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37Questions
  • 1
    Please use an alias (Do not use real names or use only first name and last name initial)
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  • 2
    Pick one
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  • 3
    Choose one age range
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  • 4
    Multiple choice
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  • 5
    Multiple choice
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  • 6
    Multiple choice
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  • 7
    MultiCheckboxes
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  • 8
    Multiple choice:
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  • 9
    Linear scale (1 = Hate them, 5 = Love them)
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  • 10
    Multiple choice:    ·      
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  • 11
    Multiple choice:
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  • 12
    Multiple choice:
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  • 13
    Multiple choice:
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  • 14
    Multiple choice:
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  • 15
    Linear scale (1 = Never, 5 = Regularly)
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  • 16
    Multiple choice
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  • 17
    Multiple choice
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  • 18
    Short answer
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
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  • 19
    Slide the emoji (Left is Disagree, Right is Agree)
    You only live once
    Friends come and go
    Family is everything
    Don't fuss anything
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  • 20
    On linear scale of 1-5
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    How often do you spend 5+ minutes searching for something you just had? Linear scale (1=Never, 5=Always)
    I have lost one particular item several times that I can remember. (1=Disagree, 5=Agree)
    How often do you buy a duplicate because you can’t find the original? Linear scale (1=Never, 5=Very often)
    Sometimes, your day has been hugely impacted by the fact that it started with you forgeting something at home or lost something you needed for the day. (1=Strongly Disagree, 5=Strongly Agree)
    How tidy is your main surface right now? (Nightstand, Table, Mirror table) 1= very untidy, 5=very tidy
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    5
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    5
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  • 21
    Checkboxes
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  • 22
    Multiple choice
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  • 23
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  • 24
    Multiple choice
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  • 25
    Mulitple Choice
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  • 26
    Multiple choice
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  • 27
    Checkboxes
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  • 28
    Checkboxes
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  • 29
    Multiple choice
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  • 30
    Short answer
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  • 31
    Choose one
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  • 32
    Checkboxes
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  • 33
    Short Answer
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  • 34
    Short Answer
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  • 35
    left=Very low, Right=Very High
    How motivated are you to change your routine after today? (Scale 1-5)
    How motivated are you to get help?
    How much has this quiz taught you
    How motivated are you to do the SLS program
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  • 36
    Short Answer
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  • 37
    Email
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