Questionnaire template
Emotional Awareness Self-Reflection
A non-diagnostic self-reflection on how adults notice, understand, express and use emotions at home and at work.
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Questions in this template
Knowing Your Own Emotions
This short reflection helps you think about how you notice and handle emotions. It is not a test or a diagnosis, and there are no right or wrong answers.
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How often does each of the following describe you?
- I can name the emotion I am feeling
- I know what has caused a particular feeling
- I notice how my feelings shape what I think
- I notice physical sensations that go with my feelings
For each row: choose one:
- Never
- Rarely
- Sometimes
- Often
- Always
Understanding Others
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How often do you find it hard to put yourself in the shoes of someone who is struggling?
Choose one from a list:
- Never
- Rarely
- Sometimes
- Often
- Always
Expressing and Managing Emotions
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Which of these statements describe you? Select all that apply.
Choose any that apply:
- I can share my feelings clearly and in a helpful way
- I usually stay composed when under pressure
- I find it hard to put my feelings into words
- I tend to hold my feelings back
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If you like, give an example of a situation where one of these showed up. (optional)
Condition: Shown when at least one statement was selected
Open answer
Relationships
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Think of a recent conversation or situation that went well because you understood your own or someone else's feelings. What happened? (optional)
Open answer
Emotions at Work
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How much do you agree: paying attention to how colleagues feel makes a real difference to how my work interactions go.
Choose one:
- Strongly disagree
- Disagree
- Neither agree nor disagree
- Agree
- Strongly agree