Balance Questionnaire


Overview

This questionnaire has 16 questions - 8 about your behaviour and 8 about your thoughts and feelings. For each question select one of the three answers. Go with your gut feeling as far as you can.

To get the maximum benefit from using this questionnaire please be completely honest with yourself.

Continue



Instructions

Consider each of the descriptions and select the appropriate response as to whether you ...

  • Often do it
  • Sometimes do it
  • Never/Rarely do it

To navigate through the questionnaire please click on Back and Continue. You must respond to all the questions to be able to submit your responses.

Continue



Question 1 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 2 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 3 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 4 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 5 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 6 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 7 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 8 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 9 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 10 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 11 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 12 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 13 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 14 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 15 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Question 16 of

Often

Sometimes

Never/Rarely

Continue | Back | Go Back to the Submit button



Well Done!

You have completed the questionnaire.

You have Often responses.

You have Sometimes responses.

You have Never/Rarely responses.

To find out what this means click on the Submit button.