Feedback – Mind Mastery

Have You Been involved in a Mind Mastery Activity?

Question 1 of 19

QUESTION 1

How often do you check your thoughts? (Choose One) *
AlwaysSometimesNever

Please choose an option.

QUESTION 2

How often do you reflect on your thoughts? (Choose One) *
AlwaysSometimesNever

Please choose an option.

QUESTION 3

How much of your daily thinking is positive?

Please enter a value.

QUESTION 4

How much of your daily thinking is negative?

Please enter a value.

QUESTION 5

How often do you use your imagination to play? *
Every DayEvery MonthNeverNot Sure

Please choose an option.

QUESTION 6

What else do you use your imagination for?

QUESTION 7

Which picture best represents your mood right now? *
HappyIndifferentDown

Please choose an option.

QUESTION 8

How often each day do you check your mood? *
AlwaysSometimesNever

Please choose an option.

QUESTION 9

What do you do to try to improve your mood? *

Please fill in this field.

QUESTION 10

What new habits are you trying to create? *

Please fill in this field.

QUESTION 11

On your list of people you love most, what number are you? *

Please choose an option.

QUESTION 12

What do you love about you? *

Please fill in this field.

QUESTION 13

Tell us about a thing you cannot do? *

Please fill in this field.

QUESTION 14

Now tell us, WHO told you? *

Please fill in this field.

QUESTION 15

Do you believe they were right? *
YesNo

Please choose an option.

QUESTION 16

Have you tried to prove them wrong? *
YesNo

Please choose an option.

QUESTION 17

What did you like most about the programme?

QUESTION 18

What is your name? *

What is your email? *

Please enter your full name.

QUESTION 19

Age *

Please select your age.

Question 1 of 33

QUESTION 1

How often do you check your thoughts? *
AlwaysSometimesNever

Please choose an option.

QUESTION 2

How often do you reflect on your thoughts? *
AlwaysSometimesNever

Please choose an option.

QUESTION 3

How much of your daily thinking is positive? *

Please enter a value.

QUESTION 4

How much of your daily thinking is negative? *

Please enter a value.

QUESTION 5

Did you wake up this morning with a positive or negative thought? *
PositiveNegative

Please choose an option.

QUESTION 6

Did this start a positive or negative momentum of thought? *
PositiveNegative

Please choose an option.

QUESTION 7

How many times per day will you deliberately change your thinking to affect your mood? *

Please choose an option.

QUESTION 8

How often each day do you think about your dreams and goals? *
ConstantlyOccasionallyNever

Please choose an option.

QUESTION 9

How often do you use your imagination to play? *

Please choose an option.

QUESTION 10

What else do you use your imagination for? *

Please fill in this field.

QUESTION 11

How often each day do you check your mood? *
AlwaysSometimesNever

Please choose an option.

QUESTION 12

What do you do to try to improve your mood? *

Please fill in this field.

QUESTION 13

Why is it important to be in a high mood state (good mood)? *

Please fill in this field.

QUESTION 14

What bad habits do you have? *

Please fill in this field.

QUESTION 15

What good habits do you have? *

Please fill in this field.

QUESTION 16

What new habits are you trying to create? *

Please fill in this field.

QUESTION 17

On your list of the people you love most, what number are you? *

Please choose an option.

QUESTION 18

What do you love about you? *

Please fill in this field.

QUESTION 19

Have you found your Superstar (what makes you special)? *
YesNo

Please choose an option.

QUESTION 20

What are you doing to try to find it? *

Please fill in this field.

QUESTION 21

Tell us about a thing you cannot do? *

Please fill in this field.

QUESTION 22

Now tell us, WHO told you? *

Please fill in this field.

QUESTION 23

Do you believe they were right? *
YesNo

Please choose an option.

QUESTION 24

Have you tried to prove them wrong? *
YesNo

Please choose an option.

QUESTION 25

What do you fear? *

Please fill in this field.

QUESTION 26

What do you do when you feel scared? *

Please fill in this field.

QUESTION 27

List the qualities your best self will have? *

Please fill in this field.

QUESTION 28

Do you have these qualities now? *
YesNo

Please choose an option.

QUESTION 29

Do you know how to develop these qualities? *
YesNo

Please choose an option.

QUESTION 30

Do you know what your intuition is? *
YesNo

Please choose an option.

QUESTION 31

Can you think of a time when you have used it? *

Please fill in this field.

QUESTION 32

What is your name? *

What is your email? *

QUESTION 33

Age *

Please select your age.

Question 1 of 32

QUESTION 1

How often do you check your children's thoughts? *
AlwaysSometimesNever

Please choose an option.

