NEARS Wellness Survey- Post P3A Training MM Question Title * 1. Please enter your ID Code and Zip/Postal Code. ID Code ZIP/Postal Code OK Question Title * 2. Please enter today's date. Date / Time Date OK This survey has just 15 questions, many similar to ones that you have seen, or will see on other surveys in this study. Please read each question and carefully rank your responses according to your health experience in the last 30 days. OK Question Title * 3. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I cough. I cough. Always I cough. Most of the time I cough. Sometimes I cough. Rarely I cough. Never OK Question Title * 4. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I feel optimistic about my life. I feel optimistic about my life. Always I feel optimistic about my life. Most of the time I feel optimistic about my life. Sometimes I feel optimistic about my life. Rarely I feel optimistic about my life. Never OK Question Title * 5. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I sleep soundly and get a good night's sleep. I sleep soundly and get a good night's sleep. Always I sleep soundly and get a good night's sleep. Most of the time I sleep soundly and get a good night's sleep. Sometimes I sleep soundly and get a good night's sleep. Rarely I sleep soundly and get a good night's sleep. Never OK Question Title * 6. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I worry about the future. I worry about the future. Always I worry about the future. Most of the time I worry about the future. Sometimes I worry about the future. Rarely I worry about the future. Never OK Question Title * 7. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I can notice an unpleasant body sensation without worrying about it. I can notice an unpleasant body sensation without worrying about it. Always I can notice an unpleasant body sensation without worrying about it. Most of the time I can notice an unpleasant body sensation without worrying about it. Sometimes I can notice an unpleasant body sensation without worrying about it. Rarely I can notice an unpleasant body sensation without worrying about it. Never OK Question Title * 8. Mark how often each statement is true. Always Most of the time Sometimes Rarely Never I have phlegm. I have phlegm. Always I have phlegm. Most of the time I have phlegm. Sometimes I have phlegm. Rarely I have phlegm. Never OK Question Title * 9. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never When I am tense, I notice where the tension is located in my body. When I am tense, I notice where the tension is located in my body. Always When I am tense, I notice where the tension is located in my body. Most of the time When I am tense, I notice where the tension is located in my body. Sometimes When I am tense, I notice where the tension is located in my body. Rarely When I am tense, I notice where the tension is located in my body. Never OK Question Title * 10. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I am aware of my body posture and alignment. I am aware of my body posture and alignment. Always I am aware of my body posture and alignment. Most of the time I am aware of my body posture and alignment. Sometimes I am aware of my body posture and alignment. Rarely I am aware of my body posture and alignment. Never OK Question Title * 11. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I use body awareness as a resource. I use body awareness as a resource. Always I use body awareness as a resource. Most of the time I use body awareness as a resource. Sometimes I use body awareness as a resource. Rarely I use body awareness as a resource. Never OK Question Title * 12. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I have tightness in my chest. I have tightness in my chest. Always I have tightness in my chest. Most of the time I have tightness in my chest. Sometimes I have tightness in my chest. Rarely I have tightness in my chest. Never OK Question Title * 13. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never When walking uphill (upstairs) I can converse with another person. When walking uphill (upstairs) I can converse with another person. Always When walking uphill (upstairs) I can converse with another person. Most of the time When walking uphill (upstairs) I can converse with another person. Sometimes When walking uphill (upstairs) I can converse with another person. Rarely When walking uphill (upstairs) I can converse with another person. Never OK Question Title * 14. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never My joints and muscles are free of pain and stillness. My joints and muscles are free of pain and stillness. Always My joints and muscles are free of pain and stillness. Most of the time My joints and muscles are free of pain and stillness. Sometimes My joints and muscles are free of pain and stillness. Rarely My joints and muscles are free of pain and stillness. Never OK Question Title * 15. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never My body aches and I feel fatigued. My body aches and I feel fatigued. Always My body aches and I feel fatigued. Most of the time My body aches and I feel fatigued. Sometimes My body aches and I feel fatigued. Rarely My body aches and I feel fatigued. Never OK Question Title * 16. Mark how often this statement is true. Always Most of the time Sometimes Rarely Never I can use my breath to reduce tension. I can use my breath to reduce tension. Always I can use my breath to reduce tension. Most of the time I can use my breath to reduce tension. Sometimes I can use my breath to reduce tension. Rarely I can use my breath to reduce tension. Never OK Question Title * 17. Mark how often each statement is true. Always Most of the time Sometimes Rarely Never I feel safe and comfortable going away from my home by myself. I feel safe and comfortable going away from my home by myself. Always I feel safe and comfortable going away from my home by myself. Most of the time I feel safe and comfortable going away from my home by myself. Sometimes I feel safe and comfortable going away from my home by myself. Rarely I feel safe and comfortable going away from my home by myself. Never OK Thank you for your time. OK SUBMIT