DISCOVER YOUR MIND/BODY CONNECTION

THE PATH OF RESILIENCE QUESTIONNAIRE

Please answer each question by selecting the number that best describes your current views and life situation.
Your total score for each component will be calculated and shown at the end of the questionnaire.
Once the questionnaire is completed, please refer to the "Resilience Profile"
to better understand how well you perform in each category.
Please answer to the best of your ability and as honestly as possible.
This is for your own awareness. There are no right or wrong answers.

Name:


	Not at all TRUE		Very TRUE
	RELATIONSHIP WITH SELF

1.	I feel good about myself, I like who I am.	0 1 2 3
2.	I take care of myself - I exercise and eat right.	0 1 2 3
3.	I have a hard time taking in compliments.	3 2 1 0
4.	I am more apt to pick out what I did wrong rather than what I did right.	3 2 1 0





	RELATIONSHIP WITH OTHERS

5.	I let people take advantage of me.	3 2 1 0
6.	I have a good network of people in my life who want me to succeed.	0 1 2 3
7.	It is hard for me to ask for help.	3 2 1 0
8.	I have diffculty making friends.	3 2 1 0





	RELATIONSHIP WITH SOMETHING GREATER

9.	I find purpose in my life.	0 1 2 3
10.	I am committed to giving service to a cause.	0 1 2 3
11.	I believe in something greater than myself.	0 1 2 3
12.	I want to make a difference in the world.	0 1 2 3





	PHYSIOLOGICAL BALANCE

13.	I am able to easily relax.	0 1 2 3
14.	When stressed I recover quickly.	0 1 2 3
15.	I have difficulty unwinding.	3 2 1 0
16.	When I go to bed, it takes me awhile to fall asleep, or I may toss and turn and not feel rested in the morning.	3 2 1 0





	COGNITIVE BALANCE

17.	I am not bothered by the judgments of others.	0 1 2 3
18.	I don't dwell on mistakes.	0 1 2 3
19.	When I wake up in the morning I worry about what might happen during the day.	3 2 1 0
20.	I am usually on the lookout for what can go wrong.	3 2 1 0





	EMOTIONAL BALANCE

21.	I am aware of my feelings.	0 1 2 3
22.	I am able to express my feelings.	0 1 2 3
23.	I get impatient when others make mistakes, are slow, or don’t understand things.	3 2 1 0
24.	I overreact in certain situations.	3 2 1 0
25.	I am able to let go of difficult feelings.	0 1 2 3





	PRESENCE

26.	I don't notice details in my environment.	3 2 1 0
27.	I am able to stay in the present.	0 1 2 3
28.	I have confidence in myself.	0 1 2 3
29.	I anticipate and take action instead of reacting to events.	0 1 2 3
30.	I get distracted easily.	3 2 1 0





	FLEXIBILITY

31.	I am able to see the perspective of others.	0 1 2 3
32.	I look for new experiences to learn from.	0 1 2 3
33.	I have difficulty being flexible.	3 2 1 0
34.	If my path is thwarted, I have difficulty improvising and adjusting to a more attainable goal.	3 2 1 0





	POWER

35.	I do not let my fears stop me from taking action.	0 1 2 3
36.	I have difficulty making important decisions.	3 2 1 0
37.	I procrastinate before taking action.	3 2 1 0
38.	I am able to be assertive to overcome an obstacle.	0 1 2 3
39.	I have a strong will.	0 1 2 3
40.	I have difficulty finishing what I start.	3 2 1 0