Skip to content

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!
1.When I am tense I notice where the tension is located in my body. (Required.)
Never = 0
1
2
3
4
Always = 5
2.I notice when I am uncomfortable in my body.(Required.)
Never = 0
1
2
3
4
Always = 5
3.I notice where in my body I am comfortable.(Required.)
Never = 0
1
2
3
4
Always = 5
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
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
6.I distract myself from sensations of discomfort. (Required.)
Never = 0
1
2
3
4
Always = 5
7.When I feel pain or discomfort, I try to power through it. (Required.)
Never = 0
1
2
3
4
Always = 5
8.When I feel physical pain, I become upset. (Required.)
Never = 0
1
2
3
4
Always = 5
9.I start to worry that something is wrong if I feel any discomfort. (Required.)
Never = 0
1
2
3
4
Always = 5
10.I can notice an unpleasant body sensation without worrying about it. (Required.)
Never = 0
1
2
3
4
Always = 5
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
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
13.When I am in conversation with someone, I can pay attention to my posture. (Required.)
Never = 0
1
2
3
4
Always = 5
14.I can return awareness to my body if I am distracted. (Required.)
Never = 0
1
2
3
4
Always = 5
15.I can refocus my attention from thinking to sensing my body. (Required.)
Never = 0
1
2
3
4
Always = 5
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
17.I am able to consciously focus on my body as a whole. (Required.)
Never = 0
1
2
3
4
Always = 5
18.I notice how my body changes when I am angry. (Required.)
Never = 0
1
2
3
4
Always = 5
19.When something is wrong in my life, I can feel it in my body. (Required.)
Never = 0
1
2
3
4
Always = 5
20.I notice that my body feels different after a peaceful experience. (Required.)
Never = 0
1
2
3
4
Always = 5
21.I notice that my breathing becomes free and easy when I feel comfortable. (Required.)
Never = 0
1
2
3
4
Always = 5
22.I notice how my body changes when I feel happy/ joyful. (Required.)
Never = 0
1
2
3
4
Always = 5
23.When I feel overwhelmed, I can find a calm place inside. (Required.)
Never = 0
1
2
3
4
Always = 5
24.When I bring awareness to my body, I feel a sense of calm.(Required.)
Never = 0
1
2
3
4
Always = 5
25.I can use my breath to reduce tension. (Required.)
Never = 0
1
2
3
4
Always = 5
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
27.I listen for information from my body about my emotional state. (Required.)
Never = 0
1
2
3
4
Always = 5
28.When I am upset, I take time to explore how my body feels. (Required.)
Never = 0
1
2
3
4
Always = 5
29.I listen to my body to inform me about what to do.(Required.)
Never = 0
1
2
3
4
Always = 5
30.I am at home in my body. (Required.)
Never = 0
1
2
3
4
Always = 5
31.I feel my body is a safe place. (Required.)
Never = 0
1
2
3
4
Always = 5
32.I trust my body sensations. (Required.)
Never = 0
1
2
3
4
Always = 5
33.ID number and your zip or postal code. (Required.)
34.Please enter today's date:(Required.)
Thank you for your ongoing participation.