Six Fundamental Relationships Self Questionnaire

Six Fundamental Relationships Self Questionnaire

This questionnaire has 6 categories which reflect the 6 foundational principles of holistic health. Read through each category then determine your score out of 10. Please note that this questionnaire is to help bring awareness to your foundational patterns and to determine if they are optimal. The questionnaire can help encourage your thought process, but it is by no means a conclusive test for determining what is best for you. Please use it as guidance and without judging yourself.

  1. Breathing

0 to 2:

I don’t have a conscious relationship to my breath and my breathing is subconscious.

3 to 4:

I have some relationship to my breath and I notice it sometimes such as when I’m holding my breath. I don’t practice breathing methods or conscious breathing.

5 to 7:

I have breath awareness through parts of my day and I practice conscious breathing methods some of the time.

8 to 9:

I have good breath awareness and I am aware of my breathing pattern most of the day and I practice conscious breathing.

10:

I am nearly always aware of my breath.

  1. Moving and Body Awareness

0 to 2:

I have little conscious awareness of my body throughout the day and my movement patterns, and I am quite sedentary.

3 to 4:

I have some awareness of my body and movement patterns throughout the day. I sometimes walk or exercise though I am aware that I don’t move enough, and I live quite sedentary.

5 to 7:

I have good awareness of my body and movement patterns. I have a few movement patterns such as running, working out, and simple yoga.

8 to 9:

I nearly always have body awareness and I have a large repertoire of movement practices. I have good strength, speed, mobility, and flexibility.

10:

I am always aware of my body and my nervous system is nearly always regulated and I choose from a wide variety of movement practices which I excel at.

  1. Eating

0 to 2:

I have a poor relationship with food and most of my eating is automatic and routine.

3 to 4:

My relationship with food is okay. I don’t eat with a high level of conscious awareness. I find myself eating to suppress emotions and I don’t choose the best foods for myself most of the time.

5 to 7:

I have a good relationship with food, and I do my best to eat good food most of the time and have a conscious practice to eat mindfully.

8 to 9:

I have a good relationship with food I choose the right foods for my body almost always and I eat mindfully.

10:

I eat mindfully and my nutrition has a high precision for exactly what I need all of the time

  1. Drinking

0 to 2:

I have a poor relationship with water. I consume it unconsciously and I never give thanks for it or pay attention to the quality of water or how much water I am drinking.

3 to 4:

I try to drink water throughout my day, but I don’t pay attention to how much I drink or the quality of the water.

5 to 7:

I do my best to drink good quality water and drink enough good clean water to give my body what it needs and I have mindfulness as I drink water.

8 to 9:

I give thanks for my water. My water is purified and clean and I almost always drink exactly the amount of water I need.

10.

I have a professional filtration system for my water or another way of sourcing optimal water and I drink mindfully and drink exactly what I need.

  1. Sleep

0 to two:

I don’t pay attention to my sleep cycles or go to bed at regular times, and I often watch screens before bed and have bright lights and caffeine throughout the day into the night.

3 to 4:

I do my best to sleep 8 hours a night but often sleep 5 to 7 hours and my rest is not deep. I often use electronics before bed.

5 to 7:

I do my best to sleep at regular times getting 8 hours of sleep, but I often use my phone or have bright lights in my home before bed.

8 to 9:

I have a regular sleeping routine and I get the amount of sleep my body needs and I practice having a wind down period without bright lights before bed.

10:

I have optimal sleep every night I wake up rested I have good sleep routines before bed

  1. Thinking

0 to 2:

I don’t have a relationship with my thought process and my thinking happens automatically and I am not aware of thinking patterns.

3 to 4:

I don’t actively monitor my thinking process. I am aware that I often think too much, and I often have negative thought patterns.

5 to 7:

I am aware of my thinking patterns some of the time and I do my best to choose good thoughts that are dream affirmative.

8 to 9:

I have a conscious process or practice that allows me to monitor my thinking and I pay attention to my thought processes and I choose good thoughts most of the time.

10:

I am nearly always aware of my thinking process and I consciously direct my thoughts towards positivity and/or I have the capacity not to get caught in negative thought patterns when they arise.

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