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Everyday Empowerment Mindfulness

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

I speak to myself as kindly as I speak to my friends/family/pets

a)

Always

b)

Most of the time

c)

Sometimes

d)

Never

2.

I check in on how I'm feeling everyday by

a)

Meditating

b)

Journaling/Being Creative

c)

Moving my body (dancing/walking/stretching)

d)

Other

3.

When someone treats me poorly/says something unkind, I see it as a reflection of

a)

Their own insecurities

b)

Something I've done wrong

c)

I try not to think about it, but it still bothers me

d)

Nothing, I don't care

4.

I can easily recognize when someone is bringing me down and find a way to remove myself

a)

All the time

b)

Most of the time

c)

Sometimes

d)

Never

5.

The clothes I wear make me feel

a)

Uncomfortable/Frustrated

b)

Neutral/ I don't think about it

c)

Empowered/ Like myself

d)

Depends on the day or the outfit

6.

When I scroll on Social Media, other people's profiles make me feel

a)

Unworthy/Doubtful

b)

Positive

c)

Motivated

d)

All the above/Neutral

7.

When I make a mistake, I most often

a)

Get mad at myself

b)

Blame it on somebody else

c)

Remind myself that nobody's perfect

d)

Consider it a learning experience

8.

I feel like I go too far for others by saying yes when I mean no

a)

All the time

b)

Most of the time

c)

Sometimes

d)

Never

9.

I have a hard time asking for help when I need it

a)

All of the time

b)

Most of the time

c)

Sometimes

d)

Never

10.

When I'm faced with a difficult decision I

a)

Rely on the opinion of others

b)

Do what feels right for me, even if it goes against the opinion of others

c)

Have a melt down because I can't decide

d)

Depends on the decision