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* 1. Gender

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* 2. Age

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* 3. Can you rate how you feel?

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* 4. Finish this sentence. Right now I feel ......... (10 words max.)

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* 5. Choose the shape you associate with how you feel right now.

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* 6. What colour do you associate with how you are feeling?

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* 7. Where do you locate the feeling you have in the body?

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* 8. Finish this sentence. Right now, my life is.....(max 15 words)

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* 9. Anything else you want to say?

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* 10. Select whether we are at the start or end of workshop?

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* 11. Are you happy for us to use /analyse your answers?
No personal data will be disclosed
All survey results will be stored on survey monkey's data base

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