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Mind

Professionals in fysieke en mentale vitaliteit

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Energy level check

The following questions are about the 10 energizers in your life.

These are the factors that give you energy, only if you have the right personal knowledge about it and integrate it into your life.

Give the answers that comes to your mind spontaneously, without thinking for a long time.

Step 1 of 11

9%

Name*
First Last
Could you please give us your date of birth?*
Email address*
We only use your email address for sending the results.
Mobile phone number*

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Sleep Score
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Nutrition Score
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Exercise Score
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Humour Score
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Passion Score
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Relaxation Score
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Social Life Score
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Home Score
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Professional Life Score
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Sense of Purpose Score
Energizer Sleep
1.1 Sleep - I fall … directly asleep*
- seldom
- sometimes
- relatively often
- often
- always
1.2 Sleep - I sleep on average … hours a night*
- < 5
- 5
- 6
- 7
- 8
- 9
- >9
1.3 Sleep - In the morning I wake up ...*
- exhausted
- tired
- relatively fit
- rested
- energetic

Energizer Nutrition
2.1 Nutrition - I manage to put together two or three healthy, balanced meals per day …*
- never
- 1 - 2 times a week
- 3 - 4 times a week
- 5 - 6 times a week
- always
2.2 Nutrition - I know which nutrients have a positive/negative effect on my health*
- no idea
- a little idea
- more and more idea
- pretty well idea
- completely aware
2.3 Nutrition - My alcohol consumption is…*
- 0 (I never drink alcohol)
- 1 per day
- 2 per day
- 3 or more per day
- max. 2 on weekends (Fri, Sat or Sun)
- max. 4 on weekends (Fri, Sat or Sun)
- 5 or more on weekends (Fri, Sat or Sun)

Energizer Exercise
3.1 Exercise – I exercise daily an average of … (with a slightly raised pulse)*
- < 10 min.
- 10 up to 15 min.
- 16 up to 20 min.
- 21 up to 25 min.
- > 25 min.
3.2 Exercise – My physical condition in the past two years has …*
- declined badly
- declined slightly (for a reason other than your increasing age)
- remained equally
- shown slight progress
- shown great progress
3.3 Exercise - When I exercise, I … get injured*
- never
- sometimes
- relatively often
- often
- always

Energizer Humour
4.1 Humour - When I am embarrassed in a public situation, I … feel ashamed*
- never
- sometimes
- relatively often
- often
- always
4.2 Humour - When I ask 4 friends if they think I’m humorous, I score a (1 = a bit, 5 = a lot)*
- 1
- 2
- 3
- 4
- 5
4.3 Humour - To have a good time, I am … on others*
- not depending
- not very depending
- relatively depending
- pretty depending
- totally depending

Energizer Passion
5.1 Passion – I spend ... time on my passion (passion is the superlative of your hobby)*
- no
- seldom
- sometimes
- regularly
- often
- very often
5.2 Passion – I know my inner drives …*
- not really
- partially
- more and more
- well
- to the core
5.3 Passion – Given my age, I can still practice my passion for ... years*
- 0 - 5
- 6 - 10
- 11 - 20
- 21 - 30
- 31 - 50
- unending

You are half way, now comes the Energizer Relaxation
6.1 Relaxation – I have recovered from my work week after …*
- 1 night
- 1 day
- 2 nights
- 2 days
- more than 2 days
6.2 Relaxation – I manage daily to relax physically and mentally (without distraction of tv etc.) …*
- 0 min.
- 10 min.
- 20 min.
- 30 min.
- more than 30 min.
6.3 Relaxation – After a stressful period I know … what steps to take to get back into balance*
- not
- insufficiently
- sufficiently
- amply sufficiently
- fully

Energizer Social Life
7.1 Social life – I am … satisfied about the quality of my social contacts*
- not
- moderately
- reasonably
- pretty
- extraordinary
7.2 Social life – The balance of people that DRAIN my energy and that GIVE me energy is …*
- 10/90 (drain/give energy)
- 25/75
- 50/50
- 75/25
- 90/10
7.3 Social life – Whenever I experience emotional problems, I can ... share these with the people in my surroundings*
- seldom
- sometimes
- relatively often
- often
- always

Energizer Home
8.1 Home – Whenever I am at home, I have the feeling that I … relax*
- have to
- want to
- am allowed to
- can
- automatically are going to
8.2 Home - When I describe the atmosphere at home, I find this …*
- very restless
- restless
- variable
- soothing
- very soothing
8.3 Home – Whenever I think about moving, I would want to do that …*
- immediately
- within 2 years
- within 5 years
- within 10 years
- never

Energizer Professional Life
9.1 Professional life – I experience … appreciation for the work I do*
- seldom
- barely
- sometimes
- often
- abundance of
9.2 Professional life- The past 2 years I am …% satisfied with the work I do*
- 0 < 20
- 21 < 40
- 41 < 60
- 61 < 80
- 81 < 100
9.3 Professional life - The future prospect of my current job is …*
- very sad
- fairly bleak
- neutral
- reasonably positive
- very positive

Energizer Sense Of Purpose
10.1 Sense of purpose – I have … purpose in my life*
- no
- a vague
- a reasonably clear
- a clear
- a completely clear
10.2 Sense of purpose – I … variety and challenge in my life*
- rarely have
- sometimes have
- have sufficient
- fairly often have
- often have
10.3 Sense of purpose – When I look back, I can say that I until now … contributed to my own growth and that of others*
- barely have
- have a litte
- have
- have enough
- have abundance of
One last question...
Which question are you most concerned with at the moment?

I’m getting an error, what’s going on?
It’s possible that one or more answers have not been taken correctly. These are indicated with light red. Please check the list again to see where you need to answer.

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