry that I won’t be able to do it. None 17. I am always successful at completing my tasks, even if I have more tasks than others: Never or almost never Always or almost always Often Occasionally None 18. Regarding my memory: At times I can remember things; at other times I draw a blank. I can remember most things. I easily remember almost anything I read, hear, or experience. I have a lot of trouble remembering and almost always forget things. None 19. I find it hard to unwind: Often Occasionally Always or almost always Never or almost never None 20. When someone does something I find displeasing or unpleasant: It bothers me a lot and I find myself not liking the person, but after a while I let it go. It bothers me, but I let it go pretty quickly. I bothers me, but I let it go and find myself feeling compassion for the person. I find myself disliking the person. Everyone can tell that I’m upset, and I hold a grudge for quite a while. None 21. I can't seem to experience any positive feeling at all: Often Occasionally Never or almost never Always or almost always None 22. When I resolve to create a new behavior, such as exercising regularly or changing my diet: I resolve to make changes, but I almost never follow through. I have the willpower to make and stick to any change I decide to make. I rarely ever make such resolutions. I just do what I feel like doing. I make a good start but eventually I fall back to my old behavior. None 23. I find it difficult to work up the initiative to do things: Occasionally Always or almost always Never or almost never Often None 24. When I have a strong desire: I usually consider possible negative consequences and sometimes I decide not to pursue my desire because of those consequences. I just follow it. I rarely stop to think about the possible consequences. I sometimes realize that what I want isn’t a good idea, but I almost always say “What the heck” and do it anyway. I always think about the consequences and I easily exercise willpower when I realize that I would later regret those consequences. None 25. I tend to over-react to situations: Always or almost always Often Occasionally Never or almost never None 26. When faced with a decision: I see the situation clearly, including the pros and cons, and almost instantly know exactly what to do. I avoid making decisions. I just go with the flow and do whatever I feel like doing in that moment. I often find it difficult to sort out the situation and decide what to do. I look at the pro and cons and make the best decision I can. None 27. I worry about situations in which I might panic and make a fool of myself: Occasionally Always or almost always Never or almost never Often None 28. When I feel stressed: I almost instantly let go of my resistance. I feel terrible and have trouble functioning at all. I take a few deep breaths, tell myself things will be okay, and carry on. I isolate myself until I feel better. None 29. When people want me to do something I don’t want to do: I tell the other person why I can’t do what they want, hope they understand, and feel okay about it. Even though I feel guilty about it, I usually manage to say no. I can become anxious or angry. Most of the time it’s easier to just comply. None 30. When I experience a major loss or disappointment: I go through a grieving period, but I know I’ll be okay. I sometimes feel bad for months or even years. I think, “This is unfair. Why me?” I realize these things are part of life and even though it’s difficult I look for what I can learn or how I can benefit. 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