Survey

Please leave only one selection per feeling state. If you decide to change an answer, deselect by tapping the wrong answer again, or wiggle the page before tapping the wrong answer again, or try tapping other answers (under the same feeling state) and deselect all selections before reselecting the intended answer. Sorry for the clunkiness, hopefully you will not have problems entering your answers from the form the instructions sent to you.

Indicate to what extent you feel this way right now, that is, at this present moment.

Interested *

Distressed *

Excited *

Upset *

Strong *

Guilty *

Hostile *

Enthusiastic *

Proud *

Irritable *

Alert *

Ashamed *

Inspired *

Nervous *

Determined *

Attentive *

Jittery *

Active *

Afraid *

Data from this survey will not be used in a commercial way, but instead will provide a valuable data set for ongoing research.
Christian H. Green CLT, LMT (chjinnyz132@gmail.com) 18200–18298 137th Pl SE, Renton, WA 98058, United States

Address *

Line 1

Line 2

City

State

Zip Code

Country

YOUR CART

Before and After Survey

Indicate to what extent you feel this way right now, that is, at this present moment.