MAIA Self Report-Post P3A Training HE 1. MAIA For this survey, you will indicate your Code Number and today's date at the end of the survey. Below is a list of statements. On a scale of 0 to 5, please select the response that indicates how often each statement applies to you generally in daily life. Do not skip any questions.Thank you! Question Title * 1. When I am tense I notice where the tension is located in my body. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 2. I notice when I am uncomfortable in my body. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 3. I notice where in my body I am comfortable. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 4. I notice changes in my breathing, such as whether it slows down or speeds up. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 5. I do not notice (I ignore) physical tension or discomfort until they become more severe. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 6. I distract myself from sensations of discomfort. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 7. When I feel pain or discomfort, I try to power through it. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 8. When I feel physical pain, I become upset. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 9. I start to worry that something is wrong if I feel any discomfort. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 10. I can notice an unpleasant body sensation without worrying about it. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 11. I can pay attention to my breath without being distracted by things happening around me. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 12. I can maintain awareness of my inner bodily sensations even when there is a lot going on around me. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 13. When I am in conversation with someone, I can pay attention to my posture. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 14. I can return awareness to my body if I am distracted. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 15. I can refocus my attention from thinking to sensing my body. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 16. I can maintain awareness of my whole body even when a part of me is in pain or discomfort. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 17. I am able to consciously focus on my body as a whole. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 18. I notice how my body changes when I am angry. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 19. When something is wrong in my life, I can feel it in my body. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 20. I notice that my body feels different after a peaceful experience. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 21. I notice that my breathing becomes free and easy when I feel comfortable. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 22. I notice how my body changes when I feel happy/ joyful. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 23. When I feel overwhelmed, I can find a calm place inside. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 24. When I bring awareness to my body, I feel a sense of calm. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 25. I can use my breath to reduce tension. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 26. When I am caught up in thoughts, I can calm my mind by focusing on my body/ breathing. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 27. I listen for information from my body about my emotional state. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 28. When I am upset, I take time to explore how my body feels. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 29. I listen to my body to inform me about what to do. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 30. I am at home in my body. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 31. I feel my body is a safe place. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 32. I trust my body sensations. (Required.) Never = 0 1 2 3 4 Always = 5 Never = 0 1 2 3 4 Always = 5 Question Title * 33. ID number and your zip or postal code. (Required.) Study ID Number (use initials if you are uncertain about your number) ZIP/Postal Code Question Title * 34. Please enter today's date: (Required.) Thank you for your ongoing participation. SUBMIT