Rate each statement 1—5
(1 = not true right now; 5 = consistently true)
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I can feel "I am safe with myself" in my body.
Bad
Good
I return to calm without needing someone else to fix me.
Bad
Good
When uncertainty appears, I soften first, then act.
Bad
Good
I can sense my "yes" and "no" without talking myself out of it.
Bad
Good
Even under pressure, I stay in relationship with myself.
Bad
Good
I don't ask for opinions when I already know the answer.
Bad
Good
I notice when I'm seeking permission and I stop.
Bad
Good
I can disappoint someone and stay internally steady.
Bad
Good
I stop negotiating with my own boundaries.
Bad
Good
I complete descisions instead of leaving them open for days.
Bad
Good
Clarity (truth) matters to me.
Bad
Good
Heart coherence matters to me.
Bad
Good
Agency (acting/completing) matters to me.
Bad
Good
Grounding (steadiness) matters to me.
Bad
Good
Integrity matters to me.
Bad
Good
In the last 7 days, I lived by truth/clarity.
Bad
Good
In the last 7 days, I acted and completed what mattered.
Bad
Good
In the last 7 days, I regulated and stayed grounded.
Bad
Good
In the last 7 days, my life matched my words.
Bad
Good
In the last 7 days, I stayed open-hearted and self-honouring.
Bad
Good