A Look inside your Nervous System♡
Please read each of the following statements and rate the extent to which you believe each statement best describes your feelings and experiences.
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Quiz Questions
1.
I am often worried about what others think about me.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
2.
You're constantly on-edge and overwhelmed
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
3.
You're frequently snappy, irritable, and reactive
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
4.
You experience chronic pain and illness
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
5.
You experience sleep problems and daytime fatigue
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
6.
You experience difficulty focusing on everyday tasks.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
7.
You frequently procrastinate.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
8.
You have difficulty initiating and getting started on new tasks.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
9.
You experience Skin or Gut conditions.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
10.
You're highly sensitive to other people's emotional states
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
11.
If someone feels anxious, you start to feel anxious. You feel and mirror other people's emotions.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
12.
You are constantly trying to please the people in your life
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
13.
You ignore your own beliefs, thoughts, and truths and accept those of the people around you
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
14.
You feel self-anger and guilt some or most of the time
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
15.
You are overwhelmed at times but take on more if asked
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
16.
You lack boundaries and are often taken advantage of in relationships.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
17.
You are uncomfortable or threatened when asked to give an opinion.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
18.
You have difficulty doing 'nothing.' You always feel like you need to be doing something.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
19.
You frequently fidget (i.e. playing with hair, picking at skin, moving feet/legs, cracking knuckles)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
20.
You feel the urge to get away from any overwhelming situations.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
21.
You feel restless and unsettled in your body.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
22.
You try to escape or avoid any overwhelming or confrontational situations.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
23.
You are hyper (or were more hyper as a child).
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
24.
You are impulsive (i.e. frequent interrupting, impatient, do things without thinking through)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
25.
You use fantasy or imagination to escape day-to-day distress.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
26.
You mentally “check out” from situations that feel painful or stressful.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
27.
You physically detach from the world through sleep, or by staying at home, spending lots of time on social media or watching TV.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
28.
You tend to hide/suppress your emotions and feelings.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
29.
You become silent or more quiet when you feel attacked or overwhelmed.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
30.
You have a hard time focusing specifically when you feel overwhelmed or stressed.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
31.
You will lash out at others when you feel upset or hurt (or did when you were a child)?
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
32.
You will all of the sudden feel angry at others (i.e. in you close relationships, with strangers out in public, driving, co-workers, etc)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
33.
When you are upset... you will cry, yell, raise your voice, or have a more external emotional response.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
34.
You have engaged in self-harm behavior. (i.e. hitting, pulling out your hair, etc)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
35.
You often feel angry, frustration, or annoyed.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
36.
You are easily startled (i.e. loud sounds, sudden movements, etc)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
37.
You get overwhelmed or experience any ADHD symptoms in busy environments.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
38.
You are easily distracted by sounds
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
39.
You are easily distracted by visual distractions.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
40.
You are particular about textures (i.e. clothes, food, seating, etc)
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
41.
You have bad posture. Your posture 'fatigues' quickly.
A.
Strongly Disagree
B.
Somewhat Disagree
C.
Somewhat Agree
D.
Strongly Agree
Quiz Outcomes
1.
Regulated Nervous System
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2.
Your Overview: Sensory Sensitive
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3.
Your Overview: Flight State
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4.
Your Overview: Fight State
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5.
Your Overview: Fawn State
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6.
Your Overview: Freeze State
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