Heart Protector Survey
Reclaim the Sacred Self
Email
example@example.com
1. I feel worthy of protection.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
2. I can stand up for myself.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
3. I can say "yes," "no," or "maybe based on my true desires.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
4. I spend time with people I genuinely want to be with.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
5. I can decline spending time with those I don't want to be with.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
6. I can leave situations where love is not present.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
7. I do not choose situations where love is not present.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
8. I avoid situations that do not serve my well-being.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
9. I draw strength from my struggles.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
10. I recognize how the challenges I have faced have made me stronger or given me wisdom.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
11. I define myself on my own terms.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
12. I can be alone with myself and find peace in my own company.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
13. I can sense/intuit what is good for me.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
14. I am aware when I am in danger of acting against myself.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
15. I am aware when I am about to compromise my values.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
16. I take responsibility for my choices and non-choices.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
17. I can sit with my restlessness without acting impulsively.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
18. I can distinguish between my thoughts, feelings, and my awareness of them.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
19. I behold the magnificence and mystery of myself and life.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
20. I use my energy wisely, maintaining a balance between conservation, use, and replenishment.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
21. I consider my life sacred and precious.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
22. I know my time is sacred and precious.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
23. Power and choice are my birthrights and I act upon it.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
24. I know my life is mine to live.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
25. I recognize my own sacredness.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
26. I practice acknowledging my sacredness in daily life.
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Total
Submit
Should be Empty: