Courageous Path Empath Sensitivities Questionnaire

Empath Self-Awareness

The purpose of this questionnaire is to aid Empaths and HSPs in discovering both their gifts AND the empath abilities that may hold them back from life success.

After completing the questionnaire you will receive 2 gifts:

Gift #1 Email Review of your answers and Recommendations for improving your empath life experience.

Gift #2 Limited respondents receive an invitation for one Complimentary Empath Life Blueprint Session (value $195)

Background Info on Empaths and HSPs
70% of the total population intuitive, but only 30% of those people are HIGHLY Sensitive and inhibited by their sensitivities.  Most Sensitives share similar world views about empath behaviours, skills, and beliefs. This questionnaire opens awareness when complete honestly.

Empath FACT: Empath behaviours are learned but your skills are inherited through your DNA. Your beliefs about yourself drive your ability to thrive as the sensitive person in a very loud and chaotic world.

Empath FACT: Many career empaths use their gifts in their work and are able to turn them down or off completely during private time, however some do suffer early burnout/stress/anxiety/chronic illness.

Empath FACT: 70% of all other empaths and HSPs are tuned into their sensitivities 24/7 unable to rest from the constant assault of other's needs and pain.

It doesn't have to be this way when you know how to energetically control the energies you allow into your body and mind. Contrary to popular believe YOU do have genetic control of your sensitivities, you just don't know how to use it!

This Questionnaire will uncover which sensitivities serve you and which don't. Try to be as honest as you can. You will discover something new and powerful about yourself. A new point of view is often the first step towards a powerful life change.

At the end of this questionnaire you will be invited to learn more about the Courageous Path Empath Basic Training virtual workshop series.

Thanks for taking the time to fill out this questionnaire.

Sue Rumack, The Empath Trainer and HSP Overwhelm Strategist

website: www.courageouspath.com

Email: Support@CourageousPath.com

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* 1. Does it scare you that you KNOW what you know without knowing HOW you know it?

always

sometimes

Never... I love having this intuition

I try to ignore it

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* 2. Do you make decisions based on your intuition?

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* 3. Do you experience heightened sensory or emotional reactions to any of the following. Please tick off all that describe you.

Visuals: Watching the news, videos, movies showing violence make me feel scared, anxious, terrified - I can't watch and see the images in my mind for days after

Lights: Bright, blinking, or strobing lights make me feel like I want to jump out of my skin or close down my brain

Sounds: such as loud music, recurring noises, too soft or loud, alarms, sudden noises, harsh sounds get me get me anxious and make me want leave the scene instantly

Textures: of clothes, or surfaces like seat cushions, or touchable surfaces are disturbing. I usually choose soft textures for clothes and smooth textures for surfaces.

Smell: I'm overly sensitive to perfumes, laundry product fragrances, room fresheners, shampoos, soaps, lotions, body odour, mould, etc.

Taste: Since childhood there are certain flavours I can't tolerate

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* 4. Do you feel "CURSED" to be a sensitive? Please use the graph below.

only sometimes

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. If you feel 'cursed' with your sensitivities please share your story.

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* 6. Are you frequently exhausted by short exposure to highly emotional situations or people?

Always

Sometimes

Never

Is it an Empath thing?

Details?

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* 7. Do you need to self-isolate?

after work every day

after shopping excursions to big box type stores or malls

after going to a great party where everyone else was having such a good time

from my children

from my spouse

from myself

Pertinent Details Here

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* 8. You've been told all your life to stop being such a wimp, grow a thicker skin, stop being such a cry-baby BUT don't know how to do stop being so sensitive.

Other (please specify)

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* 9. You have a flare for the creative. It seems as if your chosen creative form speaks to you and makes you feel whole and connected to life. Please describe.

Yes

I wish

Please Discuss what makes you feel whole.

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* 10. Do you have trouble with relationships?

you are the passive player in old friendships often playing the part of underdog in the relationship

It's hard to make new relationships

marriages are strained because your sensitivities (emotional / physical) get in the way of living fully alive with your partner

never found the right soul mate

work relationships are difficult because of the shared stress and anxiety of doing the work

brothers and sisters just don't get you

you never fit with your family

strained relationship with parents

other

More Details Here

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* 11. When emotionally overwhelmed do you feel physical sensations anywhere in your body at the same time? Please use the dropdown menu to choose as many body locations as apply. Also, use the comments box to give more detail.

Details about WHAT you physically feel in each body part.

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* 12. How do you experience conflict with? Please describe. Choose as many topics from the list as applicable.

Family

Friends

Workmates

Strangers

Other

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* 13. What do you fear most about your sensitivities and gifts?

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* 14. What would your 'best' life look like? Please click one choice then describe in more detail in the comments box below.

same as now

very different

safe

free

Please share your thoughts here.

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* 15. On a scale of 1 to 100 What scares you most about changing your life from what it is now, to a better future?

0 Nothing

Not sure I can have a better future

100 Scared I'll mess up a better future

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 16. If a simple virtual training workshop was available to teach how to manage other's damaging energy broadcasts so you could easily protect yourself, and let you heal from the inside out... AND if it was affordable, and available worldwide, WOULD YOU SAY YES to the training?

Yes without hesitation

No I'm afraid to make any changes

Interested, but need more info

Not Interested

Interested but don't have any money to invest in my future

Yes, If I had the money

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* 17. If you want more information on Empath Shielding Basics Training, the affordable Virtual Workshop training series, at a price you can afford please fill out the form below

Name

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Thank you for taking the time to complete this questionnaire. It is our hope that in doing so you have discovered something new about yourself. Often just completing this question brings into focus where you need to focus your self-awareness, or your future training to improve your quality of life, and train your gifts so they become the blessing they have always been intended to be.

Please watch your email for:
Gift #1 Review and Recommendations for living your Empath Life more easily.
Gift #2 The Invitation to your Complimentary Empath Life Blueprint Conversation

I'm Sue Rumack, the Empath Trainer, and HSP Overwhelm Strategist. If I can be of help in any way please contact me at Support@CourageousPath.com

You'll also find a wealth of information at www.CourageousPath.com

For more information on how you can live your best life BECAUSE you are trained in how to read, filter, block, and return other's damaging energies please visit Shielding Basics for the Highly Sensitive Empath.

I look forward to speaking with you soon. Be Well and Safe in these challenging times.

Sue Rumack