Post-Session Well-being Questionnaire

Post-Session Well-being Questionnaire
Purpose: This questionnaire evaluates your mental and physical condition before and after therapy to see the session's immediate effects on your well-being.

Instructions:

* Read Questions Carefully: Focus on different well-being aspects, like emotions, anxiety, stress, and physical comfort.

* Reflect on Your State: Consider your current feelings and physical sensations.

* Use the 0 to 10 Scale: Rate experiences from 0 (most negative) to 10 (most positive).

* Be Honest: There are no right or wrong answers; your true responses help assess therapy effectiveness.

* Fill Out Pre and Post Session: Complete it before and after to measure the session's impact. Answer post-session questions promptly for immediate effect accuracy.

* Estimate if Unsure: If exact feelings are hard to pinpoint, estimate.

* Review Answers: Ensure your answers reflect your true feelings before submitting.
How would you rate your current state of mind (emotional state)?*

1

2

3

4

5

6

7

8

9

10

1 is very negative emotional state, 10 is very positive emotional state
How would you rate your current level of anxiety?*

1

2

3

4

5

6

7

8

9

10

1 is no anxiety, 10 is extreme anxiety
How would you rate your current level of stress?*

1

2

3

4

5

6

7

8

9

10

1 is no stress, 10 is extreme stress
How relaxed do you feel at this moment?*

1

2

3

4

5

6

7

8

9

10

1 is not relaxed at all, 10 is completely relaxed
How would you rate your level of mental clarity right now? *

1

2

3

4

5

6

7

8

9

10

1 is completely foggy, 10 is perfectly clear
How fatigued do you feel right now? *

1

2

3

4

5

6

7

8

9

10

1 is no fatigue, 10 is extreme fatigue
How would you rate your energy level right now? *

1

2

3

4

5

6

7

8

9

10

1 is completely drained, 10 is fully energyzed
How would you rate any aches and pains you are currently experiencing?*

1

2

3

4

5

6

7

8

9

10

1 is no pain, 10 is extreme pain
How would you rate your current level of physical comfort?*

1

2

3

4

5

6

7

8

9

10

1 is feeling significant physical discomfort, 10 is feeling complete physical comfort
How would you rate your overall sense of well-being at this moment? *

1

2

3

4

5

6

7

8

9

10

1 is poor overall well-being, 10 is excellent overall well-being
What therapy was performed?*
What was the duration?*
Was there a specific device configuration?
Please insert your initials*
Please insert your age*
What is your gender?*

WomanManNon-binaryI prefer not to sayOther
Should be Empty: