Name

Date

What time is this survey being filled out? What time is this survey being filled out?Before ChantAfter Chant

How do you feel your energy levels is at this time? 1 being no energy 10 being full

How often do you experience a positive mood: joy, peace, calm, happiness?

Do you feel much lighter in your body? 0 feels heavy 10 feels lighter/energetically

What is your stress level?

How well do you handle your stress? 1 not good 10 easy

Do you feel a deep healing sleep, wake up feeling refreshed and relaxed?

Do you feel more centered, and balanced? 1 not much 10 amazing

Does your day unfold effortlessly? 0 difficult 10 flowing easy

How grounded do you feel? 1 not able to focus/not being present 10 focused/being present

What’s your ability to heal in all levels physical, mental, & spiritual? 0 hardly 10 great

How does your energy field feel? 0 dirty/heavy 10 clean/light

What is your conscious connection/level? 1 just starting 10 Buddha master

Do you feel more mental - alertness, clarity, focus, less/no mind chatter?

Do you feel hungry often or crave junk food, or stress eating?

Do you feel an sense of power?

Do you feel in control of your life: effectively deal with difficult situations?

Do you feel productive?

Do you feel creative?

Do you feel the flow of synchronicity or miracles/magic in life?

How do you feel your ability to create, attract and manifest in life daily?

Do you feel body rejuvenation (bone healing, hair/nail growth etc.)?

How efficient is your metabolism working for you? (Hungry after meditation)

Ability to sense the invisibles? (beings/angels, soft incense smells)

What is your ability level to relax?

Do you feel fatigued and tired often?

What is your current emotional state? 1 being calm 10 having extreme anxiety

How flexible is your body?

How adaptable are you in life situations?

How burnt out are you? 1 burnt toast 10 feeling happy daily

What is your experience during today’s meditation? Journal daily is highly encouraged

What was your experience during today’s meditation? Journal daily is highly encouraged

Any questions you'd like to add?