Step 1

Individual check-in

The check-in is intended to provide a baseline for you to monitor future changes in your thoughts and/or behaviors. You may choose to record your responses and any thoughts or reactions you may have about the questions and/or your responses for future reference.

To maintain confidentiality, your responses are not saved and will not be shared with anyone.

Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3
Strongly disagree
Disagree
Undecided
Agree
Strongly agree
3