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Engagement Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

I feel just the right amount of challenge.

Please select the option that best represents your feeling.
2

My thoughts/activities run fluidly and smoothly.

Please rate the statement on a scale of 1 to 7.
3

I don’t notice time passing.

Please select the option that best describes your experience.
4

I have no difficulty concentrating.

Rate your level of difficulty in concentrating on a scale of 1 to 7.
5

My mind is completely clear.

Please choose the option that best reflects your clarity of mind.
6

I am totally absorbed in what I am doing.

Rate your level of absorption in the current task on a scale of 1 to 7.
7

The right thoughts/movements occur of their own accord.

Please select the option that best suits your experience.
8

I know what I have to do each step of the way.

Rate your level of certainty in knowing each step of the way on a scale of 1 to 7.
9

I feel that I have everything under control.

Please select the option that best describes your feeling of control.
10

I am completely lost in thought.

Indicate your state of being lost in thought.