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The Embodiment Assessment
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The Embodiment Advantage™ Assessment
You have an incredible gift through which you can experience and enjoy life; to use your four channels of embodiment to your advantage for personal fulfillment and professional success. This assessment evaluates how strongly or weakly embodied you are in each of the four channels. The results guide you to confidently strengthen your mental fitness, emotional intelligence and physical vitality.
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Self-Awareness
*
This field is required.
Choose an answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I am aware of my thoughts; about myself and about people or situations outside of myself.
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I am aware of what I feel; about myself and about people or situations outside of myself.
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I am aware of my thoughts; about myself and about people or situations outside of myself.
I am aware of what I feel; about myself and about people or situations outside of myself.
Hardly Ever
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Sometimes
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90% of the Time or More
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Hardly Ever
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90% of the Time or More
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3
Self-Talk
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This field is required.
I speak positively to myself about myself.
I speak positively to myself about life situations.
I speak positively to myself about other people.
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I speak positively to myself about myself.
I speak positively to myself about life situations.
I speak positively to myself about other people.
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I say something negative to myself ABOUT myself:
*
This field is required.
Choose one answer.
Hardly ever
Several times per week
Once in a day
Multiple times in a day
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5
Mental Focus
*
This field is required.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I'm mentally focused and end the day feeling like I was productive and "on point."
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I'm mentally focused and end the day feeling like I was productive and "on point."
Hardly Ever
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Sometimes
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90% of the Time or More
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6
How connected do you feel to your body?
*
This field is required.
Move the slider to represent your answer and you'll see the emoji face change with each interval. The position to the far right means you feel tightly connected to your body with with a high level of awareness, confidence and reverence for your body. The position to the far left means you feel disconnected to your body and/or frustrated with it. It could also mean you're spending a lot of time in your head (over-thinking) with little awareness for what's happening in your body.
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7
Energy Levels
*
This field is required.
Choose an answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I have good physical energy throughout the day.
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I have good mental energy throughout the day.
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I have good physical energy throughout the day.
I have good mental energy throughout the day.
Hardly Ever
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90% of the Time or More
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Hardly Ever
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8
I feel stressed, overwhelmed or anxious:
*
This field is required.
Choose one answer.
Hardly ever
Sometimes
Usually
Daily
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9
I engage with the following techniques to keep myself centered and strong:
*
This field is required.
(Check all that apply)
Exercise (any form)
Meditation
Journaling / Methods of Self-Reflection
Breathwork
Practices to Strengthen Intuition
I don't have any regular practices in this area
Something else not listed
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10
What are you currently struggling with?
*
This field is required.
Check all that apply.
Making clear decisions that align with my values and priorities
Starting too many things and not finishing them
Setting boundaries with others; too much people pleasing
Overthinking; too much time ruminating the same things
Personal growth
Professional Development
Maintaining a success mindset
None of these apply
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11
The Body's Natural Rhythm
*
This field is required.
Choose one answer for each sentence.
Hardly Ever
Sometimes
Usually
90% of the Time or More
I honor my body's natural rhythm by exercising during the time of day when I have the most energy.
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I allow myself to rest in the afternoon if/when I have an energy dip.
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I honor my body's need for the minimum number of hours required to be fully rested.
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I honor my body's natural rhythm by exercising during the time of day when I have the most energy.
I allow myself to rest in the afternoon if/when I have an energy dip.
I honor my body's need for the minimum number of hours required to be fully rested.
Hardly Ever
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Sometimes
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Usually
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90% of the Time or More
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Hardly Ever
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Sometimes
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Usually
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90% of the Time or More
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Hardly Ever
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Sometimes
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Usually
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90% of the Time or More
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of 3
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12
Weight / Body Size
*
This field is required.
Move the slider to represent how you feel about each topic. You'll see the emoji face change with each interval.
Level of happiness with my weight/body size.; it represents who I am and how I feel inside.
