Integrative Therapeutics Protocol Assessment
Integrative Therapeutics Protocol Assessment
Welcome to the Integrative Therapeutics Protocol Assessment! This quiz is designed to help you evaluate your cognitive performance, sleep quality, stress levels, and overall mental well-being. By answering a series of targeted questions, you can gain insights into how you’re feeling and what adjustments may be beneficial in your daily life.
Take a few moments to share your experiences and discover:
- Your daily cognitive performance
- Your stress and energy levels
- How well you unwind and relax
Rate Your Cognitive Performance on a sale of 1-5.
1 being Poor, to 5 being Excellent.
1
2
3
4
5
On a scale of 1 to 5, how refreshed do you feel when you wake in the morning?
1 being Very Tired, to 5 being Very Refreshed.
1
2
3
4
5
On a scale of 1 to 5, how stressful does your day to day life feel?
1 being Never Stressful, to 5 being Very Stressful.
1
2
3
4
5
How often do you find yourself struggling to keep your energy up during the day?
1 being Never, to 5 being All The Time.
1
2
3
4
5
Do you find yourself being able to unwind and relax during down time?
Yes
No
On a scale of 1-5, how mentally drained do you feel at the end of the day?
1 being Never Mentally Drained, to 5 being Constantly Mentally Drained.
1
2
3
4
5
On a scale of 1-5, how would you describe your mood?
Calm
Nervous
As you age, have you noticed your memory is not as sharp as it used to be?
Yes
No
On a scale of 1-5, how long does it take you to fall asleep?
1 being Almost Immediately, to 5 being Takes Hours.
1
2
3
4
5
How frequently do you wake during the night?
Frequently
Never
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