Mantra_DigitalIssue_1_Empaths_SensitiveSouls

(Susana Espinozajj-QFg) #1

(^40) 40 MANTRAMAGAZINE.COMMANTRAMAG.COM MANTRAMAG.COM 40
I have a frequent fear of change ............................................................................................................Yes/No
I experience a lot of social anxiety .........................................................................................................Yes/No
I wake in the middle of the night with anxiety ..................................................................................Yes/No
I have a hard time relaxing .....................................................................................................................Yes/No
I generally ask “what if” and create worst-case scenarios ...............................................................Yes/No
I regard myself as a careful person ......................................................................................................Yes/No
People would consider me a worrier ....................................................................................................Yes/No
I am generally very attentive to detail .................................................................................................Yes/No
I consider myself high-strung ...............................................................................................................Yes/No
People would consider me a negative person ....................................................................................Yes/No
I generally feel fearful .............................................................................................................................Yes/No
I feel extremely vulnerable to the outside world ..............................................................................Yes/No
I consider myself a sensitive person ...................................................................................................Yes/No
I am creative and imaginative ...............................................................................................................Yes/No
I’m responsive and intuitive .................................................................................................................Yes/No
I know how to recognize my triggers ..................................................................................................Yes/No
Sometimes I feel like I am just waiting for things to go wrong ......................................................Yes/No
I notice the automatic negative thoughts that pop up ...................................................................Yes/No
I am willing to change ........................................................................................................................... Yes/No
What is my normal anxiety response: ............................................................................Fight/Flight/Freeze
I generally overcommit and take on too many things ......................................................................Yes/No
Even my dreams stress me out ............................................................................................................ Yes/No
I prefer to stay home rather than socialize .........................................................................................Yes/No
Sometimes I feel paralyzed from stress ............................................................................................. Yes/No
I generally feel like everything is going to be ok ................................................................................ Yes/No
I feel like the world is a safe place ........................................................................................................Yes/No
Even when things are good, I’m anxious .............................................................................................Yes/No
I use mindfulness tools to calm me down .......................................................................................... Yes/No
My mind seems to never stop ...............................................................................................................Yes/No
I lose a lot of my life worrying ...............................................................................................................Yes/No
Upsetting coworkers or my family really rattles me .........................................................................Yes/No
I feel like I put my needs last .................................................................................................................Yes/No
THE ANXIETY
INTAKE
40 MANTRAMAGAZINE.COM

Free download pdf