Free Your Mind - The Kelee® Online
(New Students)

Welcome to the Free Your Mind journey.

Please read each statement below and click the answer that best describes you today.

All answers provided are anonymous and confidential. There are no right or wrong answers.

Don't spend too much time on any one statement. Thank you.

- The Kelee® Online Staff

Question Title

* 1. How did you hear about 'Free Your Mind' - The Kelee® Online program?

I was recommended by a friend or colleague who completed the course

I follow Matt or Ron on social media and really connected with their philosophy

I searched for a meditation course online

I have read books by Ron

I heard Matt or Ron on a podcast and was drawn to learn more

Other (please specify)

None of the above

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* 2. What inspired you to do the 'Free Your Mind' - The Kelee® Online program?

I heard about Kelee® meditation and wanted to learn more about the mind and meditation

I am curious about personal development and self-understanding

I was experiencing life or work challenges and thought learning the practice of Kelee® meditation could help

Other (please specify)

None of the above

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* 3. How much experience do you have with meditation?

I've never tried any kind of meditation before

I have tried different forms of meditation with mixed results

I practice Kelee® meditation

Other (please specify)

None of the above

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* 4. How is your mental and emotional well-being?

I experience anxiety (varies in intensity)

I experience depression (varies in intensity)

I feel challenged with staying focused and present

I'd like to feel happier, more content, and have a greater sense of purpose

I am interested in developing more personal fulfillment and inspiration in my life and work

I feel good, but I am interested in feeling better

Other (please specify)

None of the above

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* 5. How is your physical health?

I'm in good physical health

I'm in average physical health, with a few concerns

I'm physically unhealthy and am very concerned about my well-being

I have suffered an injury, illness or addiction and need to drastically improve my health

Other (please specify)

None of the above

Question Title

* 6. Overall, how are your health and well-being practices?

I consistently practice daily good self-care routines

I am some-what consistent about self-care routines

I am not consistent with self-care routines, but I would like to be

Self-care is not a concern for me

I don't have much experience in setting self-care routines for my mind and body, but I am open and interested in learning

Other (please specify)

None of the above

Question Title

* 7. When I'm at work I'm often ...

Efficient ... I know what to do and get it done

I find it hard to get motivated and stay focused on tasks

I find I'm stressed easily and overwhelmed with problem solving

I work well with people and enjoy my interaction

I am easily frustrated with people and need to improve my interactions with others

I am lacking in confidence

Other (please specify)

None of the above

Question Title

* 8. What would best describe your quality of life right now?

I have good self-awareness, good work/life balance, and feel purpose with my actions

I feel like my energy and focus is constantly split between many different things leaving me feeling drained and dissatisfied at the end of the day

I am going through the motions and feeling bored and uninspired

My energy and priorities are more focused on other people and things instead of my own health, well-being and work/life balance

Other (please specify)

None of the above

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* 9. I would rate my quality of life as ...

Excellent

Above average

Average

Below average

Poor

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* 10. Anything else you would like to add?

No, I am ready to begin 'Free Your Mind' - The Kelee® Online

Yes (please specify)

Free Your Mind - The Kelee® Online (New Students)

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* 1. How did you hear about 'Free Your Mind' - The Kelee® Online program?

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* 2. What inspired you to do the 'Free Your Mind' - The Kelee® Online program?

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* 3. How much experience do you have with meditation?

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* 4. How is your mental and emotional well-being?

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* 5. How is your physical health?

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* 6. Overall, how are your health and well-being practices?

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* 7. When I'm at work I'm often ...

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* 8. What would best describe your quality of life right now?

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* 9. I would rate my quality of life as ...

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* 10. Anything else you would like to add?

Free Your Mind - The Kelee® Online
(New Students)