I peacefully maintain my weight.
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Level of happiness with my weight/body size.; it represents who I am and how I feel inside.
I peacefully maintain my weight.
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13
Your Relationship with Food
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This field is required.
I eat mindfully; I'm aware of the taste and pleasure of my food.
I'm in control of how much I eat because I only eat as much as my body needs in that meal.
I eat my food without guilt.
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I eat mindfully; I'm aware of the taste and pleasure of my food.
I'm in control of how much I eat because I only eat as much as my body needs in that meal.
I eat my food without guilt.
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14
What are you currently struggling with?
*
This field is required.
Check all that apply.
My body size and/or my diet
Time or motivation to exercise
Chronic physical symptoms
Energy
Something about my physical appearance (besides body size)
The aging process
None of these
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15
What tends to interrupt your personal or professional performance?
*
This field is required.
Check all that apply.
A racing mind. I can't focus on what I need to do.
Abrupt mood change or too many mood changes overall.
Can't find time for the self-care I know I should be doing.
Stress, overwhelm or anxiety.
Certain relationships in my life.
A situation I can't control.
Bad Habits
Excessive screen time and Social Media
None of these apply.
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16
With regard to the balance between the time and energy I spend toward work and the time and energy I allocate to family, personal relationships or passion pursuits:
*
This field is required.
Choose one option.
It's balanced and harmonious - no complaints.
Work/life balance is not perfect but it doesn't stress me out too much.
It's fair to poor; I wish it were different.
What on earth is work/life balance?
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17
Self-Regulation: Those Squirrelly Emotions
*
This field is required.
I'm aware of what I'm feeling and can identify the emotion with a word such as sad, frustrated, embarrassed or joyful.
I process what I'm feeling (verbally or somatically) when I'm feeling it.
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I'm aware of what I'm feeling and can identify the emotion with a word such as sad, frustrated, embarrassed or joyful.
I process what I'm feeling (verbally or somatically) when I'm feeling it.
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18
Communication: I'm a strong and confident communicator because what I say and how I communicate what I say are both aligned with what I genuinely mean.
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19
What are you currently struggling with?
*
This field is required.
Check all that apply.
Feeling confident in myself
Leadership skills
Reactivity; I quickly react negatively too often.
To communicate with mental and emotional agency (i.e. Say what I want to say, speak calmly with confidence and flow)
Feeling out of control (with anything; food, thoughts, about situations, etc)
Feeling enough joy or happiness
None of these
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20
If you could pick one superpower to have that you currently don't have, which would it be?
*
This field is required.
Choose one option.
To consistently mentally perform for greater financial abundance and personal impact
To connect with myself in a way that gives me full confidence and self-trust to make decisions that are best for my life
To be at my peak with impeccable health, vitality and energy
To be a rockstar feeler who uses my emotions to my advantage every day
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21
And finally, what are you craving right now?
*
This field is required.
Check all that apply.
To connect with myself (my spirit/truth/essence) more regularly and/or more deeply
To be more productive and motivated to get things done. To be more successful.
To operate with supreme Confidence.
To feel healthier, stronger and/or to have more energy.
To have a more positive and loving relationship with my body.
To have better relationships, personal or professional.
None of these apply
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22
What's your name, friend?
*
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First Name
Last Name
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23
Would you like to have a complementary 30-minute consultation with Cynthia to go over your results?
Based on your scores, Cynthia will share her suggestions for your most crucial next steps to strengthen your cognitive performance, emotional resilience and physical vitality. This session is 100% complementary and for your benefit. Take action from your results and Get Strongly Embodied!
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NO
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24
One Final Thing! Your Email.
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Please enter your email so we can contact you to set up the consultation with Cynthia. If you'd like to pass on the consult, we'll include your email to join our community where we share strategies and tools to elevate your professional performance. You can unsubscribe anytime. Thanks for completing the assessment!
example@example.com
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