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Please score the following before
beginning the meditation
All fields are OPTIONAL but useful to be completed
Ratings are 1-10 from lowest to highest experience of given trait
Energy From 1-10
1
2
3
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5
6
7
8
9
10
Depression From 1-10
1
2
3
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5
6
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8
9
10
Anxiety From 1-10
1
2
3
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5
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7
8
9
10
Self Control From 1-10
1
2
3
4
5
6
7
8
9
10
Happiness From 1-10
1
2
3
4
5
6
7
8
9
10
Additional Comments
Begin Meditation