Understanding vitality and overwhelm - Tric Gibson 1. * 1. What is your age? 17 or younger 18-20 21-29 30-39 40-49 50-59 60 or older * 2. On a scale from 0-5, how much vitality do you feel in your daily life? If 0 (represented by the star at the left-hand end) was exhausted and in bed and 5 (represented by the star at the right-hand end) was feeling highly energised and exuberant about life ready to take on new pursuits and opportunities? Please make any comments here * 3. What do you feel is the cause of any lack in vitality you might be feeling? * 4. When you think about daily life – at home and work – what percentage of time would you feel tense every day? (slide the button to indicate your experience) 0 Tense 100% Clear i We adjusted the number you entered based on the slider’s scale. * 5. When you think about daily life – at home and work – what percentage of time would you feel tired, with little energy to do anything YOU enjoy, every day? (slide the button to indicate your experience) 0 Tired, with little energy to do anything I enjoy 100% Clear i We adjusted the number you entered based on the slider’s scale. * 6. When you think about daily life – at home and work – what percentage of time would feel stressed every day? (slide the button to indicate your experience) 0 Stressed 100% Clear i We adjusted the number you entered based on the slider’s scale. * 7. When you think about daily life – at home and work – what percentage of time would you feel overwhelmed every day? (slide the button to indicate your experience) 0 Overwhelmed 100% Clear i We adjusted the number you entered based on the slider’s scale. * 8. When you think about daily life – at home and work – what percentage of time would you feel on the verge of crying or shouting every day? (slide the button to indicate your experience) 0 Crying or Shouting 100% Clear i We adjusted the number you entered based on the slider’s scale. * 9. When you think about daily life – at home and work – what percentage of time would you feel burnt out, with little energy to do anything you enjoy every day? (slide the button to indicate your experience) 0 Burnt out with no energy 100% Clear i We adjusted the number you entered based on the slider’s scale. * 10. What would you like your vitality in daily life to be on a scale from 0-5? If 0 (represented by the star at the left-hand end) was exhausted and in bed and 5 (represented by the star at the right-hand end) was feeling highly energised and exuberant about life ready to take on new pursuits and opportunities? Please make any comments here * 11. What do you feel are the negative impacts or consequences for you when you feel a lack of vitality? * 12. How do you feel this affects others? * 13. What do you feel are the positive impacts or benefits of feeling more vital? * 14. When you think about, or feel "overwhelmed", what exactly does it mean to you? (Even a couple of words will help us understand exactly how you feel.) * 15. What sort of things have you tried to help you feel more vital? Exercise Healthy eating Taking supplements Losing weight Getting a good night's sleep Therapy counselling Meditation Managing my mindset Managing my time better Outsourcing things at home e.g. cleaning Other (please specify) * 16. Have any of these worked for you? Yes No Maybe Comments * 17. Can you explain what worked for you and why? * 18. Can you explain what didn't work for you and why? * 19. When you think about feeling more vital how hopeful are you of finding a solution? Not hopeful, I've tried everything Mildly hopeful, I've tried a few things but they haven't worked out yet Hopeful, I'm sure there is something I can do Extremely hopeful, the solution is out there somewhere, I just need to find it Extremely hopeful, I'm doing things now that are helping me to feel much more revitalised Other * 20. On a scale from 0-5 - how valuable would it be for you to have some techniques that could help you feel more vital every day? If 0 was "no value whatsoever" (represented by the star at the left-hand end) and 5 was "highly valuable, please show me how to do it now!" Please make any comments here * 21. If you were to take part in a program to help you feel more revitalised what would you like to see in it? Advice on exercise Advice on healthy eating Advice on losing weight Advice on how to get a better night's sleep Techniques to help me manage stress Techniques to help me manage overwhelm Techniques to help me take time out for me Techniques to help me say no Techniques to help me feel happier every day Techniques to help me manage my mindset when things go wrong Other (please specify) * 22. If you were to take part in a program that could help you increase your vitality what delivery style would work best for you? (please rank order your preferences - with 1 being most appealing to 8 being least appealing 1 2 3 4 5 6 7 8 Face-to-face, one-on-one coaching 1 2 3 4 5 6 7 8 Group workshop on a weekday evening 1 2 3 4 5 6 7 8 Group workshop on a Saturday afternoon 1 2 3 4 5 6 7 8 Group workshop on a Sunday afternoon 1 2 3 4 5 6 7 8 Online group workshop on a weekday evening 1 2 3 4 5 6 7 8 Online group workshop on a Saturday afternoon 1 2 3 4 5 6 7 8 Online group workshop on a Sunday afternoon 1 2 3 4 5 6 7 8 Self-paced online learning (with videos and worksheets) that I can access when I want to * 23. If you were to take part in a weeknight or weekend workshop – that would give you some time out for you and help you learn something that would help make your life easier and more enjoyable – what type of topics would you like to see covered? * 24. Which of the following best describes your current relationship status? Married Living with my partner Divorced Separated Widowed Single, living alone Single, living with children Single, living with friends * 25. Thank you very much for your response to our survey. Your time is greatly appreciated. If you would like to keep in touch with the project and its outcomes feel free to share your email address here. Page1 / 1 100% of survey complete. Done