QUESTION 2

How much time is spent with your child reflecting on their thoughts? *
PlentySomeNone

Please choose an option.

QUESTION 3

How much of your thinking every day is positive? *

Please enter a value.

QUESTION 4

How much of your thinking every day is negative? *

Please enter a value.

QUESTION 5

What was the first thing your child thought when they woke up this morning? *

Please fill in this field.

QUESTION 6

Did this start a positive or negative momentum of thought? *
PositiveNegative

Please choose an option.

QUESTION 7

How many times per day will you ask your child to change their thinking to affect their mood? *

Please choose an option.

QUESTION 8

How often do you encourage your child to think about dreams and goals? *
OftenSometimesNever

Please choose an option.

QUESTION 9

How often do you play imagination games with your child? *

Please choose an option.

QUESTION 10

What else do you ask them to use your imagination for? *

Please fill in this field.

QUESTION 11

How many times per day do you check your child's mood? *

Please choose an option.

QUESTION 12

What do you tell your child to do to try to improve their mood? *

Please fill in this field.

QUESTION 13

What bad habits does your child have? *

Please fill in this field.

QUESTION 14

What good habits does your child have? *

Please fill in this field.

QUESTION 15

What new habits are you trying to get your child to create? *

Please fill in this field.

QUESTION 16

On your child's list of the people they love most, what number are they? *

Please choose an option.

QUESTION 17

What do they love about themselves? *

Please fill in this field.

QUESTION 18

Have you helped them to find their Superstar (what makes them special)? *
YesNo

Please choose an option.

QUESTION 19

What are you doing to help them try to find it? *

Please fill in this field.

QUESTION 20

Tell us about a thing your child cannot do? *

Please fill in this field.

QUESTION 21

Now tell us, WHO told them? *
YouSomeone ElseNot Sure

Please choose an option.

QUESTION 22

Do you believe they were right? *
YesNo

Please choose an option.

QUESTION 23

Have you tried to prove them wrong? *
YesNo

Please choose an option.

QUESTION 24

What does your child fear? *

Please fill in this field.

QUESTION 25

What do you encourage them to do when they feel scared? *

Please fill in this field.

QUESTION 26

List the qualities you think their best self will have? *

Please fill in this field.

QUESTION 27

Do they have these qualities now? *
YesNo

Please choose an option.

QUESTION 28

What are you doing to help them develop these qualities? *

Please fill in this field.

QUESTION 29

Do they know what their intuition is? *
YesNo

Please choose an option.

QUESTION 30

Can you think of a time when you have asked them to use it? *
YesNo

Please choose an option.

QUESTION 31

What is your name? *

What is your email? *

Please enter your full name.

QUESTION 32

How old is your child? *

Please select an age.

Step 1 of 8

How I Feel Most of the Time

1. When things are going well, I usually feel:
CalmHappyEnergeticFocusedSafe

2. When things are not going well, I usually feel:
AngrySadWorriedOverwhelmed

3. When I am upset, my feelings usually feel:
SmallMediumBigToo Big

What Happens in My Body

4. When I start to feel upset, my body does things like:
My heart beats fastMy stomach feels tightI feel numbMy hands shakeI feel hot or sweatyI feel stuckI want to move or runOther

5. I notice I am getting upset when:
My body feels tenseI stop listeningI feel like shoutingI feel like cryingI feel like leavingI don't know what I feel

What Makes Things Hard

6. Things that make it hard for me to stay calm include:
Loud noiseBeing told offBeing told noOther childrenBeing watchedChanges to plansFeeling rushedBeing confusedBeing ignoredOther

7. People or situations that make my feelings stronger:

When I Am Upset, I Sometimes Think Things Like...

8. When I am upset, thoughts that come up for me:
I'm in troubleNobody likes meI can't do thisIt's not fairI need to get awayI'm badOther

What Helps Me Calm Down

9. When I feel upset, these things help me feel better:
Being quietTalking to someone I trustBeing aloneMoving my bodyBreathing slowlyPlaying sportListening to musicDrawing or writingUsing fidgetsOther

10. People who help me feel safe and calm:

What School Can Do to Help

11. When I feel overwhelmed in class, it helps when adults:
Speak calmlyGive me spaceExplain things againLet me leave the roomSit near meDon't shoutGive me something to doOther

12. Something adults should know about me is:

My Strengths

13. Things I am good at:

14. Things I enjoy:

15. Something that makes me feel proud:

My Reset Plan

16. When I feel overwhelmed, I would like to:
Go to a quiet spaceGo for a walkTalk to someoneUse breathingUse movementSit aloneOther

17. One thing that would really help me at school is:

What is your name*

What is your email? *

Please enter your full name.